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New CPT code for SARS-CoV-2 (COVID-19) antigen testing -- FPM

Antigen testing is designed to be quicker and simpler than other tests for the coronavirus and can be conducted at the point of care.

Family Practice Management : Getting Paid : FPM Home

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

COVID-19 diagnosis coding explained in a flowchart -- FPM

Four months into the COVID-19 pandemic, questions still remain about how to code these cases. This flowchart has the answers.

Family Practice Management : Quick Tips : FPM Home

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

Family Practice Management : Getting Paid : FPM Home

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

Family Practice Management : Quick Tips : FPM Home

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

Family Practice Management : Quick Tips : FPM Home

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

Don't Miss Your Opportunity to Lead

With the National Conference of Family Medicine Residents and Medical Students approaching, Kurt Bravata, M.D., writes in the Fresh Perspectives blog that resident leadership roles led him to his current job and a state leadership position.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200702fp-leadership.html

Exhibiting at FMX | AAFP

Learn more about how to network with the more than 4,000 family physician attendees at 2020 AAFP Family Medicine Experience (FMX) Conference, October 13-17.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/2021/exhibitors.html

Exhibiting at FMX | AAFP

Learn more about how to network with the more than 4,000 family physician attendees at 2020 AAFP Family Medicine Experience (FMX) Conference, October 13-17.

Events : Family Medicine Experience (FMX) Virtual

https://www.aafp.org/events/fmx/exhibitors.html

Chronic Obstructive Pulmonary Disease - American Family Physician

Jul 1, 2020 - This collection features AFP content on chronic obstructive pulmonary disease (COPD) and related issues, including acute and chronic COPD, spirometry, pulmonary rehabilitation, oxygen therapy, corticosteriods, and pulmonary complications. This collection features AFP content on chronic ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=32

Blood Product Transfusion in Adults: Indications, Adverse Reactions, and Modifications ... Restricted content. Login required.

Jul 1, 2020 - Millions of units of blood products are transfused annually to patients in the United States. Red blood cells are transfused to improve oxygen-carrying capacity in patients with or at high risk of developing symptomatic anemia. Restrictive transfusion thresholds with lower hemoglobin ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p30.html

Cervical Colposcopy: Indications and Risk Assessment - American Family Physician Restricted content. Login required.

Jul 1, 2020 - The practice of colposcopy, a diagnostic procedure to evaluate for vaginal, vulvar, and cervical dysplasia, has evolved to incorporate patient risk factors for high-grade cervical intraepithelial neoplasia (CIN) and cancer. Changes in cervical cancer screening and guidelines, human ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p39.html

Gastroenteritis and Diarrhea in Children - American Family Physician

Jul 1, 2020 - This collection features AFP content on gastroenteritis and diarrhea in children and related issues, including dehydration, foodborne illnesses, probiotics, and rotavirus vaccination. This collection features AFP content on gastroenteritis and diarrhea in children and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=9

Back Pain - American Family Physician

Jul 1, 2020 - This collection features content from AFP on back pain and related issues, including chronic and acute low back pain, lumbar spinal stenosis, sciatica, and vertebral compression fractures. This collection features content from AFP on back pain and related issues, including chronic and ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=109

Back Pain in Children and Adolescents - American Family Physician Restricted content. Login required.

Jul 1, 2020 - Back pain is a relatively common presenting symptom in children and adolescents. Typical causes include muscle strain or spasm, spinal deformities (e.g., Scheuermann kyphosis, adolescent idiopathic scoliosis), spondylolysis, bulging or herniated intervertebral disks, apophysitis of the ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0701/p19.html

Beware of False-Positive Results with SARS-CoV-2 Antibody Tests - Letters to the Editor...

Jul 1, 2020 - Letters to the Editor from regarding false-positive results with SARS-CoV-2 antibody tests.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0701/p5a.html

Nutrition - American Family Physician

Jul 1, 2020 - Advertisement AFP BY TOPIC Nutrition Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on nutrition and related issues, including diets, physical activity, prevention of cardiovascular disease,...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=86

Attention-Deficit/Hyperactivity Disorder: AAP Updates Guideline for Diagnosis and ... Restricted content. Login required.

Jul 1, 2020 - Attention-deficit/hyperactivity disorder (ADHD) is diagnosed in 7% to 8% of children. It affects academic achievement and socioemotional well-being. The American Academy of Pediatrics (AAP) updated guidelines to emphasize evaluation for comorbid conditions and overcoming systemic ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0701/p58.html

COVID-19 and Remdesivir, Insulin Analogues, Opioid Use Disorder, Urinary Incontinence -... Restricted content. Login required.

Jul 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/2020/0701/p14.html

Vitamin D Supplementation and All-Cause Mortality - Medicine by the Numbers - American ... Restricted content. Login required.

Jul 1, 2020 - Observational studies have shown that those with low vitamin D levels have higher cancer and cardiovascular mortality. Read more to learn about the effect of vitamin D supplementation on all-cause mortality.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2020/0701/od1.html

Nicotine Replacement Therapy for Smoking Cessation - Cochrane for Clinicians - American... Restricted content. Login required.

Jul 1, 2020 - Patients using a combination of nicotine patch and fast-acting NRT are more likely to quit smoking than those on any single therapy alone (number needed to treat [NNT] = 29; 95% CI, 20 to 47).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p17.html

The Promise and Challenge of Home Health Services During the COVID-19 Pandemic - ...

Jul 1, 2020 - The COVID-19 pandemic presents family physicians with unique opportunities to work with home health providers to combat the pandemic, provide quality care, and ease the burden of fear among patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0701/p8.html

Role of Mucolytics in the Treatment of Chronic Bronchitis or COPD - Cochrane for ... Restricted content. Login required.

Jul 1, 2020 - Oral mucolytic agents may reduce the number of acute exacerbations in patients with chronic bronchitis or COPD (number needed to treat [NNT] = 8 over an average of nine months; 95% CI, 7 to 10).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0701/p16.html

Antiemetics for Acute Gastroenteritis in Children - FPIN's Clinical Inquiries - ... Restricted content. Login required.

Jul 1, 2020 - Oral ondansetron (Zofran) may be given to children presenting to the emergency department with vomiting and mild to moderate dehydration from acute gastroenteritis. It reduces hospital admissions and the need for intravenous hydration.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2020/0701/p51.html

The COVID-19 Pandemic Is a Battle Against Disease, Fear, and Misinformation - Letters ...

Jul 1, 2020 - Letters to the Editor from AFP reader regarding COVID-19.

American Family Physician : Letter

https://www.aafp.org/afp/2020/0701/p5.html

A Primary Care Approach to Adverse Childhood Experiences - Curbside Consultation - ... Restricted content. Login required.

Jul 1, 2020 - A 41-year-old long-time patient presented with concerns about irritability, depression, and anxiety after getting into another fight with her mother-in-law. The patient was concerned that her symptoms were getting worse, and she was worried about lacking control over her emotions and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2020/0701/p55.html

Knee Bruising and Swelling in a Teenager - Photo Quiz - American Family Physician Restricted content. Login required.

Jul 1, 2020 - A teenaged baseball player presented with left knee pain, bruising, and swelling, as well as subjective quadriceps weakness 10 days after sustaining a leg injury while sliding into home plate.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2020/0701/p49.html

PAULA’s Test for Lung Cancer Screening - Diagnostic Tests: What Physicians Need to Know... Restricted content. Login required.

Jul 1, 2020 - Because of insufficient evidence of benefit, no recommendations can be made regarding PAULA's test. Prospective cohort studies of a screening population and randomized controlled trials comparing cancer mortality outcomes using PAULA's test vs. low-dose CT and no screening are needed ...

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

https://www.aafp.org/afp/2020/0701/p53.html

Family Physicians Play Key Role in Bridging the Gap in Access to Opioid Use Disorder ...

Jul 1, 2020 - Buprenorphine prescribing in primary care is a key bottleneck in the access to medications for opioid use disorder (OUD). In a Medicare claims study including family medicine, internal medicine, general practice, and psychiatry, the largest share of buprenorphine prescribers were family...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2020/0701/p10.html

Are You Ready to Whack Your WAC?

Andrew Carroll, M.D., writes in the Leader Voices Blog that he reduced his work after clinic by 90% using Suki, a new artificial intelligence digital assistant. The AAFP is recruiting members to participate in stage two of its Suki pilot.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200701lv-suki.html

Worth a Shot: Home Visits Keep Kids Up to Date in Pandemic

Beth Oller, M.D., writes in the FPs on the Front Lines blog that she's making home visits to pediatric patients to ensure that kids stay up to date on immunizations during the pandemic.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200630fpimmunization.html

CMS again offers QPP data reporting relief, but this time it's not automatic -- FPM

Practices participating in MIPS that have been significantly impacted by the public health emergency can apply for the Extreme and Uncontrollable Circumstances Exception.

Family Practice Management : Getting Paid : FPM Home

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

Health Equity, Diversity, and Social Determinants of Health -- FPM Topic Collection

Jun 29, 2020 - Advertisement Topic Collection Health Equity, Diversity, and Social Determinants of Health Editors' Choice of Best Available Content Categories Addressing Discrimination Social Determinants of Health Cultural Competence Other Resources Addressing...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=114

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.

Family Practice Management : Getting Paid : FPM Home

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

Beware Consequences of Delaying Primary Care in Pandemic

Although it may make sense to delay elective procedures during a pandemic, Natasha Bhuyan, M.D., writes in the Fresh Perspectives blog that primary care is essential.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200625fp-coviddelay.html

Care for Special Populations in Pandemic Adds Challenges

From masks and social distancing to closing group homes, Kyle Jones, M.D., writes in the FPs on the Front Lines blog that physicians caring for patients with intellectual or other developmental disabilities face added challenges with COVID-19.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200624fl-specialpopulations.html

Reopening your practice during COVID-19: where to begin -- FPM

New workflows and other changes are now critical to maintaining social distancing and keeping facilities clean and safe. But where should practices begin?

Family Practice Management : Quick Tips : FPM Home

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

Pandemic Exposes Flaws in Health Care Payment System

The COVID-19 pandemic has exacerbated the many challenges that the fee-for-service system presents to primary care. In this In the Trenches blog post, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy Stephanie Quinn examines what needs to change.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20200623itt-payment.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.

Family Practice Management : Quick Tips : FPM Home

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

Family Practice Management : Quick Tips : FPM Home

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

Closure, COVID, Chaos: A Resident's Tale of Resilience

Merlyn Sunny Abraham, M.D., writes in the Fresh Perspectives blog that her family medicine class of seven women persisted through the closure of their hospital, the transfer of their program and a pandemic.

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

https://www.aafp.org/news/blogs/freshperspectives/entry/20200618fp-drexel.html

It's Your Future: Don't Let Others Thwart Your Ambitions

Tochi Iroku-Malize, M.D., M.P.H., M.B.A., writes in this Leader Voices Blog post that she first encountered racism when her elementary school teacher told her she couldn't become a doctor.

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

https://www.aafp.org/news/blogs/leadervoices/entry/20200617lv-ambition.html

Lessons in Negotiation: Saving OB Training During Pandemic

When COVID-19 threatened to disrupt maternity care training at a Seattle hospital, leaders from three family medicine residency programs rallied to find a solution. Read more in this FPs on the Front Lines blog post.

AAFP News : FPs on the Front Lines: Meeting the Challenge | AAFP News Blog : Blogs

https://www.aafp.org/news/blogs/fpsonfrontlines/entry/20200616fl-covidob.html

Acute Respiratory Distress Syndrome: Diagnosis and Management - American Family Physician

Jun 15, 2020 - Acute respiratory distress syndrome (ARDS) is noncardiogenic pulmonary edema that manifests as rapidly progressive dyspnea, tachypnea, and hypoxemia. Diagnostic criteria include onset within one week of a known insult or new or worsening respiratory symptoms, profound hypoxemia, ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p730.html

Management of Fever in Infants and Young Children - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Despite dramatic reductions in the rates of bacteremia and meningitis since the 1980s, febrile illness in children younger than 36 months continues to be a concern with potentially serious consequences. Factors that suggest serious infection include age younger than one month, poor ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p721.html

Foreign Bodies in the Skin: Evaluation and Management - American Family Physician Restricted content. Login required.

Jun 15, 2020 - Foreign bodies may be introduced into the skin through lacerations and soft tissue wounds. Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Wound exploration and initial imaging with radiography or ultrasonography should be considered...

American Family Physician : Article

https://www.aafp.org/afp/2020/0615/p740.html

Asthma: Updated Diagnosis and Management Recommendations from GINA - Practice ... Restricted content. Login required.

Jun 15, 2020 - The latest update to the Global Initiative for Asthma (GINA) guidelines includes significant changes to treatment recommendations, especially a recommendation against using a short-acting beta2 agonists such as albuterol as sole therapy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2020/0615/p762.html

Screening for Cognitive Impairment in Older Adults: Recommendation Statement - U.S. ...

Jun 15, 2020 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment in older adults.

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

https://www.aafp.org/afp/2020/0615/od1.html

Screening for Cognitive Impairment in Older Adults - Putting Prevention into Practice -... Restricted content. Login required.

Jun 15, 2020 - L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0615/p753.html

Clinical Diagnosis of Acute Bacterial Rhinosinusitis - Point-of-Care Guides - American ... Restricted content. Login required.

Jun 15, 2020 - Which patients with symptoms of acute rhinosinusitis have bacterial infection?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2020/0615/p758.html

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