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2021 outpatient office E/M changes FAQ -- FPM

Documentation and coding requirements for outpatient evaluation and management services will change starting Jan. 1. Here are some answers to common questions about the changes.

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

Surprising findings about social determinants of health -- FPM

Addressing patients' social needs can seem overwhelming, but this clinic found otherwise.

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

Two strategies to keep healthy teams healthy and get dysfunctional teams functioning --...

TCOVID-19, financial struggles, racial injustice, civil unrest - these are stressful times. If your team has navigated them successfully so far, establishing these two habits can help keep it on track. If your team is falling into backbiting and dysfunction, they can help you turn ...

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

Eight tactics to identify and reduce your implicit biases -- FPM

Unconscious biases can affect the quality of care and make workplaces more difficult. These tips can help you discover and combat your own biases.

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

Three things physician leaders need to clarify -- FPM

To manage all the tasks, projects, and requests for your time, you have to be clear on three things.

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

FPM/STFM award goes to MedStar Franklin Square for innovative care coordination program...

The 2019 Practice Improvement Award recognizes Medstar Franklin Square Family Health Center for its efforts to improve care and reduce utilization for high-risk patients through intensive care coordination.

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https://www.aafp.org/journals/fpm/blogs/inpractice/entry/practice_improvement_award_winner_2019.html

Create an orientation checklist to integrate a new colleague -- FPM

The sooner new physicians get settled, the sooner they will be able to lighten your workload. Try this sample orientation checklist.

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

Treating migraines? There's an app for that -- FPM

Treating migraines is difficult because of the many factors that can trigger an attack. Suggest this mobile app to patients so they can be more engaged in their own care.

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

A checklist of quality measures to help you succeed in value-based payment -- FPM

This checklist of quality measures can help you improve quality and succeed in value-based payment.

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

How to respond to incivility -- FPM

When you encounter rudeness, discrimination, or violence in your practice, stay calm and apply these seven strategies.

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

Four screening codes you should be using -- FPM

Use these CPT codes to get reimbursed for performing and reporting recommended screening and assessments.

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

Three things to consider before you start screening for social determinants of health ...

Social needs can complicate a patient’s health issues, but before you add another screening, answer these three questions.

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

Team documentation: who does what during the visit? -- FPM

Team documentation can boost physician efficiency, but which tasks should you delegate and which tasks should you keep?

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

How your team can help you finish your documentation -- FPM

If you prefer taking visit notes with pen and paper, your staff can transfer them to the EHR. But make sure you do this.

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

Three things to know about the coming E/M coding changes -- FPM

The most consequential changes to evaluation and management (E/M) coding in decades are coming soon, and it’s time to prepare now.

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

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

What family physicians are earning -- FPM

Family physician total compensation averaged $234,000 per year at the outset of 2020, according to a new report. But how will COVID-19 affect physicians financially?

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

The key to reducing work after clinic -- FPM

Physicians spend one to two hours nightly on EHR tasks or paperwork. To reduce work after clinic, focus on this one thing.

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

Time to choose your Medicare status for 2020 -- FPM

Physicians have until Dec. 31 to decide how they plan to participate in Medicare in 2020.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_status.html

CMS testing diagnostic imaging referrals program in preparation for mandate -- FPM

The Appropriate Use Criteria program will require an extra step before ordering advanced imaging starting in 2021, unless it's repealed.

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

New details as we get closer to CMS replacing current Medicare cards -- FPM

As I announced in June, the Centers for Medicare and Medicaid Services plans to issue new Medicare identification cards that no longer carry Social Security numbers as a way to prevent fraud and fight identity theft. Last week, CMS unveiled the new cards.

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

An easier way to report data for QPP has arrived -- FPM

Physicians participating in the Quality Payment Program can now submit all of their MIPS data through a single platform. Here's how.

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

New resource for those with questions about new Medicare card -- FPM

New Medicare identification cards for beneficiaries are in the works. Here's what CMS is doing to prepare.

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

CMS releases final rule on 2019 Medicare physician fee schedule -- FPM

On Nov. 1, the Centers for Medicare and Medicaid Services released the final rule of the 2019 Medicare physician fee schedule. Here are the highlights.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/CMS_releases_final_rule_2019.html

How to properly code for a pre-op examination -- FPM

Family physicians are often asked to preform pre-surgical evaluations for patients undergoing procedures. This requires selecting the correct codes.

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

CMS updates MIPS final scores, extends review deadline -- FPM

The Centers for Medicaid and Medicare Services has released updated final scores for the 2017 Merit-based Incentive Payment System performance period.

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

Deadline to submit data for 2017 MIPS approaches -- FPM

If you have not already done so, you have until March 31 to provide 2017 data for the Merit-based Incentive Payment System (MIPS), which could affect your Medicare payments in 2019.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/deadline_to_submit_data_for_2017_MIPS_approaches.html

CMS releases software fix for issue that could affect eCQM scores -- FPM

The Centers for Medicare and Medicaid Services has released updated database files to correct an issue that could impact scores for some eligible clinician electronic clinical quality measures (eCQM) for the 2020 performance period.

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

Learn more about electronic attachments for claims -- FPM

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

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

New resources to ease ordering and prescribing DME under Medicare -- FPM

The DME Medicare administrative contractors are trying to help physicians and recently created some online resources to ease the ordering or prescribing of durable medical equipment for Medicare patients.

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

Flu resources and payment allowances: Medicare releases updates for the 2019-2020 ...

Updated influenza vaccine payment allowances went into effect August 1.

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

How to find a patient's new Medicare number -- FPM

Starting next month, you’ll be able to look up your Medicare patients’ new Medicare number through the secure web portal of your Medicare Administrative Contractor.

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

Medicare payment for some physician services may be impacted by prior authorization -- FPM

Certain hospital outpatient department services will require prior authorization as a condition of Medicare payment beginning July 1.

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

How to decide whether your patient is new or established -- FPM

If coding rules followed common sense, this would be easy. You would just have to ask: Have I seen the patient before? Unfortunately, that straightforward approach does not work.

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

COVID-19 spurs CMS to delay mandatory use of new noncoverage form -- FPM

The Centers for Medicare and Medicaid Services announced last week it will delay a rule requiring physicians to use a new version of its Advance Beneficiary Notice of Noncoverage form.

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

Is your advanced alternative payment model recognized by CMS? -- FPM

The Centers for Medicare and Medicaid Services this month published a table displaying the APMs that it operates.

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

New demonstration project can exempt physicians from MIPS -- FPM

Looking to avoid the reporting requirements and payment adjustments imposed by the Merit-based Incentive Payment System? A new demonstration project now taking applications may be your opportunity.

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

A different way to measure primary care performance -- FPM

The Person-Centered Primary Care Measure survey has a low data collection burden for physicians.

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

Medicare to require new Advance Beneficiary Notice of Noncoverage form -- FPM

When you expect Medicare to deny payment, an Advance Beneficiary Notice of Noncoverage form is useful. A new version of the form will soon be required.

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

Seventh wave of new Medicare cards hits the mail -- FPM

CMS has begun mailing new Medicare ID cards to recipients living in the Wave 7 states and territories of Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico, Tennessee, and the Virgin Islands.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Medicare_cards_wave_7.html

More Medicare claims problems -- FPM

An issue with the Medicare eligibility contractor is causing claims to be incorrectly denied based on invalid beneficiary entitlement.

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

Medicare announces coverage for new COVID-19 treatment that can be provided in doctors'...

The Centers for Medicare and Medicaid Services (CMS) has set coverage for a monoclonal antibodies therapy that doctors should be able to eventually provide in outpatient office settings.

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

Medicare taking comments on 2021 physician payment proposals -- FPM

The changes are a mix of good news and bad news for family physicians, but taken as a whole CMS estimates they will result in a 13% increase in family physicians’ Medicare allowed charges in 2021.

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

QPP websites updated to streamline eligibility checks, review measures -- FPM

The Centers for Medicare and Medicaid Services has updated its Quality Payment Program participation tool and QPP website to make it easier to check eligibility and review quality measure data.

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

Check your final 2019 MIPS eligibility status -- FPM

The QPP Participation Status Tool tells physicians if they are required to report to the Merit-based Incentive Payment System (MIPS) for the 2019 performance year.

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

CMS clarifies documentation for teaching physicians' E/M services -- FPM

Physicians who bill for E/M services while teaching medical students may face some changes under newly clarified federal guidelines.

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

Tips for using total time to code E/M office visits in 2021 -- FPM

Some tips for coding using total time under the new rules for E/M office visits that take effect Jan. 1, plus an example of a visit well-suited for time-based coding.

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

How to attract more kid patients to your practice: four tips -- FPM

Having young patients on your schedule can add some fun and variety to your workday. To grow this patient population, consider these four tips.

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

Major insurer extends COVID-related telehealth expansion through September -- FPM

One of the nation's largest insurance companies announced it will continue to reimburse telehealth visits at the same level as in-person visits for several more months.

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

What's your coding profile? -- FPM

Comparing your E/M coding distribution with national benchmarks will help you identify aberrant coding patterns and make adjustments before they raise a red flag with payers or cost your practice money.

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

Five mobile apps to help patients with anxiety and depression -- FPM

Here are five mobile apps you can recommend to patients with anxiety and depression.

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

The secret to job satisfaction? Ask for what you need -- FPM

Many practices exist within a vast bureaucracy of rules and policies. To create a more satisfying practice, you must ask for what you need. Here's how.

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

How to avoid bias in patient care -- FPM

Implicit bias is the unconscious collection of stereotypes and attitudes that individuals develop toward certain groups of people. If left unchecked, it can affect patient relationships and care decisions.

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

Tips for getting more patients to agree to chronic care management services -- FPM

Patients eligible for chronic care management services have to agree to receive them before their physicians can get reimbursed. Physicians who have gone through the process share their best practices.

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

Are scribes effective? -- FPM

This summary of the literature on scribes shows improvement in key metrics and no change in others.

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

What does your exam room's appearance say about you? -- FPM

Patients probably spend the most time during a visit in the exam room. Are they receiving a good experience there?

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

Three ways to nurture the family in family medicine -- FPM

Your well-being is affected by not only the quality of your workplace but also the quality of your family life. Here are three ways physicians can protect family well-being.

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

Meet FPM’s new medical editor -- FPM

FPM's new medical editor lays out her vision for the future of the journal and how it can help physicians make their patient care experience more productive and satisfying.

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

How to confront an impaired physician colleague -- FPM

When a physician is suffering from addiction, depression, or another impairment, here's how to confront or intervene.

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

One thing every physician can do to help change health policy -- FPM

Physicians, who see firsthand the effects poor health policy can have on a community, can be a powerful voice to help bring about change. Here’s how.

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

The secret to motivation at work -- FPM

People who receive extrinsic rewards for doing their jobs learn and produce more slowly, but those with intrinsic motivation invest more deeply and progress farther. Three factors make all the difference.

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

Your next job: How to find the right work environment -- FPM

Physicians investigating a new job will naturally be concerned about compensation. But you should also ask these five questions to see if the new workplace is right for you.

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

Three questions to ask before making a major change -- FPM

Asking these three questions before making a big change in your practice can help everyone affected stay united.

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

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

Six codes to remember as COVID-19 cases surge across the country -- FPM

COVID-19 cases are surging again in many states, with the U.S. setting new records for daily infections. These are the key codes to remember when testing for or diagnosing the illness.

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

A quick tip for last-minute gynecologic exams -- FPM

This prep method can save time when a patient needs an unplanned Pap smear.

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

Improve preventive care by reducing missed and canceled appointments: four tips -- FPM

Practices can take these steps to improve the rate of successful appointments, which avoids lost revenue and missed opportunities to help patients manage their health.

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

Five keys to a happy career in medicine -- FPM

Doctors who need to make money at the expense of work boundaries and professional satisfaction are rarely happy. But prudent management of personal finances leads to a more satisfying career.

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

Five ways to stop making excuses and start practicing self-care -- FPM

You cannot effectively take care of others or sustain a career in medicine unless you take care of yourself. Here are five ways to start.

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

A sample workflow to address medication nonadherence related to cost -- FPM

To quickly screen for and address prescription cost concerns, use this sample workflow.

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

A simple question for better scheduling -- FPM

This practice found a single question helped save staff and patients time when scheduling a same-day appointment.

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

Four strategies to reduce patients' prescription drug costs -- FPM

The cost of medications has long been a concern for patients. With unemployment spiking due to COVID-19, they may need your help saving money on meds.

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

The key to avoiding portal overload -- FPM

Implementing patient portals, particularly managing the higher volumes of patient messages and data they produce, can quickly overwhelm already overloaded physicians.

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

How to respond more effectively to difficult patients or colleagues -- FPM

When you are emotionally hijacked by difficult people, you tend to have less perspective and poorer judgment, while making more errors - and feeling certain you are right. Here’s a better response.

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

Assigning patient risk levels in two steps -- FPM

Identifying which of your patients are at high risk can help you provide them with better care.

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

Transitional care management coding requirements -- FPM

The CPT codes for TCM require one face-to-face visit, certain non-face-to-face services, and medication reconciliation and management during the 30-day service period.

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

Four steps to succeeding in the coming value-based system -- FPM

The shift from rewarding volume to rewarding value can feel daunting, but it may give family physicians new opportunities to prosper and to provide the kind of care patients want.

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

How to check if you are MIPS-eligible in 2018 -- FPM

CMS has taken a second look at whether physicians are eligible for MIPS in 2018. Find out if you have to report - and if your 2020 payments are at risk.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_MIPS_eligibility_status.html

Save time, start preparing for 2018 MIPS reporting -- FPM

The 2018 Merit-based Incentive Payment System (MIPS) reporting period is approaching fast. Here's how to be ready to submit your information when it comes.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2018_MIPS_reporting.html

Will Medicare give you a pay bump next year? Check your MIPS score -- FPM

Physicians and practices can now access their 2019 Merit-based Incentive Payment System feedback and final score through the Quality Payment Program website.

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

The top Medicare changes to know for 2020 -- FPM

The annual Medicare update includes changes to documentation requirements, coding and payment.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/2020_Medicare_update.html

Haven't received your AAPM bonus? There's still time to fix your billing info -- FPM

The Centers for Medicare and Medicaid Services has extended the deadline to Dec. 13. Check this public notice to find out if you need to verify your info.

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

Wanted: Bank information to pay APM bonuses -- FPM

The federal government has posted a list of clinicians it owes bonus money. Here's how to find out if you're on it, and how to claim your cash if you are.

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

Are you getting paid for non-face-to-face prolonged care? -- FPM

CMS in January created a set of CPT codes that allows physicians, physician assistants, and nurse practitioners to bill for non-face-to-face prolonged care of patients.

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https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/are_you_getting_paid_for_non-face-to-face_prolonged.html

Avoid mistakes when coding for preventive medicine services -- FPM

Selecting the appropriate code will hopefully facilitate payment for preventive services and reduce some unpleasant questions from patients.

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

CMS extends preview period for Physician Compare -- FPM

Technical problems have forced the Centers for Medicare and Medicaid Services to extend the deadline for physicians wanting to review the information about them and their practices that the agency plans to be release publicly through the Physician Compare website.

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

Earn MIPS credit for participating in CMS study -- FPM

The Centers for Medicare and Medicaid Services is looking for physicians to participate in a study measuring the burdens of collecting and reporting care quality data. Participants can receive credit under the Merit-based Incentive Payment System.

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

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

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

Proper diagnosis coding for malignant neoplasms -- FPM

When selecting diagnosis codes for suspected, current, and personal history of malignant neoplasms, you need to follow specific rules for ICD-10.

Family Practice Management : Getting Paid : FPM Home

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

Use of hurricane-related ICD-10 codes is changing -- FPM

The external cause codes for hurricane-related encounters have existed since ICD-10 was adopted. The important change, beginning Oct. 1, is that the National Center for Health Statistics provided clear definition on how to apply the codes correctly.

Family Practice Management : Getting Paid : FPM Home

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

What to do when an MBI changes -- FPM

It's time to start using Medicare Beneficiary Identifiers, if you aren't already. But how will you know if a patient's MBI changes?

Family Practice Management : Getting Paid : FPM Home

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

States to lose ability to divert Medicaid payments -- FPM

The Centers for Medicare and Medicaid Services is eliminating a 2014 rule that allowed states to divert Medicaid payments to third parties.

Family Practice Management : Getting Paid : FPM Home

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

Medicare payment news for 2018: the key takeaways -- FPM

As 2017 draws to a close, the Medicare program is notifying physicians how they will be evaluated and paid for treating patients in 2018. In case you’re not an avid reader of the Federal Register (and most people aren’t), let’s go over some details.

Family Practice Management : Getting Paid : FPM Home

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

A one-stop shop for Medicare documentation requirements? -- FPM

CMS plans to list all the documentation that’s required for Medicare payment in one central location - the new Provider Documentation Manual.

Family Practice Management : Getting Paid : FPM Home

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

Is your MIPS score/Medicare payment adjustment incorrect? Time is running out to ...

Physicians must submit a targeted review request by Sept. 30, 2019, if they feel their 2018 MIPS final score/2020 MIPS payment adjustments are incorrect.

Family Practice Management : Getting Paid : FPM Home

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

More Medicare money potentially headed to you -- FPM

The Bipartisan Budget Act of 2018 is requiring Medicare administrative contractors (MACs) to reprocess practice claims, which could mean some physicians will see a boost in reimbursement

Family Practice Management : Getting Paid : FPM Home

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

Looking ahead to this year's new diagnosis codes -- FPM

It’s not too early to start preparing for the annual round of ICD-10 diagnosis coding changes effective for dates of service on or after Oct. 1.

Family Practice Management : Getting Paid : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/New_ICD10_Codes_Fall_2018.html

Medicare changing rules for modifiers to override claims edits -- FPM

Medicare and some private payers are set to make it easier to use modifiers to override claims edits.

Family Practice Management : Getting Paid : FPM Home

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

Ask beneficiaries to designate you their primary clinician online -- FPM

If you treat Medicare patients, you and your patients likely value the relationships you’ve formed. As Medicare continues to change how it reimburses physicians for beneficiary care, it would be helpful if the program knew about and honored those relationships, right?

Family Practice Management : Getting Paid : FPM Home

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

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