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hypertension

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fpm20110900p33.pdf

...CC: Routine follow-up of diabetes and hypertension (established patient) S: Patient is a 56-year-old female who comes in for follow-up of her type II diabetes mellitus and hyperten- sion. She denies any low blood sugar reactions. Her last A1C was 6.0 percent. She has had a recent...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33.pdf

fpm20120500p26.pdf

...Recently, Family Care Network [Dr. Saf- ford’s group] was working on improving care for patients with hypertension. One of the interventions being introduced was that if a patient had elevated blood pressure when vital signs were taken, someone was supposed to take the measurement...

Family Practice Management

https://www.aafp.org/fpm/2012/0500/fpm20120500p26.pdf

fpm20140700oa1.pdf

...V81.1 Screening hypertension V81.2 Screening other and unspecified cardiovascular conditions Z13.6 Encounter for screening for cardiovascular disorders Colorectal cancer screening V76.51 Screening malignant neoplasm colon Z12.11 Encounter for screening for malignant...

Family Practice Management

https://www.aafp.org/fpm/2014/0700/fpm20140700oa1.pdf

fpm20170500p5.pdf

...3. Bob is a 58-year-old African American man who presents for a physical with no complaints. He has well- controlled hypertension and hyperlipidemia. He had a prostate-specific antigen (PSA) test in the past that was in the normal range, and his family history is negative for...

Family Practice Management

https://www.aafp.org/fpm/2017/0500/fpm20170500p5.pdf

fpm20170900p21.pdf

...safe housing. These social determi- nants of health can cause uncontrolled diabetes (if the patient has no way to refrigerate insulin), hypertension (if the patient cannot afford med- ications), and poor adherence to regular office visits (if the patient lacks transportation). Con-...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p21.pdf

Developing Standing Orders to Help Your Team Work to the Highest Level

...Diabetes, hypertension, hypothyroidism Point of care testing Rapid strep test, urine dip, urine pregnancy Routine refills for chronic disease medications Hypertension, cholesterol, hypothyroidism, contraceptives (if patient is up-to-date on pertinent labs and visits)...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p13.pdf

Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice

...1: A 67-year-old male, who is an established patient of your practice, is see- ing you for an initial AWV. His chronic prob- lems include hypertension and dyslipidemia. He is taking hydrochlorothiazide 25 mg per day and atorvastatin 20 mg at bedtime. His history and the health risk...

Family Practice Management

https://www.aafp.org/fpm/2019/0300/fpm20190300p25.pdf

Emotional Intelligence: Five Ways to Have Better Interactions and Improve Your Work Life

...Similarly, if a patient says he takes his hypertension medication only when he feels that his blood pressure might be elevated, you may become frustrated and consider the patient naive, lazy, or noncom- pliant. A better approach is to get curious and ask the patient a few more...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p9.pdf

Diabetes Encounter Form

...l Hypertension: BP at goal l Y l N l Hypercholesterolemia: Taking a statin daily l Y l N l Not indicated l Obesity l Other DIABETES ENCOUNTER FORM continued ➤ DIABETES ENCOUNTER FORM 2 of 2 P: Patient’s next step to health: _______...

Family Practice Management

https://www.aafp.org/fpm/2000/0900/fpm20000900p51-rt3.pdf

Medicare Preventive Physical Exam

...Hypertension Heart disease Stroke Kidney disease Obesity Genetic disorder Alcoholism MEDICARE PREVENTIVE PHYSICAL EXAM continued ➤ MEDICARE PREVENTIVE PHYSICAL EXAM 2 of 6 Patient Name ________________________________________________________________...

Family Practice Management

https://www.aafp.org/fpm/2011/0100/fpm20110100p22-rt3.pdf

FPM Peer Reviewer Survey

A survey of areas of expertise for FPM peer reviewers

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/peer-reviewer-survey.docx

Diabetes Encounter Form (Group Visits)

...8. Discussed targets and management of lipids, HTN and proteinuria. 9. Spent more than 50 percent of this 105-minute visit in coun- seling re: therapy options and management of diabetes. Signed: __________________________________________________...

Family Practice Management

https://www.aafp.org/fpm/2000/0600/fpm20000600p33-rt1.pdf

Diabetes Flow Sheet

...ACE Inhibitor: l Yes l No l Microalbuminuria l Hypertension Aspirin Use: l Yes l No (If no , specify reason: _____________________________________________________________________) DIABETES FLOW SHEET...

Family Practice Management

https://www.aafp.org/fpm/2000/0600/fpm20000600p60-rt1.pdf

fpm20000600p33-rt1.doc

...8. Discussed targets and management of lipids, HTN and proteinuria. 9. Spent more than 50 percent of this 105-minute visit in counseling re: therapy options and management of diabetes. SIGNED: ______________________________ Copyright © 2000 American Academy of Family...

Family Practice Management

https://www.aafp.org/fpm/2000/0600/fpm20000600p33-rt1.doc

complementary and Alternative Medicine: A Primer -- Family Practice Management

...the medicines you’ve prescribed to treat her diabetes, hypertension, osteoporosis and congestive heart failure? A: I would emphasize to her that all herbs have pharmacologic properties just as do conventional pharmaceuticals and would explain that there is the possibility of...

Family Practice Management

https://www.aafp.org/fpm/2001/0300/fpm20010300p37.pdf

Starting a Revolution in Office-Based Care -- Family Practice Management

...Percentage of patients with hypertension 95 percent (increased from Tonawanda Medical Associates, whose BP is less than or equal to 140/86 67 percent in previous year) Buffalo, N.Y. VITALITY Percentage of staff recommending the practice 95 percent (increased from...

Family Practice Management

https://www.aafp.org/fpm/2001/1000/fpm20011000p29.pdf

How to Get All the 99214s You Deserve -- Family Practice Management

...exam but, rather, to your cognitive work. There is a difference in the way you think about the uncomplicated patient with well-controlled hypertension and the patient who requires frequent med- ication changes for a chronic condition and has additional medical problems. Likewise,...

Family Practice Management

https://www.aafp.org/fpm/2001/1000/fpm20011000p43.pdf

Improving Anticoagulation Management at the Point of Care -- Family Practice Management

...Point-of-care antico- agulation assessment allows you to concur- rently address other factors that contribute to stroke risk (such as hypertension and hyperlipidemia). Billing tips Overseeing warfarin therapy in the office rather than the lab is the first step to receiv- ing...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p35.pdf

Going Solo: One Doc, One Room, One Year Later -- Family Practice Management

...- can achieve unprecedented results. Using a reg- istry has allowed me to do better than the JNC VI’s national best in the treatment of hypertension. More than 75 percent of my patients are treated to goal, and I am aiming for 90 percent. To accomplish this, each month I review...

Family Practice Management

https://www.aafp.org/fpm/2002/0300/fpm20020300p25.pdf

How to Help Your Low-Income Patients Get Prescription Drugs -- Family Practice Management

...you’re seeing most in your prac- tice. If, like most family doctors these days, you’re taking care of a lot of patients with diabetes or hypertension, pick a few medica- tions that you frequently prescribe. Eric Schneider, PharmD, the director of pharmacotherapy for Greenwood...

Family Practice Management

https://www.aafp.org/fpm/2002/1100/fpm20021100p51.pdf

Coding Better for Better Reimbursement -- Family Practice Management

...for a routine, four-month follow-up visit. The patient has hypertension, type 2 dia- betes and osteoarthritis and is stable. That’s automatically an extended HPI. You also note that the patient has no chest pain, no shortness of breath and no joint pain. So, you’ve touched on at...

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

Rediscovering the Joy of Family Practice -- Family Practice Management

...ability to interject creativity into our work also contributes to flow. Consider the many options for treating headaches, depres- sion, hypertension and such - pharmaceuti- cals, lifestyle changes and cognitive therapy. With so many options, I get a great deal of pleasure working...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p57.pdf

Recommendations for the Future of Family Medicine -- Family Practice Management

...coronary artery disease, hypertension, osteo- arthritis, depression and preventive care. • The Continuity-of-Care record (http: //www.aafp.org/x24962.xml); a joint effort headed by the Massachusetts Medical Society to develop an electronic document standard for summarizing...

Family Practice Management

https://www.aafp.org/fpm/2004/0400/fpm20040400p34.pdf

Asthma Days: An Approach to Planned Asthma Care -- Family Practice Management

...efficiency and effectiveness. The principles outlined here could apply to any chronic disease, such as diabetes, heart failure and hypertension. While it is not the only way to provide excellent care for chronic diseases, it has performed very well in supporting the goals we’ve set...

Family Practice Management

https://www.aafp.org/fpm/2004/1000/fpm20041000p43.pdf

How to Answer Your Clinical Questions More Efficiently -- Family Practice Management

...statCoder: Guidelines on hypertension (joint national Committee- 7), cholesterol (atP3), cardiac clearance and more ➤ http://www.statcoder.com/ united states Preventive services Task Force: interactive Preventive services selector ➤ http://198.76.191.14/ipss/ipss.htm...

Family Practice Management

https://www.aafp.org/fpm/2005/0700/fpm20050700p37.pdf

fpm20050900p52-rt1.pdf

...• One stable chronic illness (e.g., well controlled HTN, dM2, cataract); • Acute uncomplicated injury or illness (e.g., cystitis, allergic rhinitis, sprain). • Physiologic tests not under stress (e.g., PFTs); • Non-cardiovascular imaging studies with contrast (e.g., barium...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p52-rt1.pdf

ICD-9 Changes: It’s Time to Tend to Your Superbill -- Family Practice Management

...Some codes will have their descriptors changed. Beginning Oct. 1, codes for hypertension will use the word kidney rather than renal and chronic kid- ney disease rather then renal failure. Code 728.87 will be Muscle weakness, generalized. Several sleep disturbance codes (780.5X)...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p49.pdf

Cashing in on House Calls -- Family Practice Management

...attention. I also offer online consultations for established patients, for a fee. This is a great way to help patients with diabetes, hypertension and high cholesterol to manage their health between visits. Financing the practice The financial success of a cash-based house...

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p67.pdf

Using a Simple Patient Registry to Improve Your Chronic Disease Care -- Family Practice...

...Over the course of a year, we chose several other chronic diseases (hypertension, hyperlip- idemia and asthma) and created similar track- ing systems for each of them as well. After getting our chronic disease tracking systems going, we created worksheets for all of the patients...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p47.pdf

How to Bill for Services Performed by Nonphysician Practitioners -- Family Practice ...

...(at a pre- vious visit) and initiates the plan of care that the NPP is carrying out. For example, the physician sees a patient with hypertension and asks the patient to follow up with the NPP. 2. The physician remains involved in the patient’s care and documents this involvement...

Family Practice Management

https://www.aafp.org/fpm/2006/0500/fpm20060500p45.pdf

Don't Be a Target for a Malpractice Suit - Family Practice Management

...standard operating procedures that govern how often you see patients with chronic conditions. For example, you might see patients with hypertension every three months and patients on statins every six months. Most patients with a chronic illness need follow-up at some regular...

Family Practice Management

https://www.aafp.org/fpm/2006/0600/fpm20060600p57.pdf

A Refresher on medical Necessity -- Family Practice Management

...pain. Then you would ask about the patient’s past medical history to identify potential risk factors for coronary artery disease such as hypertension or dyslipidemia. You would also ask about family history of cardiovascular dis- ease and perform a social history to determine if the...

Family Practice Management

https://www.aafp.org/fpm/2006/0700/fpm20060700p28.pdf

Standardized Hospital Admissions Orders

...6. Uncontrolled hypertension. YES NO 7. Extensive iliofemoral DVT. YES NO 8. Likelihood of non-compliance due to cognitive limitations, YES NO alcohol/drug abuse, dementia, psychiatric disorders, etc. Describe: _______________________________________ DECISION [ ]...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p49-rt1.docx

diabetesgroupvisits.pdf

...8. Discussed targets and management of lipids, HTN and proteinuria. 9. Spent more than 50 percent of this 105-minute visit in counseling re: therapy options and management of diabetes. Signed: Developed by Steven Masley, MD, Julia Sokoloff, MD, and Collene Hawes, RN....

Family Practice Management

https://www.aafp.org/fpm/2006/0900/diabetesgroupvisits.pdf

diabetesfollowup.pdf

...l 401.1 Hypertension: BP at goal l Y l N l 272.0 Hypercholesterolemia: Cholesterol at goal l Y l N l 275.00 Obesity l Other continued ➤ Routine Diabetes encounteR continued P: Patient’s next step to health: l Medication changes: l Next visit: l...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/diabetesfollowup.pdf

fpm20060900p49-rt1.pdf

...6. Uncontrolled hypertension. YES NO 7. Extensive iliofemoral DVT. YES NO 8. Likelihood of non-compliance due to cognitive limitations, alcohol/drug abuse, dementia, psychiatric disorders, etc. YES NO Describe: _______________________________________ DECISION l...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p49-rt1.pdf

fpm20060900p63.pdf

...Hypertension evaluation* PDF Pertussis exposure PDF Pulmonary embolism* PDF Sore throat* PDF Upper respiratory infection PDF, Word Forms appropriate to various visit types common skin procedures** PDF evaluation and management services** PDF Home visit PDF,...

Family Practice Management

https://www.aafp.org/fpm/2006/0900/fpm20060900p63.pdf

fpm20061100p28.pdf

...Potential adverse effects of the birth control pill, including hypertension, migraines, blood clots, stroke and heart attack, were reviewed with the patient. I also reviewed the small risk that concurrent use of antibiotics may decrease the contracep- tive effectiveness of the birth...

Family Practice Management

https://www.aafp.org/fpm/2006/1100/fpm20061100p28.pdf

fpm20070100p21.pdf

...Level of risk: Low examples: • two or more self-limited or minor problems. • One stable chronic illness, e.g., controlled hypertension, diabetes mellitus, benign prostatic hyperplasia. • One acute uncomplicated illness or injury, e.g., cystitis, allergic rhinitis, simple...

Family Practice Management

https://www.aafp.org/fpm/2007/0100/fpm20070100p21.pdf

fpm20070300p26.pdf

...I’ve met physicians who would never seek out an expert on hypertension to ask, What is the best drug for hyper- tension? yet they search high and low for tech experts to ask, What is the best EHR software? Just as it is for hypertensive drugs, the correct answer for EHR software is,...

Family Practice Management

https://www.aafp.org/fpm/2007/0300/fpm20070300p26.pdf

fpm20070600p19.pdf

...who sees most of our walk-in patients with minor acute care needs. She also helps man- age patients with chronic conditions like hypertension, hyperlipidemia and diabetes. The Apex area includes suburban and rural areas and a population of well-insured p h o t o g r a...

Family Practice Management

https://www.aafp.org/fpm/2007/0600/fpm20070600p19.pdf

untitled

...the second medical assistant because he keeps up with them … though they always recheck his blood pressure measurements on patients with hypertension. The practice has tried repeatedly to address both speed of patient flow and accuracy of vital signs - to no avail - and there is a...

Family Practice Management

https://www.aafp.org/fpm/2008/0600/fpm20080600p29.pdf

fpm20080700pa3.pdf

...Percentage of patients with hypertension whose last blood pressure reading was < 140/90 Percentage of patients with diabetes with an A1C level recorded in the last year Percentage of patients with diabetes whose A1C is < 7.0 Percentage of patients with diabetes with a...

Family Practice Management

https://www.aafp.org/fpm/2008/0700/fpm20080700pa3.pdf

fpm20081100p27.pdf

...• Vascular disease, including coronary artery disease, hypertension, myocardial infarction, congestive heart failure, aortic aneurysm, peripheral vascular disease and cerebrovascular accident; • Lung disease, including chronic obstruc- tive pulmonary disease, chronic bronchitis,...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p27.pdf

Family Practice Management

...along multiple dimensions related to your practice’s goals. Clinical quality measures could include percentage of patients with hypertension who have blood pressures below 140/90; percentage of patients diagnosed with asthma who take controller medications; percentage of women age...

Family Practice Management

https://www.aafp.org/fpm/2009/0300/fpm20090300p28.pdf

Family Practice Management

...sunny Mon- day morning, you see a long-time patient of yours with a complex medical history of coro- nary artery disease, renal failure, hypertension and diabetes. He pulls out a list of six issues to cover today that does not include any of his chronic medical issues. What should...

Family Practice Management

https://www.aafp.org/fpm/2009/0500/fpm20090500p23.pdf

Family Practice Management

...guidelines to part of a sample note. The patient is a 55-year-old man with hypertension who presents with increasing shortness of breath and edema. Compare the following note with the chart for the car- diovascular exam: BP 126/86, P 82, WT 190. Pt. appears tired. HEENT:...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p24-rt1.pdf

Family Practice Management

...in one or more organ system(s) or body area(s). Consider this example: You see a 55-year-old man who has returned for follow-up of his hypertension. His only complaint is a scratchy throat that he’s had for the past several days. Your observations are noted as follows: BP 126/86,...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p24.pdf

Quanitifying the Risk of Complications, Morbidity and Mortality

...One stable chronic illness (e.g., well-controlled hypertension or non-insulin-dependent diabetes, cataract, BPH) Acute uncomplicated illness or injury (e.g., cystitis, allergic rhinitis, simple sprain) Physiologic tests not under stress (e.g., pulmonary function tests)...

Family Practice Management

https://www.aafp.org/fpm/2010/0700/fpm20100700p10-rt1.pdf

Is Your Medicare Payer Playing by the Rules?

...actually prevent the status of one to two chronic conditions from counting as a brief HPI. For example, if you state that the patient has hypertension that is well controlled with current medications, you have docu- mented a brief HPI in compliance with either definition - noting...

Family Practice Management

https://www.aafp.org/fpm/2010/0700/fpm20100700p27.pdf

fpm20110500p21.pdf

...arcus is a middle-aged patient with hypertension, diabetes and hyperlip- idemia who came to see me (CF) for a routine check-up. All of his numbers were getting worse, and as I began to describe this to him, he started to cry. I had just received training in something called...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/fpm20110500p21.pdf

fpm20110500p27.pdf

...which incorporate multiple chronic diseases on a single template. For example, one template covers diabetes, coronary artery disease and hypertension since these conditions often coexist and the recom- mendations overlap. These templates also cover goal setting and action plans and...

Family Practice Management

https://www.aafp.org/fpm/2011/0500/fpm20110500p27.pdf

fpm20110700p10.pdf

...He orders a fasting glucose test to screen for diabetes since Mr. Smith qualifies for this Medicare ben- efit based on his weight and hypertension. Mr. Smith indicates understanding of the prevention plan and other materials provided during the visit, so Dr. Williams thanks him...

Family Practice Management

https://www.aafp.org/fpm/2011/0700/fpm20110700p10.pdf

Nursing Home Documentation Form

...PMH: l HTN l HLP l CAD l DM l CHF l COPD l CVA l Dementia _________________________________________________________ _________________________________________________________ _________________________________________________________ ________...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p19-rt1.pdf

fpm20120300p19.pdf

...PMH: HTN | HLP | CAD | DM | CHF | COPD | CVA | Dementia COGNITION: MOOD: (depression, anx, behav) SENSORY: (vision, hearing) FALLS / GAIT: NUTRITION: EXERCISE: ROS / GERIATRIC SYNDROMES FUNCTION (activities of daily living) I = Independent S = With...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p19.pdf

fpm20120700p17.pdf

...She had a long list of medical problems that included poorly controlled Type 2 diabetes mellitus, coronary artery disease, hypertension, hyperlipidemia, and generalized anxiety disor- der. She insisted on living at home and having her daughter care for her, and we were bat- tling...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p17.pdf

fpm20120700p27.pdf

...Base code (category) I10 Essential (primary) hypertension Building a five-character code Base code (category) Four characters Five characters E11 E11.4 E11.42 Type 2 diabetes Type 2 diabetes with neurological complications Type 2 diabetes with...

Family Practice Management

https://www.aafp.org/fpm/2012/0700/fpm20120700p27.pdf

fpm20130100p6.pdf

...the chronic organ damage that sickle cell disease causes but also are at risk of developing other, more common chronic diseases, such as hypertension, heart disease, stroke, renal disease, and cancer. As many of these patients receive their care only from specialized centers,...

Family Practice Management

https://www.aafp.org/fpm/2013/0100/fpm20130100p6.pdf

fpm20130300p25.pdf

...the impatient patient.6 (See page 27.) This concept was highlighted for me (Dr. Brown) during my care of a patient with diabetes and hypertension who had been pre- scribed four daily insulin injections along with several other drugs. She listened attentively to my passionate...

Family Practice Management

https://www.aafp.org/fpm/2013/0300/fpm20130300p25.pdf

fpm20130500p24.pdf

...conditions as well, such as endo- metriosis, heart failure, asthma, chronic pain, chronic obstructive pulmonary disorder, heart- burn, hypertension, blood glucose disorders, breast feeding disorders, and menstrual disorders. Challenges When using symptom diaries with patients,...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p24.pdf

fpm20130500p40.pdf

...the level of adherence.18,19 Health coaching focuses a great deal of energy on medication adherence because medications for diabetes, hypertension, EDITORIAL SUPPLEMENT Registered nurses, pharmacists, health educators, trained medical assistants, or even other patients...

Family Practice Management

https://www.aafp.org/fpm/2013/0500/fpm20130500p40.pdf

fpm20130900p12-rt1.pdf

...change coun- seling, while pharmacists can titrate medications and serve as the main caregiver for patients with uncomplicated diabetes, hypertension, and cholesterol. Physical therapists see all HOME 9 10 patients with musculoskeletal problems including low back pain and...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p12-rt1.pdf

Ambulatory Patient Checklist for MAs

... Hypertension  Preventive care  Diabetes  Vital signs  Patient education sheets identified and linked  Recheck blood pressure if elevated (>129/84)  Patient assessed for gown  Expectation management  Doctor notified Check-out  Referrals and...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p18-rt1.pdf

fpm20130900p12.pdf

...change coun- seling, while pharmacists can titrate medications and serve as the main caregiver for patients with uncomplicated diabetes, hypertension, and cholesterol. Physical therapists see all HOME 9 10 patients with musculoskeletal problems including low back pain and...

Family Practice Management

https://www.aafp.org/fpm/2013/0900/fpm20130900p12.pdf

Documenting Diabetes Mellitus Under ICD-10

...to remember to code all additional diagno- ses. As family physicians, we know that our patients who have diabetes often also have hypertension, hyperlipidemia, and obesity and may use tobacco products. Each of these additional issues requires separate coding. These additional...

Family Practice Management

https://www.aafp.org/fpm/2013/1100/fpm20131100p22-rt1.pdf

fpm20131100p22.pdf

...to remember to code all additional diag- noses. As family physicians, we know that our patients who have diabetes often also have hypertension, hyperlipidemia, and obesity and may use tobacco products. Each of these additional issues requires separate coding. These additional...

Family Practice Management

https://www.aafp.org/fpm/2013/1100/fpm20131100p22.pdf

fpm20140100p9.pdf

...with the correct fifth digit. In ICD-10, chronic heart failure has a list of code first conditions, includ- ing heart failure due to hypertension and heart failure due to hyperten- sion with chronic kidney disease. ICD-10 also includes instructions to use addi- tional codes in...

Family Practice Management

https://www.aafp.org/fpm/2014/0100/fpm20140100p9.pdf

fpm20140300oa1.pdf

...is a key piece of the PCMH model. Terry Reilly has six care coordinators who monitor daily patient registries for diabe- tes, hypertension, childhood immunizations, obstetrical care, anti-coagulation therapy, and other key areas, looking for patients who haven’t visited recently to...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300oa1.pdf

Preventive Screening Code Crosswalk

...V81.1 Screening hypertension V81.2 Screening other and unspecified cardio- vascular conditions Z13.6 Encounter for screening for cardiovascular disorders Colorectal cancer screening V76.51 Screening malignant neoplasm colon Z12.11 Encounter for screening for malignant...

Family Practice Management

https://www.aafp.org/fpm/2014/0700/fpm20140700oa1-rt1.pdf

fpm20140900p5.pdf

...In the article by Dr. Jennifer Brull, Controlling Hypertension: Focusing on ‘Why’ Makes ‘How’ a Lot Easier (page 23), we are reminded how a basic qual- ity improvement approach can boost care quality. Pick a metric that needs improving, get your team together, decide on a change,...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p5.pdf

fpm20140900p8.pdf

...and disease understanding among their many disadvan- taged patients with hypertension. To address this, the clinic had its medical assistants use standard scripts to educate low-achieving patients during their visits. Within a year, more than 80 percent of these patients reported...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p8.pdf

fpm20150700p28.pdf

...The last patient of the day is an 85-year-old woman with mild hypertension and osteoarthritis. She lives inde- pendently in a retirement community, adheres faithfully to a low-salt diet, and remains physically active, going on 30-minute walks several times a week with friends. Her...

Family Practice Management

https://www.aafp.org/fpm/2015/0700/fpm20150700p28.pdf

fpm20151100p10.pdf

...few months ago the focus was improving patient access, last month it was improving colon cancer screening rates, and now it is improving hypertension control. On top of this, it’s time to start working on the next meaningful use stage. You are feeling overwhelmed. What can be...

Family Practice Management

https://www.aafp.org/fpm/2015/1100/fpm20151100p10.pdf

Selected Generic Antihypertensive Medications

...• DASH (Dietary Approaches to Stop Hypertension) diet - low in fat and high in fruit, vegetables, and low-fat dairy products, • Sodium restriction of 2.4 grams daily or fewer, • Weight reduction if body mass index is 25 kg/m2 or higher, • Exercise of at least 30 minutes...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p23-rt2.pdf

fpm20160700p9.pdf

...pressure in adults age 18 years and older; and intensive behavioral counseling to promote a healthy diet for adults with hyperlipidemia, hypertension, advancing age, and other known risk factors for cardiovas- cular and diet-related chronic disease. Counseling is cov- ered once...

Family Practice Management

https://www.aafp.org/fpm/2016/0700/fpm20160700p9.pdf

fpm20160900p52.pdf

...Instead of saying, This will treat your hypertension, say, Let’s try this for your high blood pressure. 2. Don’t judge. Instead of saying, Why aren’t you taking your metformin? say, I’m curious to know what happens when you take your metformin. 3. Be aware of costs. Most...

Family Practice Management

https://www.aafp.org/fpm/2016/0900/fpm20160900p52.pdf

fpm20170500p12.pdf

...ers. However, risky alcohol use can lead to motor vehicle crashes, arrest, intimate partner violence, and medical prob- lems including hypertension, gastritis, liver disease, and cancer.3 Moreover, if a woman drinks while pregnant, the child may be born with a fetal alcohol spectrum...

Family Practice Management

https://www.aafp.org/fpm/2017/0500/fpm20170500p12.pdf

fpm20170700p33-rt1.pdf

...help manage your performance on quality measures in MIPS, as well. Many quality measures relate to chronic conditions, such as diabetes, hypertension, major depressive disorder, chronic obstructive pulmonary disorder (COPD), and heart failure. The following example allows for...

Family Practice Management

https://www.aafp.org/fpm/2017/0700/fpm20170700p33-rt1.pdf

fpm20170900p12.pdf

...groundwork for making a dif- ference in your patients’ lives. When you see Mrs. Jones, whom you have treated for hyperlipidemia and hypertension for the past five years, take a moment to realize that, if not for your treatment, she might have had a stroke or a heart attack. When you...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p12.pdf

fpm20170900p28.pdf

...can use remote monitoring to track patient weight for congestive heart failure, fast- ing glucose for diabetes, blood pressure for hypertension, and oxygen saturation for chronic obstructive pulmonary disease (COPD). Data can be incorporated directly into the patient portal and EHR...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p28.pdf

A Team-Based Care Model that Improves Job Satisfaction

...Hypertension control Median time to new appointment New patient appts made in two business days New patient appointments 10 | FPM | March/April 2018 www.aafp.org/fpm support the model. A local market disrup- tor began offering significantly higher MA wages, we were not...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p6.pdf

Deprescribing Unnecessary Medications: A Four-Part Process

...painful diabetic neuropathy of bilateral lower extremities, chronic obstructive pulmonary disease, stable coronary artery disease, and hypertension. She has seen a cardiologist, pulmonologist, and neurologist for additional care. At today’s visit with you, her family physician, she...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p28.pdf

Quality Measures: How to Get Them Right

...to influence an outcome, especially when results primarily reflect the patient’s socioeconomic status. For example, if patients with hypertension can- not afford their prescriptions or patients with diabetes cannot access healthy food options, their physicians cannot easily or...

Family Practice Management

https://www.aafp.org/fpm/2018/0700/fpm20180700p23.pdf

Cognitive Impairment Visit Template

...Hypertension: l Yes l No History of head injury with loss of consciousness: l Yes l No Sleep quality: l Yes l No Alcohol intake: l Yes l No Vision impairment: l Yes l No Hearing impairment: l Yes l No Depression: l Yes l No Historical Data Allergies:...

Family Practice Management

https://www.aafp.org/fpm/2019/0100/fpm20190100p11-rt1.pdf

Tools for Better Dementia Care

...there’s nothing that can be done and stick with what they know: focusing on the patients’ co-morbid conditions, such as high cholesterol, hypertension, and diabetes. For the patients and their caregivers, however, it is dementia’s cognitive, functional, and behavioral losses that...

Family Practice Management

https://www.aafp.org/fpm/2019/0100/fpm20190100p11.pdf

Skin Deep: How to Properly Code for Biopsies and Lesion Removal

...Finally, remember to submit a wound repair code if allowed by CPT and, if you addressed an issue in addition to the skin procedures (hypertension, for example), include the appropriate E/M office visit code with modifier 25, Significant, separately identifiable evaluation and...

Family Practice Management

https://www.aafp.org/fpm/2019/0300/fpm20190300p15.pdf

How to Use Group Visits to Manage Obesity

...to submit diagno- sis codes for any conditions that are exac- erbated by overweight and obesity, such as diabetes, metabolic syndrome, hypertension, hyperlipidemia, coronary artery disease, osteoarthritis, or obstructive sleep apnea.4 If the group visit includes services led by a...

Family Practice Management

https://www.aafp.org/fpm/2019/0900/fpm20190900p20.pdf

Improving the Waiting Room Experience

...the live workshop and corresponding activities to help improve care among your patient panel with cardiometabolic conditions: diabetes, hypertension, and dyslipidemia. And meet all your Performance Improvement and KSA requirements. STEP 1: Assess your practice (course prep)....

Family Practice Management

https://www.aafp.org/fpm/2020/0100/fpm20200100p14.pdf

Building an Outdoor Urgent Care Clinic During a Pandemic: One Clinic’s Experience

...tremen- dously. As expected, our billable diagno- ses changed significantly over this time period. Our top four diagnoses pre-COVID were hypertension, low-back pain, annual physicals, and hyperlipidemia. During the initial six weeks of our outdoor urgent care clinic, the top four...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p14.pdf

Creating Intentional Professional Connections to Reduce Loneliness, Isolation, and Burnout

...and correspond with worse outcomes for chronic physical health conditions (such as hypertension, heart disease, and diabetes) as well as mental health conditions, includ- ing depression, dementia, and suicide.6 At work, loneliness decreases performance, limits creativity, and...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p20.pdf

From the Editor: Racism in Health Care: Creating a More Equitable Health Care Experience

...contract the disease.1 And we have long known about racial dis- parities in outcomes of chronic medical conditions such as diabetes and hypertension.2 We also have evidence that people of color are treated differently by medical pro- fessionals. For example, one study looked at...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p3.pdf

fpm20120300p34.pdf

...Once daily Hypertension Elavil (amitriptyline) 25 mg Once daily at bedtime Leg pain Downloaded from the Family Practice Management Web site at www.aafp.org/fpm. Copyright © 2012 American Academy of Family Physicians. For the private, noncommercial use of one individual...

Family Practice Management

https://www.aafp.org/fpm/2012/0300/fpm20120300p34.pdf

fpm20150100p32.pdf

...Q A nurse practitioner in our practice pro-vided a follow-up visit for hypertension. The encounter met all the requirements for billing inci- dent to the physician, except that the patient also presented with a new complaint, for which an antibi- otic was prescribed. How should this...

Family Practice Management

https://www.aafp.org/fpm/2015/0100/fpm20150100p32.pdf

fpm20150300p30.pdf

...Q Reviewing a patient’s medications is required during a Medicare annual wellness visit (AWV) but assessing chronic conditions such as hypertension and hyperlipidemia is not, even though these tasks are inter-related. Is the latter separately billable when performed in the context...

Family Practice Management

https://www.aafp.org/fpm/2015/0300/fpm20150300p30.pdf

fpm20170300p36.pdf

...those that affected management deci-sions at the current encounter are pertinent to medical decision-making (e.g., a patient’s controlled hypertension has little to no impact on treatment deci- sions if a patient presents with sore throat). You should be able to alter the...

Family Practice Management

https://www.aafp.org/fpm/2017/0300/fpm20170300p36.pdf

Coding and Documentation

...Preferably, the history of present ill- ness documentation would include any complaints the patient presents with (e.g., follow-up of hypertension, hypercholes- terolemia, and a complaint of left shoul- der pain) and the status of any chronic conditions (e.g., patient taking medica-...

Family Practice Management

https://www.aafp.org/fpm/2018/1100/fpm20181100p32.pdf

Practice Pearls

...• Hypertension, diabetes, and hyperlipidemia: once every six months with labs • Asthma and allergies: once a year • Physical exam: as needed, but at least once every two years • Annual wellness visit (for Medicare patients): once a year • Insomnia, gastroesophageal...

Family Practice Management

https://www.aafp.org/fpm/2019/0500/fpm20190500p32.pdf

Practice Diary - Jan 2003 -- FPM

Jan 1, 2003 - ...my office with a new complaint. It wasn’t as though she didn’t have enough problems already – chronic atrial fibrillation, recalcitrant hypertension, type 2 diabetes, obesity and a history of congestive heart failure. Now she noticed her belly had swollen markedly during the past...

Family Practice Management : Practice Diary

https://www.aafp.org/fpm/2003/0100/p69.html

New ICD-9 Codes Take Effect This Month -- FPM

Oct 1, 2002 - Our summary of the changes and updated coding tools will help you to code more accurately and efficiently.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/1000/p21.html

Coding & Documentation - Nov 2002 -- FPM

Dec 1, 2002 - ...and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential hypertension on a multiple-drug regimen presents for a periodic checkup of her condition, you note that the patient is overdue for a screening pelvic and...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1100/p30.html

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