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A creative solution for helping more patients get the mental health care they need

When referred for counseling by their physician, patients may avoid scheduling an appointment because of logistics, stigma, cost, etc. To remove these barriers, one primary care practice tried a new approach.

Family Practice Management : FPM

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

How to find a patient's new Medicare number

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.

Family Practice Management : FPM

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

How to document newly diagnosed hypertension

If a patient’s elevated blood pressure has developed into hypertension, your documentation should clearly describe the basis for the new diagnosis.

Family Practice Management : FPM

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

Avoid mistakes when coding for preventive medicine services

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

Family Practice Management : FPM

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

Dealing with disruptive minor patients

Being direct with the patient and family so they understand the decision can help bring closure and discourage further bad behavior and retaliation on social media websites.

Family Practice Management : FPM

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

One simple question can uncover medication nonadherence

Finding instances of medication nonadherence means asking patients more than just if they took their medicine.

Family Practice Management : FPM

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

Properly documenting time in E/M visits

Most evaluation and management (E/M) services are selected based on the level of history, exam, and medical decision making documented in the note. But if counseling, coordination of care, or both dominate the visit, CPT instructs physicians to select a code based on time.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/properly_documenting_time_in_E-M_visits.html

What does "24/7 access" to care really mean?

Providing chronic care management services comes with numerous requirements, including 24/7 access to care. But the definition of that access is confusing.

Family Practice Management : FPM

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

Five mobile apps to help patients with anxiety and depression

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

Family Practice Management : FPM

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

Staffing -- FPM Toolbox

Apr 27, 2018 - Download tools to help you clarify staff responsibilities, provide feedback, and more.

Family Practice Management : FPM Toolbox : Staffing

https://www.aafp.org/fpm/toolBox/viewToolType.htm?toolTypeId=28

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

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

Family Practice Management : FPM

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

Medicare looks to contract directly with physicians and suppliers

The Centers for Medicare and Medicaid Services is investigating a new payment model that would directly contract with Medicare providers and suppliers.

Family Practice Management : FPM

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

How to confront an impaired physician colleague

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

Family Practice Management : FPM

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

Six documentation tasks your team could be doing

Team documentation has been shown to improve patient outcomes and physician satisfaction. Here are six documentation tasks you can delegate.

Family Practice Management : FPM

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

How to know when to bill for both preventive and added services

When a patient brings an additional complaint to a preventive visit, here's how to know whether it qualifies as a separate service and get paid for your work.

Family Practice Management : FPM

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

Five steps to diffusing difficult emotions in the exam room

Ignoring a patient’s negative emotions, such as rudeness, defensiveness, or anger, can hinder the healing process and complicate the doctor-patient relationship.

Family Practice Management : FPM

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

Make your EHR more efficient

In your frustration with your electronic health record system, don’t overlook ways to make it more efficient. These eight tips can help.

Family Practice Management : FPM

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

An efficient workflow for alcohol misuse screening

Screening adult patients doesn’t have to be time-consuming, and the service is often billable, particularly when the results lead to a brief intervention.

Family Practice Management : FPM

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

How to communicate bad news to your patients

Family physicians are increasingly responsible for giving patients and their families devastating news. A systematic approach can help you feel more confident and reduce your patients’ suffering.

Family Practice Management : FPM

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

Compensation is up for family physicians

Family physicians saw their annual compensation increase an average of 5 percent over last year, reflecting an industrywide rise in physician pay.

Family Practice Management : FPM

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

Do your diagnosis codes capture your patients' severity of illness?

Accurate diagnosis coding may have a positive effect on your payment in the future as more payers move to risk-adjusted payment models.

Family Practice Management : FPM

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

Updated tool lets physicians lookup 2018 MIPS eligibility

The Centers for Medicare and Medicaid Services has updated its Merit-based Incentive Payment System Eligibility Lookup Tool to inform physicians if they must report for the program in 2018.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/Updated_tool_lets_physicians_lookup_2018_MIPS_eligibility.html

Seven tips for mastering the art of medicine

To foster more consistent practice of the art of medicine, physicians should adopt these seven behaviors.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/art-of-medicine.html

Huddles: jump start your practice today

A few minutes spent in a morning huddle preparing with your team for the day’s schedule can improve your efficiency.

Family Practice Management : FPM

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

More Medicare money potentially headed to you

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 : FPM

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

How to immunize against burnout

Although nearly two-thirds of family physicians report symptoms of burnout, Philip Kaplan, MD, FAAFP, says he still finds joy in going to the office after more than 40 years in practice.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/burnout-immunization.html

How to respond to patients’ misconceptions about antidepressants

You can play a vital role in dispelling myths and illuminating your patients’ decision making regarding antidepressant treatment.

Family Practice Management : FPM

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

Encouraging Health Behavior Change: Eight Evidence-Based Strategies -- FPM

Apr 1, 2018 - Using these brief interventions, you can help your patients make healthy behavior changes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p31.html

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

Apr 1, 2018 - Use this cheat sheet to identify diagnosis codes that are weighted for risk adjustment.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p26.html

Is Your Diagnosis Coding Ready for Risk Adjustment? -- FPM

Apr 1, 2018 - As payment models change, diagnosis coding is more important than ever. Here’s how to be sure your codes capture your patients’ severity of illness.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p21.html

It's Time to Go RAFing -- FPM

Apr 1, 2018 - What you don’t know about risk-adjustment factor scores could cost you.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/0300/p5.html

Five Mobile Apps to Help Patients With Anxiety and Depression -- FPM

Apr 1, 2018 - When patients need some assistance coping with mental distress, consider these apps.

Family Practice Management : SPPACES: App Reviews

https://www.aafp.org/fpm/2018/0300/oa1.html

HIPAA: Answers to Your Frequently Asked Questions -- FPM

Apr 1, 2018 - Does your organization interpret HIPAA too strictly, too loosely, or just right? Find out with these FAQs.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p12.html

A Team-Based Care Model That Improves Job Satisfaction -- FPM

Apr 1, 2018 - Expanding the role of medical assistants to better support providers can improve not only traditional outcomes but also job satisfaction.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p6.html

Coding & Documentation - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0300/p41.html

What to Do When Emotions Run High in the Exam Room -- FPM

Apr 1, 2018 - Step one: Don't ignore it.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2018/0300/p48.html

Helping Your Adolescent and Young Adult Patients Get the Preventive Care and Services ...

Apr 1, 2018 - Make the most of opportunities to confidentially discuss health decisions and recommend screening tests and immunizations using this tool.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0300/p17.html

Practice Pearls - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Be mindful of the joy in medicine | Rule out heart murmurs more effectively in children | Take a lesson from the hospitality industry

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2018/0300/p42.html

Close that physician-staff divide

Practice leaders need to bridge the dual organizations within their offices to achieve peak performance. Three strategies will help.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/closing_the_physician-staff_divide.html

App review: Aspirin Guide

A mobile app developed by researchers at Harvard Medical School and Brigham and Women’s Hospital can help you quickly determine whether a patient is a good candidate for low-dose aspirin therapy.

Family Practice Management : FPM

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

Deadline to submit data for 2017 MIPS approaches

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.

Family Practice Management : FPM

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

Three common sense ways to practice medicine more cost-effectively

To deliver high-quality, cost-effective care, physicians need not just medical knowledge but good clinical judgment so they can focus on what’s important and avoid useless tests and ineffective treatments.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/cost-effectiveness.html

It’s the weekend: Are you spending it with your EHR?

Physicians spend one to two hours each night on their electronic health record (EHR) or paperwork, including weekends.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/ehr-after-hours.html

Four tips to get what you need from your PA or NP

To ensure that PAs and NPs support family physicians in the best way possible and contribute to optimal patient care, follow these four tips:

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/np-pa.html

Pre-diabetes program available to Medicare patients beginning April 1

Medicare is expanding Medicare Diabetes Prevention Program with effective with dates of service on or after April 1.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/prediabetes_program_opens_to_Medicare_patients_April_1.html

Tips for taming your sample closet

A well-organized sample closet is important to patient safety and practice efficiency.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/sample-closet.html

How to start off on the right foot in a new practice: three pointers

To succeed in practice as a new physician, stay humble, avoid office politics, and set yourself up for work-life balance.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/new-physicians.html

Perform a quick HIPAA security check

Here are three safeguards you need to have in place under the HIPAA Security Rule.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/hipaa-security-check.html

Preventive Care -- FPM Topic Collection

Mar 5, 2018 - This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it. This collection of articles and tools from FPM can help you provide preventive care efficiently and get paid fairly for it.

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=65

Six simple steps to shared decision making

Shared decision making is simply a way for physicians to help patients select the optimal test or treatment among several valid options. These conversations involve six basic steps.

Family Practice Management : FPM

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

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