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team-based care

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Changes Coming to FPM Online -- FPM

Mar 1, 2008 - The FPM Web site will soon be redesigned in more ways than one.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2008/0300/p5.html

Changes of Note for the New Year -- FPM

Feb 1, 2019 - Coding updates are just the tip of the iceberg as we begin 2019.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0100/p4.html

Changes Proposed for the E/M Documentation Guidelines -- FPM

Jun 1, 1998 - The article reports on the results of the recently announced delay in implementation of the Medicare E/M documentation guidelines and summarizes possible changes in the content of the guidelines.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0600/p14.html

Chart Audit: Is Your Practice Billing What It Should? -- FPM

Apr 1, 2009 - A simple review may save your practice loads of money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0300/p15.html

Charting Then and Now -- FPM

Feb 1, 2009 - Chart notes used to be primarily for doctors, but oh how times have changed.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2009/0100/p40.html

Choose Family Medicine Poster

...lives of the people you care for. You won’t just be a doctor; you’ll be a confidant, a coach, and a shoulder to lean on. Family medicine is at the heart of it all. Location doesn’t matter- urban, rural, hospital, solo practice-take your pick. Family medicine will...

Med School and Residency

https://www.aafp.org/dam/AAFP/documents/medical_education_residency/fmig/choose-fammed-posters.pdf

Choosing a Pay Structure That Works for Your Practice -- FPM

Feb 1, 2000 - A good compensation model can motivate staff and improve your practice's performance.

Family Practice Management : Articles

https://www.aafp.org/fpm/2000/0200/p30.html

Choosing a Practice Facility -- FPM

Sep 1, 2002 - Taking the time to plan ahead will improve your chances of selecting a facility that meets your needs and those of your patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0900/p37.html

Choosing Between Clinical Practice and Administration -- FPM

Jan 1, 2003 - After wrestling with the decision, this family physician ended up where she started, but she gained a good deal of insight along the way.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p39.html

Choosing the Right Practice Entity -- FPM

Dec 1, 2005 - How you structure your practice can have big consequences when it comes to liability and taxes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/1100/p42.html

Chronic Care in an Acutely Ill System -- FPM

Dec 1, 2005 - Taking the long view in a short-sighted world takes courage and commitment.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2005/1100/p14.html

Chronic Care Management and Other New CPT Codes -- FPM

Feb 1, 2015 - At long last, physicians can be paid for some of the non-face-to-face services that they provide.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0100/p7.html

Chronic Care Management in the Real World -- FPM

Oct 1, 2015 - Physicians share their actual experiences, successes, and stumbles as they implement chronic care management in their practices.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0900/p35.html

Climbing One Step at a Time -- FPM

Feb 1, 2010 - Start training by rebuilding a piece of your practice; eventually you'll be able to rebuild the whole.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2010/0100/p7.html

Clinical Decision Support From EDHome -- FPM

May 1, 1999 - This installment in an ongoing series of brief web-site reviews will describe a site from the National Center for Emergency Medicine Informatics that offers access to more than 50 clinical decision-support tools for tasks such as computing MI probability, calculating body mass or ...

Family Practice Management : Articles

https://www.aafp.org/fpm/1999/0500/p52.html

Clinical Decision Support: Using Technology to Identify Patients' Unmet Needs -- FPM

Apr 1, 2012 - The presenting problem is often just the tip of the iceberg.

Family Practice Management : Articles

https://www.aafp.org/fpm/2012/0300/p22.html

Closing the Physician-Staff Divide: A Step Toward Creating the Medical Home -- FPM

Apr 1, 2008 - If your staff's job is to keep patients moving through the system and yours is to take care of the patients they supply, your practice is flawed.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0400/p20.html

Coding "Routine" Office Visits: 99213 or 99214? -- FPM

Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p52.html

Coding & Documentation - Apr 1999 -- FPM

Apr 1, 1999 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0400/p12.html

Coding & Documentation - Apr 2000 -- FPM

Apr 1, 2000 - ...on the part of the family physician and should be reported as such. Otherwise, as noted, if the family physician is providing preoperative care and evaluation for a patient undergoing surgery by another physician, the family physician can add modifier –56, Preoperative management...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0400/p16.html

Coding & Documentation - Apr 2001 -- FPM

Apr 1, 2001 - ...Urinalysis in OB care Fluorescein staining 90862 + E/M code? Documenting a level-V visit Q At a recent evaluation and management (E/M) coding seminar, I was instructed that a level-V code is essentially unobtainable unless the patient has an acute, severe medical condition. The...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0400/p16.html

Coding & Documentation - Apr 2002 -- FPM

Apr 1, 2002 - ...I share call to cover the local rural emergency department (ED), and I submit evaluation and management (E/M) codes for my ED care. Could I also submit after-hours codes (e.g., 99052 and 99054) for the ED visits that occur after my regular office hours? A There are two schools of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/0400/p19.html

Coding & Documentation - Apr 2003 -- FPM

Apr 1, 2003 - ...until the next day. I know I should bill for initial hospital care, but will the fact that the date of the examination does not match the date of the admission cause claim denials? A No. The initial hospital care codes (99221–99223) represent the first hospital inpatient encounter...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0400/p26.html

Coding & Documentation - Apr 2004 -- FPM

Apr 1, 2004 - ...that the primary diagnosis in this case should be V65.19, as you suggested, or V61.49, for people encountering health services to discuss the care of a sick person in their family. However, I would caution against using the daughter’s health problem as a secondary diagnosis, given...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2004/0400/p23.html

Coding & Documentation - Apr 2005 -- FPM

Apr 1, 2005 - ...that the office is also open on Saturday mornings for urgent care from 8:30 to noon. Is it appropriate to submit CPT code 99050, Services requested after posted office hours in addition to basic service, for care provided on Saturday mornings? Does it make a difference if we are...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0400/p35.html

Coding & Documentation - Apr 2006 -- FPM

Apr 1, 2006 - ...Consultation or subsequent care in hospital rehab unit? New vs. established patients Acupuncture Psychotherapy Managing home INR draws E/M + trigger point injections Swing bed stays When to use 99361 List the chief diagnosis code first Q I recently saw a patient for a complete...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0400/p31.html

Coding & Documentation - Apr 2007 -- FPM

Apr 1, 2007 - ...if a patient follows me to my new practice, can I bill the encounter as a new patient visit? Also, I plan to moonlight for an urgent care center. If I see a patient there and the patient follows up with me in my regular office, can I bill a new patient visit? A If you provided a...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0400/p24.html

Coding & Documentation - Apr 2008 -- FPM

Apr 1, 2008 - ...perform home health certification or recertification (codes G0180 and G0179), I document how much time I spend developing or reassessing the care plan, the patient's diagnosis and the treatment plan. For auditing purposes, do I also need to save a copy of the certification statement...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0400/p42.html

Coding & Documentation - Feb 1999 -- FPM

Feb 1, 1999 - ...I recently cared for a new patient during a three-day hospital stay. After being discharged, the patient came to our office for the first time. Should I have coded the hospital services as new-patient encounters? What about the first-time office visit? A The hospital inpatient...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0200/p24.html

Coding & Documentation - Feb 2000 -- FPM

Feb 1, 2000 - ...include, as appropriate, final examination of the patient, discussion of the nursing facility stay, as well as instructions for continuing care and preparation of prescriptions and referral forms. In other words, CPT seems to anticipate a live patient. I would advise against billing...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0200/p19.html

Coding & Documentation - Feb 2001 -- FPM

Feb 1, 2001 - ...Prolonged services or critical care maximums Significant, separately identifiable E/M service Pneumococcal vaccinations and flu shots Q What’s the correct way to code pneumococcal vaccinations and flu shots given by a nurse? A The answer depends on several factors. My answer...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0200/p14.html

Coding & Documentation - Feb 2002 -- FPM

Feb 1, 2002 - ...Critical care on the day of admission Allergy history Developmental testing Critical care on the day of admission Q I recently admitted a Medicare patient for a deep vein thrombosis and performed the history and physical at noon on the day of admission. Later that day, the patient...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/0200/p22.html

Coding & Documentation - Feb 2003 -- FPM

Feb 1, 2003 - ...Our hospital has a rehabilitation ward that is considered an inpatient facility (i.e., not a nursing home ). We often take care of patients on another ward for a few days and then transfer the patient to the rehab ward for two to three weeks of rehab. What E/M codes should we use on...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0200/p23.html

Coding & Documentation - Feb 2004 -- FPM

Feb 1, 2004 - ...care (99231-99233) performed on the date of the transfer, since the discharge and admission occurred on the same day. The Medicare Carriers Manual addresses this: "Advise physicians that they may bill both the hospital discharge management code and an initial hospital care code when...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2004/0200/p27.html

Coding & Documentation - Feb 2005 -- FPM

Feb 1, 2005 - ...Care plan oversight for Medicare patients ICD-9 code for prescription drug management Work RVUs for ob ultrasound Coding cerumen removal Newborn-care codes Telephone care Coding visits to care facilities HCPCS code for Depo-Testosterone Deep excision of a lipoma Care plan oversight...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0200/p23.html

Coding & Documentation - Feb 2006 -- FPM

Feb 1, 2006 - ...Emergency care outside an ED Modifiers for multiple births History and physical for hospital readmittance Home health certification Materials for fiberglass splints Coding pelvic exams and Pap smears 99173 with an E/M service Emergency care outside an ED Q We are a small, rural...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0200/p30.html

Coding & Documentation - Feb 2007 -- FPM

Feb 1, 2007 - ...work includes coordination of care, documentation and telephone calls with the patient, family members or other health professionals associated with the delivery of care to the patient (excluding separately billable services, such as care plan oversight). A medication refill is...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0200/p23.html

Coding & Documentation - Feb 2008 -- FPM

Feb 1, 2008 - ...chronic problems were the reason for the services provided. The primary diagnosis is the one that accounted for the greatest portion of your care. INR testing at a nursing home Q Our practice has been taking our CLIA-waived INR instrument to the nursing home and managing warfarin...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0200/p40.html

Coding & Documentation - Jan 1999 -- FPM

Jan 1, 1999 - ...When an emergency physician documents a request for your consultation but retains care of the patient, you probably should use the appropriate consultation code (99241–99245). Once the emergency physician transfers the responsibility for treatment to you, if you then treat the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0100/p16.html

Coding & Documentation - Jan 2000 -- FPM

Jan 1, 2000 - ...Sharing a global maternity care code Blood gases interpretation Hospital discharge and nursing home admission Initial inpatient care not provided by the admitting physician Workers' compensation visits Q What code should I use for a workers' compensation examination? A CPT codes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0100/p17.html

Coding & Documentation - Jan 2001 -- FPM

Jan 1, 2001 - ...Antepartum care only E/M or consult? Nursing facility consult Typhoid vaccine ED consult Interpreting outside lab work Well-child visits Q When I see a child for a well-child visit and immunizations are provided, should I submit the appropriate preventive medicine services code, the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0100/p23.html

Coding & Documentation - Jan 2002 -- FPM

Jan 1, 2002 - ...Preventive care and the E/M guidelines Review of blood-gas analysis Draining a hematoma Preventive care and the E/M guidelines Q Our coding department is wedded to the 1997 version of Medicare’s E/M documentation guidelines and thinks we need to count everything. When we do a...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/0100/p18.html

Coding & Documentation - Jan 2003 -- FPM

Jan 1, 2003 - ...Postpartum care Ambulatory blood-pressure monitoring Injection code 20550 1995 or 1997 guidelines? Q I understand that Medicare is allowing physicians to use either the 1995 or 1997 documentation guidelines for evaluation and management (E/M) services, so I have been using the 1997...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0100/p17.html

Coding & Documentation - Jan 2004 -- FPM

Jan 1, 2004 - ...99058 involves the physician interrupting his or her care of another patient to deal with an emergency. The winter 1994 CPT Assistant states that if a patient presents at the physician’s office and requires unscheduled emergency care, code 99058 is reported in addition to the other...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2004/0100/p22.html

Coding & Documentation - Jan 2005 -- FPM

Jan 1, 2005 - ...procedure or other service. Modifier -24 indicates that the diagnosis and treatment of the shoulder pain is not part of the normal follow-up care for the fracture treatment, and modifier -25 indicates that the E/M service is significant and separately identifiable from the casting...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0100/p21.html

Coding & Documentation - Jan 2006 -- FPM

Jan 1, 2006 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0100/p24.html

Coding & Documentation - Jan 2007 -- FPM

Jan 1, 2007 - ...This morning I provided initial hospital care for a patient who was treated in the emergency department (ED) yesterday evening by another physician. This afternoon, I decided that the patient was ready to be discharged and sent him home. How should I bill for my services? If the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0100/p18.html

Coding & Documentation - Jan 2008 -- FPM

Jan 1, 2008 - ...I care for a quadriplegic patient who has 12-hour nursing care at home. I typically spend at least 15 minutes filling out forms and signing orders for him each month. I perform a house call once or twice a year. Is it appropriate to bill care plan oversight code 99374 for my...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0100/p43.html

Coding & Documentation - Jan-Feb 2009 -- FPM

Feb 1, 2009 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0100/p30.html

Coding & Documentation - Jan-Feb 2010 -- FPM

Feb 1, 2010 - ...pain-related complaints. Which diagnosis code should I list first? Should it be V70.0, Routine general medical examination at a health care facility ? A The guidelines for ICD-9 coding state: List first the ICD-9-CM code for the diagnosis, condition, problem, or other reason for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2010/0100/p32.html

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