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The accurate valuation of office visits: one thing you can do -- FPM

The relative value of office-based E/M codes is being reviewed. To help inform that review, family physicians can take this one critical step.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ruc_survey.html

Take Note of Growing Demand for Subscription Services

Consumer Reports recently advised consumers that direct primary care could save them money and improve their care. Allison Edwards, M.D., makes the case for the subscription model in this Fresh Perspectives blog post.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190222fp-subscriptioncare.html

Two simple ways to improve patient satisfaction with visit length -- FPM

How do you prevent the patient complaint My doctor didn’t spend enough time with me, especially if you can’t increase visit length? Research points to two techniques that can help patients feel more satisfied with the amount of time you spend with them.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/visit_length.html

New reports look at family medicine office visit billing -- FPM

Here's what to do with that Medicare comparative billing report you may have received analyzing how you bill family medicine office visits.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/comparative_billing_reports.html

Shift Health System's Focus From Profit to Prevention

Leonard Reeves, M.D., writes in this Leader Voices Blog post that a single-payer system reserved for primary care would put the focus on keeping people healthy rather than on treating illness.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190221lv-change.html

Three myths about HIPAA -- FPM

Although HIPAA has existed for more than 20 years, many organizations still struggle to interpret the law correctly. When their interpretations are too strict, it can make physician and staff jobs harder than they need to be. Here are three common myths about HIPAA.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/hipaa_myths.html

Bipartisan Work on Crucial Issues Deserves Support

Congress is showing signs of bipartisan agreement on three health care issues. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on prescription drug pricing, physician workforce training and insurance reform.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190219itt-bipartisan.html

Let's Take a Public Health Approach to Climate Change

Nearly 80 percent of Americans believe climate change is happening. M.P.H. candidate Stewart Decker, M.D., offers a public health approach to convincing the rest and addressing the problem.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190218fp-climate.html

Better Health Care for Veterans Requires Better Payment

Ada Stewart, M.D., who cares for active-duty soldiers and veterans as a U.S. Army Reserve physician, as well as in her civilian practice, writes about the urgent need for payment and workforce reform in the nation's veterans health care system.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190218lv-veterans.html

Type 2 Diabetes Therapies: A STEPS Approach - American Family Physician

Feb 15, 2019 - A concise way to evaluate pharmacotherapy options for type 2 diabetes mellitus is to use the five patient-oriented STEPS criteria: safety, tolerability, efficacy, price, and simplicity. The first-line treatment option, metformin, is safe and fairly well-tolerated, has excellent ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p237.html

Acute Hand Infections - American Family Physician

Feb 15, 2019 - Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p228.html

Manipulative Therapies: What Works - American Family Physician

Feb 15, 2019 - Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0215/p248.html

Screening for Cervical Cancer: Recommendation Statement - U.S. Preventive Services Task...

Feb 15, 2019 - The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0215/od1.html

Additional Rheumatologic Tests Critical in Patients with Systemic Sclerosis - Letters ...

Feb 15, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0215/p221.html

Screening for Cervical Cancer - Putting Prevention into Practice - American Family ...

Feb 15, 2019 - P.J., a 48-year-old woman, presents to your office for a well-woman examination. She has been married for eight years, has no history of sexually transmitted diseases, and has nothing remarkable in her medical history.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0215/p253.html

Metformin for Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis - ...

Feb 15, 2019 - Metformin does not seem to be an effective treatment for nonalcoholic steatohepatitis. There are no studies evaluating whether metformin improves long-term patient-oriented outcomes such as progression from NAFLD to nonalcoholic steatohepatitis, cirrhosis, hepatocellular carcinoma, or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0215/p262.html

Osteopathic Manipulative Treatment: A Primary Care Approach - Editorials - American ...

Feb 15, 2019 - Osteopathic manipulative treatment is a valuable modality that has the potential to decrease cost and improve pain/function in patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0215/p214.html

Abaloparatide (Tymlos) for Osteoporosis - STEPS - American Family Physician

Feb 15, 2019 - Abaloparatide is a safe and effective medication used to reduce the likelihood of vertebral and nonvertebral fractures in women at high risk. However, it is expensive and requires daily injections. It has not been evaluated for its effect on decreasing hip fractures.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0215/p260.html

Otalgia, Preeclampsia, Latent Tuberculosis, Pityriasis Rosea, Extremity Pain - AFP ...

Feb 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0215/p226.html

ACIP Approves 2019 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2019 - The 2019 adult and childhood/adolescent immunization schedules have been approved by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0215/p264.html

Growth on the Abdomen - Photo Quiz - American Family Physician

Feb 15, 2019 - Advertisement << Previous article Next article >> Feb 15, 2019 Issue Photo Quiz Growth on the Abdomen DARIN KENNEDY, MD, FAAFP, and RHONNIE SONG, MD, Atrium Health, Charlotte, North Carolina Am Fam Physician. 2019 Feb 15;99(4):255-256. A 36-year-old man presented with a growth on his...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0215/p255.html

A checklist for better dementia care plans -- FPM

Physicians may not be able to control many facets of dementia care, but this checklist can help you tackle the cognitive, functional, and behavioral losses that most matter to patients and their families.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/dementia_care.html

Time to check your 2019 MIPS eligibility status -- FPM

If you are unclear whether the Merit-based Incentive Payment System applies to you in 2019, use this tool to check your eligibility.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2019_MIPS_eligibility.html

Hand Infections - American Family Physician

Feb 15, 2019 - Advertisement << Previous article Next article >> Feb 15, 2019 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/0215/p228-s1.html

Why did that idea flop? -- FPM

Are you committing one of three key mistakes that can prevent sustainable change from taking hold in your practice?

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/idea_flop.html

How to find joy in medicine, one day at a time -- FPM

A Grand Rapids, Mich., physician discusses what her team does every day to remember why they're in medicine.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/joyful_medicine.html

Are Your Patients Wasting Money on Supplements?

According to the latest Fresh Perspectives blog post, a recent survey found that nearly 90 percent of adults take vitamins or supplements, but less than 25 percent of respondents had a confirmed nutrient deficiency.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190213fp-supplements.html

High-maintenance patients: protecting yourself and your practice -- FPM

Every physician has a patient or two (or more) who make frequent and unreasonable demands for treatment, tests, or referrals, treat staff poorly, and drain the physician’s time and energy. Rather than allow these patients’ bad behavior to affect yours, follow this simple advice.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/high_maintenance.html

How to avoid payment denials on two common diagnostic tests -- FPM

The Centers for Medicare and Medicaid Services is advising physician practices on how to avoid billing errors for two common diagnostic tests.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/diagnostic_test_denials.html

Three tips for better risk-adjustment coding -- FPM

Your payment is increasingly tied to the severity of your patients’ conditions. These three guidelines will help you make sure you’re using the codes that best reflect their level of risk.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/risk_adjustment.html

How to calculate the value of team documentation -- FPM

Having a medical assistant or nurse handle the paperwork related to patient visits can help you be more efficient and increase revenue. Here’s how to calculate the value.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/team_documentation_savings.html

Registration -- AAFP Global Health Summit

Registration and travel information for the AAFP Global Health Summit, October 10-12, 2019 in Albuquerque, NM.

Events : Global Health Summit

https://www.aafp.org/events/global-health/registration.html

Can Design Thinking Improve Health Care for Patients, Physicians?

Design thinking requires decision-makers to empathize with, and test potential solutions with, users and stakeholders. Lalita Abhyankar, M.D., M.H.S., shares insights from a crash course on the process.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190205fp-designthinking.html

Window of Opportunity Opening to Revalue E/M Codes

Codes for evaluation and management services have not had a comprehensive review by CMS in more than a decade. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that it's time to correct that oversight.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190205itt-emcodes.html

True Mentors Help Students Find Where They Belong

Medical student Chandler Stisher writes that family medicine mentors should show students how the specialty aligns with their interests.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190204lv-mentors.html

First Trimester Bleeding: Evaluation and Management - American Family Physician

Feb 1, 2019 - Approximately one-fourth of pregnant women will experience bleeding in the first trimester. The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Pain and heavy bleeding are associated with an increased risk of early pregnancy loss. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p166.html

Gastroenteritis in Children - American Family Physician

Feb 1, 2019 - Acute gastroenteritis is defined as a diarrheal disease of rapid onset, with or without nausea, vomiting, fever, or abdominal pain. In the United States, acute gastroenteritis accounts for 1.5 million office visits, 200,000 hospitalizations, and 300 deaths in children each year. ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p159.html

Renal Cell Carcinoma: Diagnosis and Management - American Family Physician

Feb 1, 2019 - Kidney cancer is one of the 10 most common cancers in the United States with 90% being attributed to renal cell carcinoma. Men, especially black men, are more likely to be affected than women. Renal masses, either cystic or solid, are best detected with contrast-enhanced, triple-phase ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0201/p179.html

Urinary Incontinence: Screening Recommendation from the WPSI - Practice Guidelines - ...

Feb 1, 2019 - Urinary incontinence adversely affects health, quality of life, and function for most women at some point in their lives. However, it is underreported because of embarrassment, stigma, or acceptance as normal. Early intervention may reduce progression, improve quality of life, and limit...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0201/p194.html

Registered Dietitian Nutritionists Should Be Included in Patient Health Care Teams - ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p142.html

Antibiotic Prophylaxis for UTIs in Patients with Neurogenic Bladder - FPIN's Help Desk ...

Feb 1, 2019 - Daily antibiotic prophylaxis should not be used in patients with acute and nonacute spinal cord injuries.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0201/p186.html

Using Empowered CMAs and Nursing Staff to Improve Team-based Care -- FPM

Feb 1, 2019 - Highly trained workers can perform more visit-related tasks, boosting care quality and reducing physician burnout.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p17.html

Chronic Sinusitis: Saline Irrigation Helps Somewhat; Steroid Does Not Add More Benefit ...

Feb 1, 2019 - This study showed that patients with chronic rhinosinusitis who continue to use a saline nasal wash (NeilMed) will often experience an improvement in symptoms that can be clinically meaningful, but the addition of the corticosteroid budesonide has yet to show an extra benefit.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188.html

Tools for Better Dementia Care -- FPM

Feb 1, 2019 - Quality measures and clinical tools can bring focus and clarity to caring for patients with cognitive impairment and supporting their caregivers.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p11.html

Dyspnea Due to Acute Heart Failure Syndrome - Medicine by the Numbers - American Family...

Feb 1, 2019 - This review concluded that the individual components of the clinical history and physical examination, electrocardiography, and chest radiography are not useful independently for confirming or excluding the diagnosis of acute heart failure syndrome in patients presenting to the ...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0201/od1.html

The 2019 Medicare Documentation, Coding, and Payment Update -- FPM

Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p23.html

Clopidogrel Plus Aspirin Provides More Net Benefit Than Aspirin Alone After Minor ...

Feb 1, 2019 - This study provides support for a strategy of adding clopidogrel to aspirin for the first week or so after a minor ischemic stroke or TIA because this is when the greatest benefit occurs. Harms were spread fairly evenly throughout the study period.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p188a.html

Coding & Documentation - Jan-Feb 2019 -- FPM

Feb 1, 2019 - Prescription drug management and E/M code selection | Review of systems: How many systems are too many? | Documenting exams by medical students | Coding for removal of skin lesions: biopsy or no?

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0100/p30.html

Protecting Adolescent Patient Privacy: Four Key Questions -- FPM

Feb 1, 2019 - When an adolescent patient requests confidential services, here’s what you need to know about their rights and your responsibilities.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0100/p7.html

Group Prenatal Care to Reduce Preterm Labor and Improve Outcomes - Letters to the ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p141.html

High-Maintenance Patients -- FPM

Feb 1, 2019 - Don't let their bad behavior make you a bad doctor.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2019/0100/p36.html

Decompression Surgery No More Effective Than Exercise for Shoulder Impingement Syndrome...

Feb 1, 2019 - Despite being one of the most common orthopedic surgeries performed, subacromial decompression is not significantly better than physical therapy to treat patients with pain and limited function caused by shoulder impingement.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p190.html

Stumbling onto Cancer: Avoiding Overdiagnosis of Renal Cell Carcinoma - Editorials - ...

Feb 1, 2019 - We all need to test wisely and weigh the risks and benefits of diagnostic imaging. Imaging—and testing in general—has real downsides, such as stumbling onto things you wish you had not.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0201/p145.html

Point-of-Care Ultrasonography: An Effective Tool When Used Appropriately - Letters to ...

Feb 1, 2019 - Letters to the Editor from AFP readers regarding previously published articles.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0201/p143.html

Digital Media Use Associated with ADHD Symptom Development Among Adolescents - POEMs - ...

Feb 1, 2019 - High school students who reported a high frequency (many times per day) of digital media use (e.g., social networking, streaming movies or music, texting) were significantly more likely to self-report symptoms of ADHD over two years of follow-up (10% higher symptom reporting rate).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0201/p189.html

Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry ...

Feb 1, 2019 - Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0201/p153.html

Oral Immunotherapy for Egg Allergy - Cochrane for Clinicians - American Family Physician

Feb 1, 2019 - Providing daily, steadily increasing doses of egg protein over an extended period of time effectively diminishes the immunoglobulin E (IgE)-mediated allergic response among children with egg allergy.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0201/p156.html

The Cough that Would Not Quit - Close-ups - American Family Physician

Feb 1, 2019 - Hesitancy about vaccinations and the dangers this presents.

American Family Physician : Close-ups

https://www.aafp.org/afp/2019/0201/p185.html

Behavior Issues, Skin Cancer, Adolescent Depression, Prostate Cancer, Deprescribing ...

Feb 1, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0201/p152.html

Complementary and Integrative Treatments for Pain Management in Labor - Cochrane for ...

Feb 1, 2019 - There is evidence that all of the studied interventions have some benefit in labor, but the evidence is of low to very low quality. Massage, thermal interventions (warm and cold packs), relaxation techniques, yoga, and music reduce pain during latent labor, but not during active labor.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0201/p154.html

Practice Pearls - Jan-Feb 2019 -- FPM

Feb 1, 2019 - Simplify the checkout process | Ensure your safety during patient visits | Keep your empathy for difficult patients

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2019/0100/p32.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

Thank You, FPM Peer Reviewers (2018) -- FPM

Feb 1, 2019 - We would like to thank the following peer reviewers for their valuable contributions to FPM during 2018.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2019/0100/p6.html

An Asymmetric Pupil - Photo Quiz - American Family Physician

Feb 1, 2019 - Advertisement << Previous article Next article >> Feb 1, 2019 Issue Photo Quiz An Asymmetrical Pupil OMICI N. UWAGBAI, MD, MPH, Madigan Army Medical Center, Tacoma, Washington SHARON FALZGRAF, MD, VA Puget Sound Health Care System, Tacoma, Washington Am Fam Physician. 2019 Feb...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0201/p191.html

Correction - Corrections - American Family Physician

Feb 1, 2019 - Advertisement << Previous article Next article >> Feb 1, 2019 Issue Corrections Am Fam Physician. 2019 Feb 1;99(3):143. Misspelled name. The Practice Guideline Bleeding with Anticoagulants: ACC Releases Expert Consensus Decision Pathway to Guide Management (July 1, 2018, p. 57)...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0201/p143a.html

Communication checkup: How many of these skills do you practice? -- FPM

Good communication is the bedrock of good care. In the busyness of day-to-day practice, don’t neglect these seven basic skills.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/communication_checkup.html

Bleeding in Early Pregnancy - American Family Physician

Feb 1, 2019 - Advertisement << Previous article Next article >> Feb 1, 2019 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/0201/p166-s1.html

Gastroenteritis in Children: Treating Dehydration - American Family Physician

Feb 1, 2019 - Advertisement << Previous article Next article >> Feb 1, 2019 Issue Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2019/0201/p159-s1.html

The No. 1 question about team documentation -- FPM

To ease physicians’ administrative burdens, many practices are adopting team documentation, which involves increasing the MA-to-physician ratio and delegating more tasks to MAs. How do you convince your practice to try it?

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/team_documentation_question.html

Teen privacy: four rules -- FPM

When an adolescent patient requests confidential services, balancing the patient’s rights with the parent’s rights can be complicated. Keep these rules in mind.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/teen_privacy.html

Don't Be Shy About Asking for Help Patients Need

Kimberly Becher, M.D., writes that finding creative ways to solve patients' problems outside of her clinic is good for both her and her patients.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190129fp-grants.html

Our Health Care System Is Sick

The U.S. health care system focuses more on care of the sick than prevention. Leonard Reeves, M.D., writes that even our sick care is less than ideal.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190128lv-sickcare.html

UHC moves from denial to downcoding of E/M claims -- FPM

Physicians and their coding staff need to be aware of a change in how United Healthcare approaches and pays claims with problematic documentation.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/UHC_downcoding.html

Seven tips for encouraging your patients to exercise -- FPM

These seven steps can help you develop personalized physical activity plans for your patients.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/exercise_prescriptions.html

How to determine what's really urgent -- FPM

Three questions to help you determine if a task truly needs your immediate attention and response or can be delayed or even delegated elsewhere.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/time_management.html

Family of Family Medicine Is Working to Expand the Workforce

An ambitious initiative to expand the family medicine pipeline is the latest example of collaboration among the specialty's eight national organizations.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190123lv-workingparty.html

A tool to smooth out your checkout process -- FPM

A New Mexico family physician uses checkout sheets to highlight what needs to happen before a patient leaves the office.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/checkout_process.html

We're Working to Make Sure Telemedicine Is Real Medicine

AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin writes that the Academy has new resources to support telemedicine within family medicine practices.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20190122itt-telemedicine.html

More than half of Medicare claims use new ID cards -- FPM

Physicians are showing early success using the new identification cards that the Centers for Medicare and Medicaid Services supplied to Medicare beneficiaries over the last year.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicare_claims_new_MBI.html

Four apps to help patients better manage anxiety and depression -- FPM

Here are four mobile apps to help patients better manage anxiety and depression.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/mental_health_apps.html

Tasks your nurse could be doing to boost practice productivity -- FPM

How to expand the roles of your care team registered nurses to help the practice serve more patients and increase revenue.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/team_care_RNs.html

What Does the Government Shutdown Mean for Patients?

As the partial government shutdown stretched into its fourth week, our new physician bloggers examined how the impasse in Washington, D.C., is affecting their patients.

AAFP News : Fresh Perspectives: New Docs in Practice | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/freshperspectives/entry/20190117fp-shutdown.html

Why Do I Provide Maternity Care? The Answer's Simple

There are many reasons some family physicians don't provide maternity care. But more than 30 years into practice, Robert Raspa, M.D., explains why it's still one of his favorite parts of the job.

AAFP News : AAFP Leader Voices | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/leadervoices/entry/20190116lv-maternity.html

Six tips for a better CV -- FPM

Whether you are looking for your first job out of residency or making a career change, getting your curriculum vitae noticed by potential employers is your goal.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/curriculum_vitae.html

Patellofemoral Pain Syndrome - American Family Physician

Jan 15, 2019 - Patellofemoral pain syndrome (PFPS) is one of the most common causes of anterior knee pain encountered in the outpatient setting in adolescents and adults younger than 60 years. The incidence in the United States is between 3% and 6%. The cardinal feature of PFPS is pain in or around ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0115/p88.html

Neuropsychological Evaluations in Adults - American Family Physician

Jan 15, 2019 - Neuropsychologists provide detailed assessments of cognitive and emotional functioning that often cannot be obtained through other diagnostic means. They use standardized assessment tools and integrate the findings with other data to determine whether cognitive decline has occurred, to ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0115/p101.html

Primary Care for Persons Who Inject Drugs - American Family Physician

Jan 15, 2019 - More than 750,000 persons in the United States inject opioids, methamphetamine, cocaine, or ketamine, and that number is increasing because of the current opioid epidemic. Persons who inject drugs (PWID) are at higher risk of infectious and noninfectious skin, pulmonary, cardiac, ...

American Family Physician : Article

https://www.aafp.org/afp/2019/0115/p109.html

Fitness-Related Cardiac Arrhythmias - Editorials - American Family Physician

Jan 15, 2019 - How many clinicians are aware that high levels of physical fitness predispose patients to cardiac rhythm abnormalities? Find out more.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0115/p78.html

Intravenous Magnesium Sulfate for Acute Asthma Exacerbations - FPIN's Clinical ...

Jan 15, 2019 - Patients presenting to the emergency department with an acute asthma exacerbation that has not responded to first-line therapy (bronchodilators and corticosteroids) can be treated effectively with intravenous magnesium sulfate.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2019/0115/p127.html

Case Report: Gonorrhea as a Cause of Exudative Tonsillitis - Letters to the Editor - ...

Jan 15, 2019 - Letters to the Editor from AFP reader regarding a case report of gonorrhea as a cause of exudative tonsillitis.

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p77.html

Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors: ...

Jan 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of adding the ankle-brachial index (ABI), high-sensitivity C-reactive protein (hsCRP) level, or coronary artery calcium score to traditional risk assessment for cardiovascular ...

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2019/0115/od1.html

Colorectal Cancer Screening: ACS Updates Guideline for Adults with Average Risk - ...

Jan 15, 2019 - To support early identification and treatment, the American Cancer Society (ACS) has updated its 2008 guidance on counseling and referring patients at average risk of colorectal cancer (CRC) based on new evidence regarding screening options and the ever-changing risk of CRC.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0115/p129.html

Risk Assessment for Cardiovascular Disease with Nontraditional Risk Factors - Putting ...

Jan 15, 2019 - A 46-year-old Asian American woman with no significant medical history presents to your clinic for the first time for a pre-employment physical examination.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0115/p123.html

Prasterone (Intrarosa) for Dyspareunia - STEPS - American Family Physician

Jan 15, 2019 - Prasterone is similarly effective to nonprescription options for treating vaginal dryness and itching associated with menopause and may offer a small benefit in the treatment of dyspareunia.

American Family Physician : STEPS

https://www.aafp.org/afp/2019/0115/p117.html

Animal Bites, Fall Risk, Croup, Scoliosis, Recurrent VTE, Postpartum Perineal Pain - ...

Jan 15, 2019 - Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

American Family Physician : AFP Clinical Answers

https://www.aafp.org/afp/2019/0115/p80.html

White Lesions on the Hands and Lower Extremities - Photo Quiz - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Photo Quiz White Lesions on the Hands and Lower Extremities ALEXANDER K.C. LEUNG, MBBS, University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada BENJAMIN BARANKIN, MD, Toronto Dermatology Centre,...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2019/0115/p125.html

Broadening the Female Athlete Triad: Relative Energy Deficiency in Sport - Letters to ...

Jan 15, 2019 - Advertisement Jan 15, 2019 Issue Letters to the Editor Broadening the Female Athlete Triad: Relative Energy Deficiency in Sport Am Fam Physician. 2019 Jan 15;99(2):76-77. Original Article: The Female Athlete Triad: Recommendations for Management [Editorial] Issue Date: April 15, 2018...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p76.html

Corrections - Jan 15, 2019 - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Corrections Am Fam Physician. 2019 Jan 15;99(2):77. Vitamin K Antagonists. The Practice Guideline, Newly Detected Atrial Fibrillation: AAFP Updates Guidelines on Pharmacologic Management (September 1, 2017, p. 332),...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0115/p77c.html

Top 20 POEMs Should Provide Better Context of Study Quality and Scope - Letters to the ...

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Letters to the Editor Top 20 POEMs Should Provide Better Context of Study Quality and Scope Am Fam Physician. 2019 Jan 15;99(2):75-76. Original Article: Top 20 Research Studies of 2017 for Primary Care Physicians...

American Family Physician : Letter

https://www.aafp.org/afp/2019/0115/p74.html

Corrections - Jan 15, 2019 - American Family Physician

Jan 15, 2019 - Advertisement << Previous article Next article >> Jan 15, 2019 Issue Corrections Am Fam Physician. 2019 Jan 15;99(2):77. Incorrect CME Quiz Answer. The CME Quiz (July 1, 2018, p. 18) listed an incorrect answer choice for Quiz Question #4 in the Answers to This Issue's CME Quiz box on...

American Family Physician : Corrections

https://www.aafp.org/afp/2019/0115/p77a.html

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