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Medicare Preventive Physical Exam

...Stroke Kidney disease Obesity Genetic disorder Alcoholism MEDICARE PREVENTIVE PHYSICAL EXAM continued ➤ MEDICARE PREVENTIVE PHYSICAL EXAM 2 of 6 Patient Name ________________________________________________________________ Today’s Date / / Family history...

Family Practice Management

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

ICD-10 - HCC Coding Reference for Family Medicine

...Ischemic stroke Varies 100 0.265 ICD-10 - HCC CODING REFERENCE 3 of 3 Cardiac disease Angina I20.9 88 0.140 Coronary artery disease with angina I25.119 88 0.140 Unstable angina I20.0 87 0.218 Acute myocardial infarction I21.3 86 0.233 Pulmonary hypertension I27.2...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p26-rt1.pdf

14 Alternative Practice Styles -- Family Practice Management

...but don’t be ashamed about this. When was the last time an intensivist helped a new mom with cracked nipples, or a surgeon managed a stroke? The rotating variety of hospitalist is more common for family physicians. For example, if there are five physicians in your practice, you...

Family Practice Management

https://www.aafp.org/fpm/2001/0200/fpm20010200p33.pdf

Worth While Web: 50 Useful Sites for Family Physicians -- Family Practice Management

...Information on 24 health topics, includ- ing AIDS, cancer, heart disease and stroke, can be found in both English and Spanish at www.noah-health.org. The Web site is hosted by the New York Online Access to Health (NOAH) organization, whose mission is to provide high-quality,...

Family Practice Management

https://www.aafp.org/fpm/2001/0400/fpm20010400p23.pdf

Test Your Coding Skills -- Family Practice Management

...my, D/C, cyst removed (vaginal?). Medical: none, Hep B? Psychiatric: none. Obstetrical: G3P3 - C-sections x 3. Family History: F: 77, stroke, asthma. M: Alzheimer’s, 83 yo. Brs: 2 - tobacco, TB, bronchiectasis, both have lobectomies, good health. Sis: 1 - diet con- trolled DH, heart...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p41.pdf

Serving Up the Feedback Sandwich -- Family Practice Management

...the assumption that excellence is expected, so praise is unnecessary. They fail to recognize that the main objective of praise is not to stroke the employee’s ego but to encourage the employee to repeat desired behav- iors. Changing and maintaining new behavior requires praise,...

Family Practice Management

https://www.aafp.org/fpm/2002/1100/fpm20021100p43.pdf

Innovation in Practice: Six Ways to Harness the Power of Your Ideas -- Family Practice ...

...as being patient centered, systems focused and quality oriented.1 The New Model of Care proposed by the FFM project defines in broad brush strokes a redesigned practice that is just being invented today. It includes ideas such as the following: • Group visits, • Advanced access...

Family Practice Management

https://www.aafp.org/fpm/2005/0600/fpm20050600p37.pdf

fpm20050900p52-rt1.pdf

...• An abrupt change in neurological status (e.g., seizure, TIA, weakness, sensory loss). • Cardiovascular imaging, with contrast, with identified risk factors; • Cardiac EP studies; • diagnostic endoscopies with identified risk factors; • discography. • Elective major...

Family Practice Management

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

Make Medical Notes Better and Faster with Macros -- Family Practice Management

...is stored and ready to use. It will be remembered even when the computer is turned off. In the future, any time you’re using Word, the key- stroke combo Ctrl-P will execute what we have just typed. WordPerfect’s macro capabilities are compa- rable to those of Microsoft Word, but...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p42.pdf

Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management

...• An abrupt change in neurological status (e.g., seizure, TIA, weakness, sensory loss). • Cardiovascular imaging, with contrast, with identified risk factors; • Cardiac EP studies; • diagnostic endoscopies with identified risk factors; • discography. • Elective major...

Family Practice Management

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

fpm20060100p32-rt2.pdf

...of cancer in last 12 months excluding nonmelanoma skin cancer, history of leukemia or lymphoma, chronic bronchitis, kidney failure, asthma, stroke, neuromuscular and myoneural disorders, and juvenile rheumatoid arthritis.) icD-9 list b 279-279.9, 042 (The conditions covered by...

Family Practice Management

https://www.aafp.org/fpm/2006/0100/fpm20060100p32-rt2.pdf

41outp.pdf

...Stroke +10 Renal failure +10 Physical examination findings Altered mental status +20 Respiratory rate ≥ 30 breaths per minute +20 Systolic blood pressure < 90 mm Hg +20 Temperature < 95˚F (35˚C) or ≥ 104˚F (40˚C) +15 Pulse rate ≥ 125 beats per minute +10...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p41-rt1.pdf

Outpatient vs. Inpatient Treatment of Community-Acquired Pneumonia -- Family Practice ...

...Stroke +10 Renal failure +10 Physical examination findings Altered mental status +20 Respiratory rate ≥ 30 breaths per minute +20 Systolic blood pressure < 90 mm Hg +20 Temperature < 95˚F (35˚C) or ≥ 104˚F (40˚C) +15 Pulse rate ≥ 125 beats per minute +10...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p41.pdf

Standardized Hospital Admissions Orders

...recent surgery or stroke). 2. Concurrent symptomatic pulmonary emboli. YES NO 3. Expected hospitalization greater than five days due YES NO to co-existing conditions. 4. Known hypercoagulability: familial or acquired. YES NO 5. Pregnant or breast-feeding. YES NO 6....

Family Practice Management

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

fpm20060900p49-rt1.pdf

...which, in the judgment of the physician, there may be an increased risk of bleeding (e.g., hepatic or renal insufficiency, recent surgery or stroke). YES NO 2. Concurrent symptomatic pulmonary emboli. YES NO 3. Expected hospitalization greater than five days due to co-existing...

Family Practice Management

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

fpm20070300p33.pdf

...the progression of their illnesses and avoid life-threatening sequelae. The four Ontario, Canada, residents who died of heart attacks and strokes after their pharmacist dispensed Norvasc copycats made from pressed talc are testament to how fake drugs rob people of their money,...

Family Practice Management

https://www.aafp.org/fpm/2007/0300/fpm20070300p33.pdf

fpm20071000p20.pdf

...the complete visit documentation into my electronic health record (I could also print it for a paper chart, if needed). With a few key strokes, the prescrip- tion is electronically sent to the pharmacy, and the patient or insurance company is billed for the visit. This type of...

Family Practice Management

https://www.aafp.org/fpm/2007/1000/fpm20071000p20.pdf

fpm20080100p22.pdf

...often stops some of the most resistant strains of streptococcus pneumonia. Focus on the well-proven benefit of statins for heart attack and stroke prevention. 4. Be passionate. Passion speaks volumes and can greatly aid your delivery of a preventive one-liner. If you really...

Family Practice Management

https://www.aafp.org/fpm/2008/0100/fpm20080100p22.pdf

fpm20080400p37.pdf

...prognosis expressed in terms of time, for example, The patient has extremely high blood pressure, and there are indications she is having a stroke. The sooner she can be treated at a hospital, the better her prognosis will be. Just do your best As noted earlier, the odds of...

Family Practice Management

https://www.aafp.org/fpm/2008/0400/fpm20080400p37.pdf

fpm20080500p31.pdf

...yet to settle on a particular organ system or pathophysiologic process. Although we may have some ideas, our testing usually starts in broad strokes. If we don’t give some consid- eration to the pre-test probabilities and try to eliminate the tests that seem least likely to be...

Family Practice Management

https://www.aafp.org/fpm/2008/0500/fpm20080500p31.pdf

fpm20080600p23.pdf

...D: With two key strokes (Alt + Tab), you quickly see that the clinic EHR is right there for you to log in and proceed with your patient. The Alt + Tab command is very useful At iGoogle.com, you can create a personalized home page like the one shown here that lists the Web...

Family Practice Management

https://www.aafp.org/fpm/2008/0600/fpm20080600p23.pdf

fpm20080700p35.pdf

...Based on measures used for the National Committee for Quality Assurance (NCQA) Heart Stroke recognition Program, Dr. Anderson’s quality of care, as well as his documentation, has improved since his implementation of team care in 2003. He made improvements in all measures except...

Family Practice Management

https://www.aafp.org/fpm/2008/0700/fpm20080700p35.pdf

Upper Respiratory Tract Infection Phone Triage Form

...l Neurological disorder/neurodevelopmental conditions/ seizure/stroke l Obesity, morbid/BMI 40 or higher

Family Practice Management

https://www.aafp.org/fpm/2009/1100/fpm20091100p31-rt1.pdf

Family Practice Management

...On March 23, with the strokes of 22 pens,1 President Obama signed into law the Patient Protection and Affordable Care Act. This sprawling health care reform bill has many unknowns - chief among them, will it really reduce the deficit by $143 billion over 10 years, as the...

Family Practice Management

https://www.aafp.org/fpm/2010/0500/fpm20100500p14.pdf

Quanitifying the Risk of Complications, Morbidity and Mortality

...An abrupt change in neurologic status (e.g., seizure, TIA, weakness, sensory loss) Cardiovascular imaging studies with contrast with identified risk factors Cardiac electrophysiologic tests Diagnostic endoscopies with identi- fied risk factors Discography Elective...

Family Practice Management

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

Thinking on Paper: Documenting Decision Making

...An abrupt change in neurologic status (e.g., seizure, tiA, weakness, sensory loss) Cardiovascular imaging studies with contrast with identified risk factors Cardiac electrophysiologic tests diagnostic endoscopies with identified risk factors discography elective major...

Family Practice Management

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

The 1997 Evaluation and Management Guidelines at a Glance

...life-threatening problems (e.g., acute MI, progressive severe RA, potential threat of suicide); abrupt neuro. change (e.g., seizure, TIA, weakness or sensory loss) Dx procedures: Dx endoscopy w/ risk factors Mx options: Parenteral controlled substances, Rx needing intensive...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33-rt1.pdf

fpm20110900p33.pdf

...life-threatening problems (e.g., acute MI, progressive severe RA, potential threat of suicide); abrupt neuro. change (e.g., seizure, TIA, weakness or sensory loss) Dx procedures: Dx endoscopy w/ risk factors Mx options: Parenteral controlled substances, Rx needing intensive...

Family Practice Management

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

fpm20120700p17.pdf

...One of my most difficult patients was an African-American retired nurse in her 70s who previously had a major stroke with residual left sided hemiplegia and was wheelchair-bound. She had a long list of medical problems that included poorly controlled Type 2 diabetes mellitus,...

Family Practice Management

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

fpm20130100p6.pdf

...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, they aren’t consistently...

Family Practice Management

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

fpm20140900p32.pdf

...app lets busy clinicians quickly calculate a patient’s 10-year and lifetime risk of CV events (including periph- eral artery disease and stroke) and, if recommended, determine the intensity of prescribed statin. Authoritativeness/accuracy/currency of information: CV risk...

Family Practice Management

https://www.aafp.org/fpm/2014/0900/fpm20140900p32.pdf

fpm20160500p23.pdf

...such as health care services, medications, and missed work. Seven to eight out of every 10 people have their first heart attack or stroke or develop congestive heart failure because of uncontrolled blood pressure.1 It is clear that blood pressure control is essential to preventing...

Family Practice Management

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

fpm20160500p4.pdf

...old patient goes to his family doctor requesting a screening carotid Doppler ultrasound because a friend of his recently had a stroke. Dr. A spends a great deal of time explaining why this isn’t a good screening test for the patient. The patient isn’t convinced. He goes to Dr. B who...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p4.pdf

fpm20161100p17.pdf

...National Institutes of Health Stroke Scale (NIHSS) score R29.700-R29.742) Eye Amblyopia suspect: right eye H53.041, left eye H53.042, bilateral H53.043 Gastrointestinal Chronic idiopathic constipation K59.04 Constipation, drug induced K59.03 Integumentary...

Family Practice Management

https://www.aafp.org/fpm/2016/1100/fpm20161100p17.pdf

fpm20161100p25.pdf

...care physician four times. He has not had an annual wellness visit this year or last, and was admitted to a hospital earlier this year for a stroke and discharged to a skilled nursing facility. RJ remains attributed to his former practice because attribution to an existing...

Family Practice Management

https://www.aafp.org/fpm/2016/1100/fpm20161100p25.pdf

Is Your Diagnosis Coding Ready for Risk Adjustment

...I-- Monoplegia and hemiplegia that are late effects of stroke G-- Quadriplegia and paraplegia BMI = body mass index For Sale 11,178 SF Owner/User Medical Building PROPERTY HIGHLIGHTS: • Sale Price: $2,495,000 • 11,178 SF • Owner/User Suite: 8,346 SF • Strong Littleton...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p21.pdf

Diagnosis Coding for Value-Based Payment: A Quick Reference Tool

...Ischemic stroke Varies 100 0.265 ICD-10 - HCC CODING REFERENCE 3 of 3 Cardiac disease Angina I20.9 88 0.140 Coronary artery disease with angina I25.119 88 0.140 Unstable angina I20.0 87 0.218 Acute myocardial infarction I21.3 86 0.233 Pulmonary hypertension I27.2...

Family Practice Management

https://www.aafp.org/fpm/2018/0300/fpm20180300p26.pdf

Quality Measures: How to Get Them Right

...Why it’s good: Cessation of tobacco use is associated with decreased risk for heart disease, stroke, and lung disease - all outcomes that clearly matter to patients, and net benefit has been clearly established.1 The resource requirements for screening, intervening, and reporting...

Family Practice Management

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

Transitioning to Direct Primary Care

...PRACTICAL CONSIDERATIONS Once you have the broad strokes of your practice designed, you will be able to get into more granular decisions. Staffing. Your budget, panel size, and suite of services should drive how much support staff you hire. I started my prac- tice with one staff...

Family Practice Management

https://www.aafp.org/fpm/2020/0700/fpm20200700p29.pdf

fpm20201100p13.pdf

...deaths caused by secondhand smoke.1 There are many benefits from tobacco cessation, including decrease in mortality from heart disease and stroke; decrease in the risk of cancer in multiple organ systems; decrease in the loss of lung function; decrease in the risk of chronic...

Family Practice Management

https://www.aafp.org/fpm/2020/1100/fpm20201100p13.pdf

ICD-9 Codes for Family Medicine 2011-2012: The FPM Short List

...Rheumatic heart disease, unspec. 427.81 Sick sinus syndrome 427.0 Tachycardia, paroxysmal SVT 451.9 Thrombophlebitis, unspec. 435.9 Transient ischemic attack, unspec. 454.9 Varicose veins, asymptomatic 459.81 Venous insufficiency, unspec. VIII. Respiratory System 493.81 Asthma,...

Family Practice Management

https://www.aafp.org/fpm/icd9/icd9-short.pdf

Practice Diary - May 2003 -- FPM

May 1, 2003 - ...knew, with dread, what she was about to tell me: Oliver was dead at age 55. His doctors suspected he had died of either a heart attack or a stroke, and the memorial was set for the next Saturday. Would you like to speak at the service? Karen asked. Definitely, I said. A year...

Family Practice Management : Practice Diary

https://www.aafp.org/fpm/2003/0500/p71.html

Helping Patients Take Charge of Their Chronic Illnesses -- FPM

Mar 1, 2000 - The best thing you can do for your patients with chronic diseases is to let them run with the ball.

Family Practice Management : Articles

https://www.aafp.org/fpm/2000/0300/p47.html

Monitor - Nov 2002 -- FPM

Dec 1, 2002 - ...samplers for the prevention and treatment of acute myocardial infarction, breast cancer, diabetes, heart failure, pneumonia and stroke. Insurers underpaying docs Nearly one in five health care claims are underpaid by insurers, costing practices millions of dollars annually, reports...

Family Practice Management : News Briefs

https://www.aafp.org/fpm/2002/1100/p31.html

Where to Look for Good Clinical Policies -- FPM

Feb 1, 1999 - Doctors increasingly need to know how to find, evaluate and implement clinical policies. Our primer begins with this first of two articles.

Family Practice Management : Articles

https://www.aafp.org/fpm/1999/0200/p28.html

14 Alternative Practice Styles -- FPM

Feb 1, 2001 - Perhaps the road less traveled is the right career path for you. Here are more than a dozen ideas to get you started.

Family Practice Management : Articles

https://www.aafp.org/fpm/2001/0200/p33.html

It's Time to Start Practicing Population-Based Health Care -- FPM

Jun 1, 1998 - You don't have to be part of an integrated delivery system to optimize care for populations of patients with common conditions.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0600/p37.html

Tips for Making Inpatient Care More Efficient -- FPM

Mar 1, 1999 - You may be surprised at what you can do to improve the quality and reduce the cost of hospital care - and strengthen your own position.

Family Practice Management : Articles

https://www.aafp.org/fpm/1999/0300/p45.html

Improving Anticoagulation Management at the Point of Care -- FPM

Feb 1, 2002 - Stop treating lab results. These easy-to-use devices return the focus of warfarin therapy to treating the patient.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0200/p35.html

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