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hypertension

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Group Visits Hit the Road -- Family Practice Management

...the history of present illness (HPI) and the mini-assessments (or physical exams). The symptoms list on the form, which focused on hypertension and osteoarthritis, cor- responded to drop-down lists in our EMR. (See the form on the next page.) To find enough interested patients, I...

Family Practice Management

https://www.aafp.org/fpm/2004/0900/fpm20040900p39.pdf

Are You Ready for Maintenance of Certification? -- Family Practice Management

...ment modules to improve their knowledge of common medical problems. (See the example above.) The first two modules address diabe- tes and hypertension, and new topics will be added each year. The ABFP will be develop- ing specifications for the self-assessment mod- ules so that...

Family Practice Management

https://www.aafp.org/fpm/2005/0100/fpm20050100p42.pdf

A Step-by-Step Time-Saving Approach to Coding Office Visits

...* Chronic illnesses include hypertension, hyperlipidemia, coronary artery disease, chronic obstructive pulmonary disease (COPD), asthma, diabetes, obesity, etc. Each level of data is further split into Categories 1, 2, and 3. This can make calculating data complicated, confusing,...

Family Practice Management

https://www.aafp.org/fpm/2021/0700/fpm20210700p21.pdf

Coding and Documentation

...ICD-10 CODING FOR HYPERTENSION AND DIABETES Q Which ICD-10 codes should I report for a patient who has both hyper- tension and Type 2 diabetes? A Report code I10 for hypertension and the appropriate E11.- code for Type 2 diabetes with any documented manifestations. If a causal...

Family Practice Management

https://www.aafp.org/fpm/2018/0500/fpm20180500p33.pdf

Coding & Documentation - Nov 2003 -- FPM

Dec 1, 2003 - ...for hip surgery and, subsequent to the surgery, asks you for your opinion and advice regarding evaluation and/or management of the hypertension the patient is having in the hospital, you may code that service as a consultation, provided that you document the request and any services...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1100/p19.html

Escaping the Tyranny of the Urgent by Delivering Planned Care -- Family Practice ...

...it barely merits description: A patient with uncontrolled hypertension scheduled for a 15-minute follow-up visit complains of an upper respiratory infection, so you treat the URI and then quickly adjust the patient’s hypertension meds and exhort the patient one more time to please...

Family Practice Management

https://www.aafp.org/fpm/2006/0500/fpm20060500p37.pdf

fpm20080200p19.pdf

...Consider current guidelines for hypertension, choles- terol and diabetes. (You can view abbreviated guidelines for each of these conditions from the online version of this article at http://www.aafp.org/fpm/20080200/ 19prac.html.) Guidelines are valuable tools in the diag- nosis and...

Family Practice Management

https://www.aafp.org/fpm/2008/0200/fpm20080200p19.pdf

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

...Chronic ischemic heart disease, unspec. 459.9 Circulatory disorder, unspec. 426.9 Conduction disorder, unspec. ➤ 796.2 Elevated BP w/o hypertension 429.9 Heart disease, other, unspec. 428.40 Heart failure, combined, unspec. ➤ 428.0 Heart failure, congestive, unspec. 428.30 Heart...

Family Practice Management

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

fpm20170900p34.pdf

...coding for hypertension and heart failure Q Should I assign separate ICD-10 codes for my patients who have both hypertension and heart failure, or should I default to code I11.0? A If your documentation supports that the heart fail-ure is not due to hypertension, report...

Family Practice Management

https://www.aafp.org/fpm/2017/0900/fpm20170900p34.pdf

The Integrated Summary: A Documentation Tool to Improve Patient Care -- FPM

Apr 1, 2003 - This easy-to-use template enables you to see the full context of a patient’s health on a single page.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0400/p33.html

How to Help Your Low-Income Patients Get Prescription Drugs -- FPM

Dec 1, 2002 - Accessing affordable medications can be a hassle. Here's how you and your patients can make the most of the available resources.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/1100/p51.html

fpm20190500p10-rt2.xls

...htn hypertension hx history ibs irritable bowel syndrome iceheat Put ice on the affected limb for 15 minutes every 1-2 hours as needed for pain and swelling. If this does not help then stop using ice. Use a heating pad on the affected limb for 20 minutes every 1-2 hours...

Family Practice Management

https://www.aafp.org/fpm/2019/0500/fpm20190500p10-rt2.xls

The Integrated Summary: A Documentation Tool to Improve Patient Care -- Family Practice...

...with each visit. The right side captures six visits’ worth of key data per page. This might span six weeks in a patient with severe hypertension whose med- ication is being aggressively titrated or six years in a healthy patient getting yearly mammo- grams. When the right side...

Family Practice Management

https://www.aafp.org/fpm/2003/0400/fpm20030400p33.pdf

Two Tried-and-True Tools for E/M Documentation -- Family Practice Management

...month F/U for evaluation and manage- ment of his NIDDM, hypertension and OA. No new complaints. He denies headache, visual changes, chest pain, SOB or extremity numbness. No increased joint pain. Dietary compliance good, and his BP and home glucose monitoring records indicate...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p51.pdf

Making Sense of Preventive Medicine Coding -- Family Practice Management

...new complaints (e.g., chest pain or irregular bleeding) and, in some instanc- es, a new or established chronic condition (e.g., hypertension or type-II diabetes), the visit becomes a combination of preven- tive and problem-oriented care. As long as the problem-oriented service is...

Family Practice Management

https://www.aafp.org/fpm/2004/0400/fpm20040400p49.pdf

Thinking on Paper: Documenting Decision Making

...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.pdf

Is Your Diagnosis Coding Ready for Risk Adjustment

...kidney disease (CKD) is seen by his family physician for hypertension, which is not well controlled. The physician consid- ers and documents the CKD when selecting hypertension treatment, and should report hypertension first and CKD second. • A patient with multiple chronic...

Family Practice Management

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

Ten EHR Strategies for Efficient Documentation

...Essential hypertension 2. Document the acute problems using short phrases. Chief complaint: 56 yo female presents for knee pain Subjective: medial R knee pain for 3 mos; worse for 4 wks; no known injury but started running 4 mos ago; no redness; no fever; minimal...

Family Practice Management

https://www.aafp.org/fpm/2020/0700/fpm20200700p5.pdf

Five Steps to Mastering Agenda Setting

...a past medical history of Type 2 diabetes, coronary artery disease with a myo-cardial infarction and stent placement three years prior, hypertension, hyperlipidemia, obesity, and tobacco use. She obtained labs prior to the visit, which show an A1C of 8.9%, an increase from 8.1% six...

Family Practice Management

https://www.aafp.org/fpm/2021/0300/fpm20210300p27.pdf

Two Tried-and-True Documentation Tools -- FPM

Oct 1, 2003 - They don’t just help you code better. They also help make the documentation guidelines less annoying.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/1000/p51.html

"You Should See My Doctor": Cost-Effective Marketing Ideas for Your Practice -- Family ...

...HbA1c rate for your patients with diabetes. Outline your care-process models (a.k.a. critical pathways or protocols) for asth- ma, hypertension and hypercholesterolemia. Highlight your low waiting times in the office, short waits for preventive health visits or after- hours access....

Family Practice Management

https://www.aafp.org/fpm/2002/0100/fpm20020100p33.pdf

fpm20060400p47-rt1.xls

...140 90 23-Nov-05 HTN, obesity Baker, John M 10/05/70 222-22-2222 Ortiz 5.7 24-Feb-06 12-Dec-05 24-Feb-06 24-Feb-06 90 24-Feb-06 110 75 12-Dec-05 Brown, Jane F 02/22/63 333-33-3333 Ortiz 6.3 23-Jan-06 24-Jul-05 23-Jan-06 23-Jan-06 103 23-Jan-06 105 85 23-Jan-06 HTN,...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p47-rt1.xls

Can Your Patients Afford the Medications You Prescribe? -- Family Practice Management

...than 15 years. You’ve been treating her hypertension and type-2 diabetes for most of that time. Until recently, she was able to control both with some of the newer medica- tions for these diseases. Over the past year, however, both her hypertension and diabetes have been sliding out...

Family Practice Management

https://www.aafp.org/fpm/2006/0400/fpm20060400p67.pdf

fpm20080200p19-rt1.pdf

...HYPERTENSION [Paraphrased from Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-1252.] Educate patient regarding disease. Rule out...

Family Practice Management

https://www.aafp.org/fpm/2008/0200/fpm20080200p19-rt1.pdf

Microsoft Word - 0117226-1019454-pi.doc

...NQF 0013 Title: Hypertension: Blood Pressure Measurement Description: Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits, with blood pressure (BP) recorded. AMA-PCPI Contact...

Family Practice Management

https://www.aafp.org/fpm/2010/0900/fpm20100900p17-rt1.pdf

Documentation Elements for Common Diagnoses

...Essential hypertension I10 n/a Hypertensive heart disease* I11.- With or without heart failure** Hypertensive chronic kidney disease I12.- With stage 5 chronic kidney disease or end stage renal disease With stage 1 through stage 4 chronic kidney disease, or...

Family Practice Management

https://www.aafp.org/fpm/2015/0900/fpm20150900p15-rt1.pdf

The Nurse Closer: Using Nonclinician Staff to Make Patient Visits More Efficient

...that these rates showed significant improvement. For hypertension control, which declined, we established new clini- cal follow-up parameters to address the problem more aggressively. During the sub- sequent quarter, the hypertension control rate rose from 69 percent to 77 percent....

Family Practice Management

https://www.aafp.org/fpm/2019/0700/fpm20190700p13.pdf

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.html

6 Easy Steps to Low-Cost Electronic Medical Record -- Family Practice Management

...htn HYPERTENSION di DIABETES iddm INSULIN DEPENDENT DIABETES MELLITUS ms MULTIPLE SCLEROSIS bom BILATERAL OTITIS MEDIA narc CHRONIC PAIN SYNDROME, NARCOTIC DEPENDENCY mig MIGRAINE HEADACHE Instruction code Linked AutoText rice rest, ice, elastic compression...

Family Practice Management

https://www.aafp.org/fpm/2001/0500/fpm20010500p33.pdf

fpm20030200p43-rt1.xls

...Percentage of hypertension patients with BP at 135/85 or better. Goal: 80% 32 29 33 56 55 60 54 58 62 61 65 65 Preventive Care Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Percentage of women age 18-65 who have had a Pap smear in the last two years. Goal: 90% 45 49 53 58...

Family Practice Management

https://www.aafp.org/fpm/2003/0200/fpm20030200p43-rt1.xls

How to Get All the99214s You Deserve -- Family Practice Management

...For example, you’ll also meet the HPI require- ment when you see a patient with three or more chronic or inactive conditions (e.g., hypertension, diabetes and coronary artery disease) and document the status of each.2 Likewise, you will meet the ROS require- ments since you will...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p31.pdf

Making Evidence-Based Medicine Doable in Everyday Practice -- Family Practice Management

...he found that roughly 90 percent of visits dealt with 26 common conditions, includ- ing depression, low-back pain, headache, asthma and hypertension. 5. Use evidence-based clinical guide- lines - and ignore the rest. Until a few years ago, clinical guidelines were mostly junk,...

Family Practice Management

https://www.aafp.org/fpm/2004/0200/fpm20040200p51.pdf

Reliability Science: Reducing the Error Rate in Your Practice -- Family Practice ...

...guidelines for the treatment of hypertension (such as those from the Sev- enth Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure; http:// www.nhlbi.nih.gov/guidelines/hypertension/ jnc7card.htm) and translate them into...

Family Practice Management

https://www.aafp.org/fpm/2005/1000/fpm20051000p59.pdf

mproving Chronic Illness Care: Lessons Learned in a Private Practice -- Family Practice...

...into our chronic care improvement project, our group reluctantly agreed to initiate a series of group sessions with patients who have hypertension and dia- betes. Our nurse practitioner CDE and physi- cian champion will lead these groups. If these sessions are successful, they will...

Family Practice Management

https://www.aafp.org/fpm/2005/1100/fpm20051100p50.pdf

fpm20060200p34-rt1.pdf

...HPI: 63-year-old male with hypertension. Blood pressure has been controlled. Denies headache. His emphysema is stable, but he does get mildly short of breath with activity. His hypothyroidism is now stable. Recent thyroid stimulating hormone testing was normal. PH: Not smoking....

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p34-rt1.pdf

Coding Level-IV Visits Without Fear -- Family Practice Management

...HPI: 63-year-old male with hypertension. Blood pressure has been controlled. Denies headache. His emphysema is stable, but he does get mildly short of breath with activity. His hypothyroidism is now stable. Recent thyroid stimulating hormone testing was normal. PH: Not smoking....

Family Practice Management

https://www.aafp.org/fpm/2006/0200/fpm20060200p34.pdf

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

...A62-year-old man presents to you with cough, fever and chills, which he has had for threedays. He has well-controlled hypertension and diabetes but is otherwise healthy. His respiratory rate is 24 breaths per minute, and his blood pressure and pulse are in the normal range. He has...

Family Practice Management

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

fpm20080500p31.pdf

...Like the female patient, he also has some changes in his life. He recently became a grandfather. His past medical history is notable for hypertension and hyperlipidemia. He notices the chest pain most when he’s going to the park with his new grandchild. Now we’re almost certainly...

Family Practice Management

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

fpm20081100p17.pdf

...Example 2: A patient comes in for fol- low-up of her insulin-dependent diabetes, hypertension and obesity. At the visit, she complains of vision difficulties and occasional shortness of breath. Her blood sugar and blood pressure recordings from home indicate less than adequate...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p17.pdf

Health Coaching for Patients

...Mr. Olson has diabetes, hypertension and hyperlipidemia. Despite seeing Dr. James five times last year, he is confused about his six prescriptions. When he gave up eating candy, he thought that would solve some of his problems, so he stopped taking several medications. He uses his...

Family Practice Management

https://www.aafp.org/fpm/2010/0900/fpm20100900p24.pdf

fpm20110700p15.pdf

...• Hypertension: Established, uncontrolled by home blood pressure (BP) log; systolic BP in 150s. Treatment goal: systolic BP in 130s. Complete chemistry panel/lipids/urinalysis in one week. Increase lisinopril now to 20 mg every morning, 60 tabs, five refills. Consult nurse...

Family Practice Management

https://www.aafp.org/fpm/2011/0700/fpm20110700p15.pdf

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

How to Integrate Clinical Pharmacists Into Primary Care

...your lunch break. She has diabetes that had been well controlled, but she missed her last scheduled visit for assessment of her diabetes, hypertension, and obesity. She described non-traumatic right shoulder pain after start- ing a new job that requires lifting heavy boxes. Exam...

Family Practice Management

https://www.aafp.org/fpm/2021/0500/fpm20210500p12.pdf

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