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hypertension

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fpm20150900p15.pdf

...A. Diabetes. B. Hypertension. C. Otitis media. D. Asthma. E. Well-child examinations. Answer: All of the above conditions are near the top of the list for family medicine, but for the number one diagnosis, you’ll have to read on. Let’s take a look at five commonly reported...

Family Practice Management

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

fpm20140300p10.pdf

...For example, consider Ms. Smith, a patient with hypertension and obesity whose diabetes remains poorly controlled and who hasn’t been able to lose weight despite years of regular medical care (see Health coach co-visit algorithm). Her physician, Dr. C, explains during a regular...

Family Practice Management

https://www.aafp.org/fpm/2014/0300/fpm20140300p10.pdf

fpm20160500p23.pdf

...Setting a goal, identifying the right patients, and implementing team care can help bring hypertension under control. Improving Blood Pressure Control With Strategic Workflows Arnold E. Cuenca, DO, CAQSM, FAAFP The Centers for Disease Control and Prevention (CDC) reports...

Family Practice Management

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

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

...hypertension to the clinical scenario, the calculation of the medical decision making changes. In this case, you would garner three problem points (two points for the established, worsening problem of osteoarthritis and one point for the estab- lished, stable problem of...

Family Practice Management

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

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

...status of the condition and plans for addressing it. Many common chronic conditions, such as Mr. White’s hypothy- roidism and essential hypertension, do not correspond to HCCs. ➤ © S E R G E B LO C H CME Downloaded from www.aafp.org/fpm. Copyright © 2018...

Family Practice Management

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

ICD-10 - HCC Coding Reference for Family Medicine

...Hypertension (HTN) HTN with congestive heart failure (CHF) I11.0 85 0.323 Isolated essential HTN has no HCC weight. Relationship must be explicitly documented.HTN + CKD stage 5/end stage renal disease (ESRD) I12.0 136 0.237 HTN + CHF + CKD stage 1-4 I13.0 85 0.323 HTN +...

Family Practice Management

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

Practice Diary - May 2003 -- FPM

May 1, 2003 - ...personal physician, had a blood-pressure reading of 210/120. Has anyone ever told you that you have severe hypertension? I asked him. They always said it was white-coat hypertension, Mark said. In case you haven’t noticed, Mark, I don’t wear a white coat. Insurance companies like...

Family Practice Management : Practice Diary

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

Practice Diary - Jun 2003 -- FPM

Jun 1, 2003 - ...for vomiting when I noted that his creatinine had risen from a baseline of 1.5 to 2.4. Earl was a 78-year-old man with diabetes and mild hypertension and was on two potentially nephrotoxic drugs, Glucophage and Zestril. The ER doctor had told him to stop the Glucophage. Two weeks...

Family Practice Management : Practice Diary

https://www.aafp.org/fpm/2003/0600/p62.html

Group Visits 101 -- FPM

May 1, 2003 - In addition to providing step-by-step instructions for launching group visits, the authors lay out the rationale for group visits and how to code for them.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0500/p66.html

Countdown to the E/M Coding Changes

...how stable the chronic problems are. Stable chronic illnesses could include hypertension, diabetes mellitus, or benign prostatic hyperplasia. But for coding purposes, patients with poorly controlled hypertension whose blood pressure is not at goal, or patients with diabetes whose...

Family Practice Management

https://www.aafp.org/fpm/2020/0900/fpm20200900p29.pdf

Improve Your ICD-9 Cooding With Voice-Recognition Macros - Family Practice Management

...ICD-9 code number into your dictation. For example, you could program your system to insert Hypertension, benign (diagnosis code 401.1) whenever you speak the command hypertension. For more examples, see the table on page 40. The goal is to have your ICD-9 codes automatically...

Family Practice Management

https://www.aafp.org/fpm/2006/0600/fpm20060600p39.pdf

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

...Elevated BP w/o hypertension 456.0 Esophageal varices w/ bleeding 456.1 Esophageal varices w/o bleeding ➤ 401.1 Hypertension, benign 401.0 Hypertension, malignant 405.11 Hypertension, renovascular, benign 405.01 Hypertension, renovascular, malignant ➤ 401.9 Hypertension, unspec....

Family Practice Management

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

Coding & Documentation - Feb 2003 -- FPM

Feb 1, 2003 - ...In the documentation guidelines, what constitutes status of a chronic disease, and how should it be documented (e.g., pt has diabetes, hypertension, high cholesterol, or pt has well-controlled dm on X with glucoses X, etc. )? A The documentation guidelines don’t address your point...

Family Practice Management : Coding & Documentation

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

Evidence-Based-Medicine Tools for Your Palm-Top Computer -- FPM

May 1, 2003 - The author evaluates a list of evidence-based resources for the personal digital assistant and offers tips for better utilization of these resources at the point of care.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0500/p73.html

Letters - May 2003 -- FPM

May 1, 2003 - ...Coding for Hypertension: Painting a Picture of the Severity of Illness Editor's Collections Documentation Guidelines Related Topic Searches Documentation, general Maternity care MOST RECENT ISSUE Nov-Dec 2020 Access the latest issue of FPM journal Read the...

Family Practice Management : Letters

https://www.aafp.org/fpm/2003/0500/p12a.html

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

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

The Challenge of Urban Family Medicine -- FPM

Apr 1, 2003 - Traditional medical training reflects a somewhat diverse population but, on average, does not expose students to the harsh realities of urban environments. After an eye-opening move to an urban practice, the author discovered that she had to be more than just a doctor to her patients.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2003/0400/p18.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 -- 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

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

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

"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

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...

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

...Following this structure, a note for a con- firmed diagnosis might look like this: • 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....

Family Practice Management

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

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