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Three federal telehealth rules that no longer apply during the COVID-19 pandemic -- FPM

The U.S. Department of Health and Human Services is waiving a number of telehealth rules during the COVID-19 public health emergency to encourage physicians to evaluate and treat patients remotely, when possible.

Family Practice Management : Quick Tips : FPM Home

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

Taking Care of Each Other in This Time of Crisis

Kimberly Becher, M.D., reports in this Fresh Perspectives blog post how she is caring for her rural community amid the COVID-19 pandemic and how that community is supporting her clinic with needed supplies.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200331fp-covidcare.html

Telehealth Deserves Payment; the AAFP Is Helping Secure It

In this In the Trenches blog post, AAFP Senior Vice President Shawn Martin offers an update on the Academy's efforts to help family physicians during the pandemic, including securing payment for telephone-based services.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200331itt-telehealth.html

Coronavirus Disease 2019 (COVID-19) -- FPM Topic Collection

Mar 30, 2020 - Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that was declared a pandemic by the World Health Organization on March 11, 2020. Common symptoms include fever, cough, and shortness of breath. The ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=113

Medicare expanding accelerated and advance payments due to COVID-19 -- FPM

The payments are typically offered during natural disasters. During the COVID-19 public health emergency, CMS is expanding the program for all Medicare providers and suppliers throughout the country.

Family Practice Management : Getting Paid : FPM Home

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

How to leave coronavirus behind when you come home -- FPM

Providing patient care during the pandemic means you and your family are at risk for exposure. Here's how to limit the risk as you return home at the end of your workday.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/covid19_home.html

The parking lot visit: how it works -- FPM

In an effort to minimize patient and staff exposure to infectious pathogens (such as COVID-19), some clinics are conducting parts or the entirety of the encounter in the parking lot or even in the patient's car.

Family Practice Management : Quick Tips : FPM Home

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

When can recovering COVID-19 patients leave isolation, and do they need return-to-work ...

As the COVID-19 outbreaks continues, more physicians may be fielding calls from recovering patients who want to know when they can return to daily activities, including work.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/covid19_work_notes.html

Private Practice in a Time of Pandemic

In this Leader Voices Blog post, Andrew Carroll, M.D., details how he changed processes and procedures in his practice -- including expanding telehealth -- after COVID-19 spread into his state.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200324lv-pandemic.html

CMS offers data reporting relief in response to COVID-19 -- FPM

The Centers for Medicare and Medicaid Services has extended the deadline to submit 2019 performance data for the Merit-based Incentive Payment System due to COVID-19.

Family Practice Management : Getting Paid : FPM Home

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

A virtual visit algorithm: how to differentiate and code telehealth visits, e-visits, ...

There are three options for providing virtual visits: telehealth visits, e-visits, and virtual check-ins. Here's how to tell them apart, and how to code for them.

Family Practice Management : Quick Tips : FPM Home

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

Patient triage, scheduling, and rooming: three ways to adapt your workflows for ...

As increasing numbers of patients contact physicians’ offices to report symptoms of COVID-19 or other respiratory infection, practices need to adapt their workflows to minimize exposure. Here are three recommended changes.

Family Practice Management : Quick Tips : FPM Home

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

COVID-19: FP Searches for Supplies, Information and Lessons

As COVID-19 spreads across the country, Allison Edwards, M.D., describes the difficulty and frustration of preparing for the pandemic 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/20200320fp-ppesearch.html

How to tell policymakers what you need to fight COVID-19 -- FPM

Telling state or federal representatives what’s going on in your practices can not only make them better informed, it can also help ward off feelings of helplessness.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/covid19_advocacy_tips.html

Making self-care a priority, even now -- FPM

Now more than ever, physicians need to be practicing self-care so they can continue to care for others. Here are four things you can do - but just pick one.

Family Practice Management : Quick Tips : FPM Home

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

New Physicians Share Match Day Memories, Advice

With the results of the National Resident Matching Program scheduled to be released on March 20, we asked our new physician bloggers to share memories of their own Match Days. Read what they shared 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/20200318fp-matchmemories.html

COVID-19: The AAFP Is Working to Keep You Informed, Prepared

As COVID-19 spreads, AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the resources the Academy is making available and the steps it is taking to help family physicians prepare for the pandemic.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200317itt-covidefforts.html

Match QandA: Will You Find What You're Looking For?

Match Day is almost here. In this Leader Voices Blog post, fourth-year medical student Margaret Miller and family medicine resident Kelly Thibert, D.O., M.P.H., share a conversation about their Match experiences.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200317lv-match.html

Hypertension - American Family Physician

Mar 15, 2020 - This collection features AFP content on hypertension and related issues, including pharmacologic and non-pharmacologic therapies, and blood pressure monitoring and screening. This collection features AFP content on hypertension and related issues, including pharmacologic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=12

Managing Hypertension Using Combination Therapy - American Family Physician Restricted content. Login required.

Mar 15, 2020 - More than 70% of adults treated for primary hypertension will eventually require at least two antihypertensive agents, either initially as combination therapy or as add-on therapy if monotherapy and lifestyle modifications do not achieve adequate blood pressure control. Four main ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p341.html

Office Spirometry: Indications and Interpretation - American Family Physician Restricted content. Login required.

Mar 15, 2020 - High-quality, office-based spirometry provides diagnostic information as useful and reliable as testing performed in a pulmonary function laboratory. Spirometry may be used to monitor progression of lung disease and response to therapy. A stepwise approach to spirometry allows for ease ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p362.html

Genital Ulcers: Differential Diagnosis and Management - American Family Physician Restricted content. Login required.

Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0315/p355.html

Fracture Prevention in Older Adults - Lown Right Care: Reducing Overuse and Underuse - ... Restricted content. Login required.

Mar 15, 2020 - A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

American Family Physician : Lown Right Care: Reducing Overuse and Underuse

https://www.aafp.org/afp/2020/0315/p370.html

Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...

Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0315/p330.html

Esketamine (Spravato) for Treatment-Resistant Depression - STEPS - American Family ... Restricted content. Login required.

Mar 15, 2020 - Esketamine is an in-office treatment for patients with a severe major depressive disorder to be used in addition to oral antidepressant therapy.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0315/p339.html

Group B Streptococcus Disease: AAP Updates Guidelines for the Management of At-Risk ... Restricted content. Login required.

Mar 15, 2020 - The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have updated guidelines for management of early- and late-onset group B streptococcus disease in infants.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0315/p378.html

Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ... Restricted content. Login required.

Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0315/p373.html

Medication Use to Reduce Risk of Breast Cancer: Recommendation Statement - U.S. ...

Mar 15, 2020 - The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.

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

https://www.aafp.org/afp/2020/0315/od1.html

Common Cold, IV Fluids for Children, e-Cigarettes, Postpartum Depression, Actinic ... Restricted content. Login required.

Mar 15, 2020 - 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/2020/0315/p332.html

Conjunctival Lesion in a 10-Year-Old Girl - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 15, 2020 - << Previous article Next article >> Mar 15, 2020 Issue Photo Quiz Conjunctival Lesion in a 10-Year-Old Girl MATTHEW HAWKS, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland MEGAN COOK, DO, Nellis Family Medicine Residency, Las Vegas, Nevada Am Fam...

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0315/p375.html

Evidence Lacking That Acupuncture Is More Effective Than Placebo - Letters to the ...

Mar 15, 2020 - << Previous article Next article >> Mar 15, 2020 Issue Letters to the Editor Evidence Lacking That Acupuncture Is More Effective Than Placebo Am Fam Physician. 2020 Mar 15;101(6):325-326. Original Article: Acupuncture for Pain Issue Date: July 15, 2019 See additional reader comments...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0315/p325.html

Acupuncture Not Supported By Strong Scientific Evidence - Letters to the Editor - ...

Mar 15, 2020 - Mar 15, 2020 Issue Letters to the Editor Acupuncture Not Supported By Strong Scientific Evidence Am Fam Physician. 2020 Mar 15;101(6):326-328. Original Article: Acupuncture for Pain; and Integrating Medical Acupuncture into Family Medicine Practice [Editorial] Issue Date: July 15,...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0315/p326.html

Genital Ulcers: What Causes Them? - American Family Physician

Mar 15, 2020 - << Previous article Next article >> Mar 15, 2020 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0315/p355-s1.html

New code for vaping-related illness may require a billing system update -- FPM

Update your electronic health record and billing systems for a new diagnosis code for vaping-related illness that takes effect April 1.

Family Practice Management : Getting Paid : FPM Home

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

Coronavirus (COVID-19): new telehealth rules and procedure codes for testing -- FPM

CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.

Family Practice Management : Getting Paid : FPM Home

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

Tips for Landing Grants to Help Offer Mental Health Care

Grant funding can make a big difference in delivering mental health care. In this Fresh Perspectives blog post, Kurt Bravata, M.D., shares lessons learned from successes and failures in pursuing funding.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200310fp-grants.html

Chronic care management coding updates for 2020 -- FPM

Chronic care management has been hampered by reimbursements that don't match costs and complex rules for care plans. Some relief is coming this year.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/ccm_changes_2020.html

AAFP Goals Support Award-winning Primary Care From FPs

Gary LeRoy, M.D., outlines in this Leader Voices Blog post the Academy's strategic priorities to support primary care's award-winning formula of first contact, coordination, comprehensiveness and continuity.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200309lv-egot.html

Coding for the new coronavirus and COVID-19 illness -- FPM

There is no specific diagnosis code in the U.S. yet for COVID-19. Here's what to use instead.

Family Practice Management : Getting Paid : FPM Home

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

When you’re more current than Medicare -- FPM

Claims getting denied because of Medicare's outdated national coverage determination codes? Here's what to do.

Family Practice Management : Getting Paid : FPM Home

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

Here's Why LGBTQ Physicians Should Self-Identify

The medical community advocates for a diverse workforce that reflects the diverse communities it serves, but Kyle Leggott, M.D., writes in the Fresh Perspectives blog that the dearth of information regarding LGBTQ physicians makes it difficult to know how well this community is ...

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200303fp-lgbtqphysicians.html

Deadline to submit MIPS data fast approaching -- FPM

Failure to report Merit-based Incentive Payment System (MIPS) data will result in a -7% adjustment to Medicare claims.

Family Practice Management : Getting Paid : FPM Home

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

Upper Gastrointestinal Bleeding in Adults: Evaluation and Management - American Family ... Restricted content. Login required.

Mar 1, 2020 - Upper gastrointestinal (GI) bleeding is defined as hemorrhage from the mouth to the ligament of Treitz. Common risk factors for upper GI bleeding include prior upper GI bleeding, anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes of upper GI ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p294.html

Point-of-Care Ultrasonography - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p275.html

Sexual Health History: Techniques and Tips - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Family physicians should use a proactive, integrated, patient-centered approach to sexual health that includes, but is not limited to, disease identification and treatment. Successfully delivering positive, affirming, nonjudgmental sexual health care requires intentionally creating safe...

American Family Physician : Article

https://www.aafp.org/afp/2020/0301/p286.html

HIV/AIDS - American Family Physician

Mar 1, 2020 - This collection features AFP content on human immunodeficiency virus (HIV) and AIDS and related issues, including antiretroviral therapy, behavioral counseling, HIV testing, sexually transmitted diseases, and infection prevention. This collection features AFP content on human ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=11

Emotional Support Animals: Considerations for Documentation - Curbside Consultation - ... Restricted content. Login required.

Mar 1, 2020 - Companion animals are increasingly viewed as part of the family, and studies show many mental and physical benefits of pet ownership. Federal regulations require patients to obtain health care professional documentation for emotional support animals to allow these animals to accompany ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0301/p302.html

IDx-DR for Diabetic Retinopathy Screening - Diagnostic Tests: What Physicians Need to ... Restricted content. Login required.

Mar 1, 2020 - IDx-DR is a reliable screening tool used to diagnose diabetic retinopathy in the primary care office and may reduce barriers to screening and improve gaps in eye care for those with diabetes.

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0301/p307.html

Probiotics to Prevent Antibiotic-Associated Diarrhea in Children - Medicine by the ... Restricted content. Login required.

Mar 1, 2020 - Antibiotics often disrupt the natural balance of nonpathogenic bacterial flora within the gastrointestinal tract. Learn more about the effectiveness of probiotics in preventing antibiotic-associated diarrhea in children.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0301/od2.html

Tuberculosis Screening, Testing, and Treatment in U.S. Health Care Professionals: CDC ... Restricted content. Login required.

Mar 1, 2020 - According to 1995–2007 surveillance data reported to the Centers for Disease Control and Prevention and National Tuberculosis Controllers Association work group, tuberculosis incidence rates in health care professionals were similar to those in the general population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0301/p312.html

Music Therapy for Depression - Cochrane for Clinicians - American Family Physician Restricted content. Login required.

Mar 1, 2020 - Moderate-quality evidence shows that music therapy added to standard care is more effective in the first three months than standard care alone for depressive symptoms based on clinician-rated outcomes and patient-reported outcomes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p273.html

Vitamin and Mineral Supplementation for Maintaining Cognitive Functioning in ... Restricted content. Login required.

Mar 1, 2020 - Vitamin and mineral supplementation has little to no beneficial effect on preserving cognitive functioning or preventing dementia in cognitively healthy adults 40 years and older.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0301/p272.html

Tense Bullae and Pruritus - Photo Quiz - American Family Physician Restricted content. Login required.

Mar 1, 2020 - A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0301/p305.html

Guideline for Chronic Diarrhea: Screening for IBD and Celiac Disease Is In, Screening ... Restricted content. Login required.

Mar 1, 2020 - Although an algorithm to guide the workup is not offered, the American Gastroenterological Association suggests the following tests for patients with chronic diarrhea (i.e., watery diarrhea for at least four weeks): fecal calprotectin or fecal lactoferrin to screen for inflammatory ...

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p310a.html

Fewer Severe Exacerbations in Patients with Mild to Moderate Asthma Treated with ... Restricted content. Login required.

Mar 1, 2020 - Patients with mild to moderate asthma only need relief treatment. In this study, patients taking the combination of budesonide/formoterol (Symbicort) as needed had slightly fewer severe exacerbations than patients treated with twice daily budesonide (Pulmicort).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p310.html

Tai Chi for Fibromyalgia - FPIN's Clinical Inquiries - American Family Physician Restricted content. Login required.

Mar 1, 2020 - The practice of Yang-style tai chi for one hour twice weekly for 12 to 24 weeks is moderately effective in improving quality of life in patients with fibromyalgia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0301/od1.html

HIV Status, Preexposure Prophylaxis, Sexual Health, and the Critical Role of Family ...

Mar 1, 2020 - Family physicians play a key role in expanding HIV testing and treatment, as well as providing sexual health services in areas where specialty sexual health services are not readily available.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0301/p262.html

Colorectal Cancer Screening, Breastfeeding, Miscarriage, Eczema, Routine Screening for ... Restricted content. Login required.

Mar 1, 2020 - 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/2020/0301/p270.html

Linagliptin and Glimepiride Equally Effective for Adults with Type 2 Diabetes Mellitus ... Restricted content. Login required.

Mar 1, 2020 - This study found that linagliptin is noninferior to glimepiride for reducing the risk of cardiovascular death, myocardial infarction, and stroke in adults with type 2 diabetes at an increased risk of cardiovascular disease.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p309a.html

Thromboembolism Recurrence Likely; Consider It a Chronic Disease - POEMs - American ... Restricted content. Login required.

Mar 1, 2020 - Perhaps it is time to start thinking about VTE as a chronic disease. Approximately one in 10 patients that have a VTE will have a second VTE over the next 12 months and almost four in 10 will have a second VTE over 10 years.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0301/p309.html

Women Have Closed Med School Enrollment Gap; Others Remain

For the first time, women make up the majority of students in U.S. medical schools. Ada Stewart, M.D., writes in this Leader Voices Blog post that although women physicians are making gains in leadership and other roles, they still have work to do to achieve equity in their field.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200228lv-diversity.html

Coronavirus: six ways to prepare your practice now -- FPM

After months of successful containment, officials with the Centers for Disease Control and Prevention said they expect to see widespread transmission of the illness known as COVID-19 in the United States soon

Family Practice Management : Quick Tips : FPM Home

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

A checklist for starting virtual visits -- FPM

The ability to see patients virtually can be useful, especially during outbreaks of infectious disease. Here’s how to get started.

Family Practice Management : Quick Tips : FPM Home

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

Learn more about electronic attachments for claims -- FPM

Electronic attachments can simplify and optimize revenue cycle management by reducing payment time cycles.

Family Practice Management : Getting Paid : FPM Home

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

Two reasons to provide Medicare annual wellness visits -- FPM

With less than 16 percent of eligible patients receiving a Medicare annual wellness visit, patients and practices are missing out on two key benefits.

Family Practice Management : Quick Tips : FPM Home

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

The Lady With Lavender Essential Oils Is the New Dr. Google

Natasha Bhuyan, M.D., writes in this Fresh Perspectives post that patients will be the casualties of the war on science if doctors don't speak out about misinformation and false claims.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200224fp-media.html

Physician autonomy: the missing ingredient for motivation at work -- FPM

Research suggests that professionals are primarily motivated by three things at work: purpose, mastery, and autonomy. But for most physicians, self-directing their work is a struggle because their organizations don’t make it easy. Here’s what groups should do.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/physician_autonomy1.html

CMS reiterates physicians’ central role in home health planning -- FPM

The agency's guidance comes as it implements a new home health payment system called the Patient-Driven Groupings Model.

Family Practice Management : Getting Paid : FPM Home

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

Unhealthy family dynamics in the exam room: how to respond -- FPM

When family members complicate a patient visit, consider these five questions to get to the root of the problem and respond appropriately.

Family Practice Management : Quick Tips : FPM Home

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

Seven best practices for doctors on social media -- FPM

Social media platforms such as Facebook and Twitter can be an effective means for professional and patient engagement, but to avoid pitfalls, make sure you follow these seven best practices.

Family Practice Management : Quick Tips : FPM Home

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

The 30 Year Lie: How Physician Payment Inequities Began

The discrepancies between payment levels and cost values for primary care compared to surgical procedures have been recognized for decades. AAFP Senior VP Shawn Martin examines the missteps that led us to this point in this In the Trenches post.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200218itt-paymenthistory.html

Acute Lower Gastrointestinal Bleeding: Evaluation and Management - American Family ... Restricted content. Login required.

Feb 15, 2020 - Evaluation and management of acute lower gastrointestinal bleeding focus on etiologies originating distally to the ligament of Treitz. Diverticular disease is the most common source, accounting for 40% of cases. Hemorrhoids, angiodysplasia, infectious colitis, and inflammatory bowel ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p206.html

Cerebral Palsy: An Overview - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Cerebral palsy, which occurs in two to three out of 1,000 live births, has multiple etiologies resulting in brain injury that affects movement, posture, and balance. The movement disorders associated with cerebral palsy are categorized as spasticity, dyskinesia, ataxia, or mixed/other. ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p213.html

Coccidioidomycosis (Valley Fever) in Primary Care - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Primary pulmonary coccidioidomycosis (valley fever) is caused by inhaling airborne spores of the fungus Coccidioides immitis or Coccidioides posadasii. Residing in or traveling to areas endemic for Coccidioides is required for the diagnosis; no person-to-person or zoonotic contagion ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0215/p221.html

U.S. Policies and Their Effects on Immigrant Children’s Health - Editorials - American ...

Feb 15, 2020 - Immigrant children are a vulnerable group, requiring special protections under U.S. and international law. Compared with nonimmigrant children, they face additional dangers to their physical and mental health that stem directly from immigration policies, including the right to asylum, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0215/p202.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: ...

Feb 15, 2020 - The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk...

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

https://www.aafp.org/afp/2020/0215/p233.html

Diagnosis of Heart Failure with Reduced Ejection Fraction - Point-of-Care Guides - ... Restricted content. Login required.

Feb 15, 2020 - Can signs, symptoms, and simple tests be used to determine the likelihood of heart failure with reduced ejection fraction?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0215/p230.html

ACIP Approves 2020 Adult and Childhood/Adolescent Immunization Schedules - Practice ...

Feb 15, 2020 - The 2020 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/2020/0215/p251.html

Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer - ... Restricted content. Login required.

Feb 15, 2020 - A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was recently ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0215/p239.html

Dupilumab (Dupixent) for Asthma - STEPS - American Family Physician Restricted content. Login required.

Feb 15, 2020 - Dupilumab is an effective injectable drug that decreases asthma exacerbations and the need for an oral glucocorticoid in patients with moderate to severe asthma, particularly those with high eosinophil counts.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0215/p244.html

An Anatomical Cause of Dysphagia - Photo Quiz - American Family Physician Restricted content. Login required.

Feb 15, 2020 - A man presented with worsening dysphagia, with sore throat, dyspnea, cough, heartburn, and wheezing.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0215/p241.html

Increased Readmissions and Adverse Events with Intensification of Antihypertensive ... Restricted content. Login required.

Feb 15, 2020 - The intensification of antihypertensive regimens on discharge in older adults hospitalized for noncardiac conditions is associated with an increased risk of readmission (number needed to harm [NNH] = 27) and medication-related serious adverse events (NNH = 63) within 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248a.html

No Benefit, Longer Hospital Stay with Treatment of Asymptomatic Bacteriuria - POEMs - ... Restricted content. Login required.

Feb 15, 2020 - Inappropriate treatment of asymptomatic bacteriuria is common in hospitalized patients. Older patients, those with dementia or acutely altered mental status, and those with abnormal urinalysis results are more likely to be treated with antibiotics.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p248.html

Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis - POEMs ... Restricted content. Login required.

Feb 15, 2020 - Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p249.html

Amenorrhea, Ingrown Toenails, Chronic Neck Pain, Infantile Hemangiomas, Fluoride ... Restricted content. Login required.

Feb 15, 2020 - 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/2020/0215/p205.html

Do Not Change Antidepressant Treatment Early Based on a Lack of Response - POEMs - ... Restricted content. Login required.

Feb 15, 2020 - Do not be in a hurry to change treatment in patients with severe depression who do not respond to treatment within the first two weeks. Early response to treatment predicts eventual response or remission, but a lack of early response does not predict treatment failure.

American Family Physician : POEMs

https://www.aafp.org/afp/2020/0215/p250.html

The Risk of Corticosteroids in Community-Acquired Pneumonia - Letters to the Editor - ...

Feb 15, 2020 - << Previous article Next article >> Feb 15, 2020 Issue Letters to the Editor The Risk of Corticosteroids in Community-Acquired Pneumonia Am Fam Physician. 2020 Feb 15;101(4):197. To the Editor: A 71-year-old man with diabetes mellitus and osteoarthritis of the knee presented with a...

American Family Physician : Letter

https://www.aafp.org/afp/2020/0215/p197.html

The 4Ms: Simplifying complex care decision making for older adults -- FPM

Medical training focuses on curing or treating as many of a patient's health problems as possible, but when providing complex care for older patients with multiple chronic diseases, it can be easy to lose focus on what outcomes matter most to the patient.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/4Ms_decision_making.html

What You Should Know About Valley Fever - American Family Physician

Feb 15, 2020 - << Previous article Next article >> Feb 15, 2020 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 health topics,...

American Family Physician : Patient Handout

https://www.aafp.org/afp/2020/0215/p221-s1.html

Advocacy, Social Determinants Must Be Part of Physician Training

Family medicine resident Kelly Thibert, D.O., M.P.H., writes in this Leader Voices Blog post that family physicians should not only be trained to screen patients for the social determinants of health, but should also know how to advocate for their patients.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200214lv-advocacytraining.html

Three tips for being present -- FPM

When demands and distractions intrude on your patient encounters, practice these three tips for being fully present.

Family Practice Management : Quick Tips : FPM Home

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

Administrative Simplification -- FPM Topic Collection

Feb 13, 2020 - The documentation, paperwork, and quality reporting burden on physicians is immense. What can physicians do to reduce their administrative hassles, and what are organizations doing on their behalf? This FPM topic collection explores these issues. The documentation, paperwork, and ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=112

Why family physicians should not just be physicians -- FPM

Beware of physician roles that focus predominantly on outpatient visits and separate physicians from most organizational innovation and strategy, as well as the colleagues, staff, and communities they serve.

Family Practice Management : Quick Tips : FPM Home

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

A three-step guide to coding for multiple skin procedures in a single visit -- FPM

Follow these three steps to bill correctly, avoid denials, and make sure you’re not leaving revenue on the table when you perform skin biopsies and lesion removals.

Family Practice Management : Quick Tips : FPM Home

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

What a waiting room liaison can do for your office -- FPM

An existing staff member might be able to take on these duties to keep your waiting room clean and running smoothly.

Family Practice Management : Quick Tips : FPM Home

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

Medicare webinar on glucose supplies scheduled for Feb. 11 -- FPM

The webinar will include guidelines for coverage along with the information patients and suppliers need from physicians.

Family Practice Management : Getting Paid : FPM Home

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

A simple way to build trust with young patients -- FPM

Doing this one thing during a visit can get pediatric appointments off to a good start by showing kids you care about them and respect them.

Family Practice Management : Quick Tips : FPM Home

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

Patients Aren't Widgets; Care Shouldn't Be Volume-based

Lalita Abhyankar, M.D., M.H.S., writes in this Fresh Perspectives blog post that treating patients like assembly line products -- and judging physicians by their productivity -- isn't good for anyone.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200205fp-widgets.html

It's Not Only OK to Be Vulnerable, It's Necessary

Medical student Margaret Miller writes in this Leader Voices Blog post that although allowing ourselves to be vulnerable is difficult, it opens doors to learning and opportunities.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200205lv-vulnerability.html

Here's How We're Battling Administrative Burden for You

According to surveys, administrative burden is the top concern of family physicians. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Shawn Martin offers an update on the Academy's work to reduce prior authorization and ...

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200204itt-adminburden.html

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