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Hospitals, Hospital Medicine, And Health For All
In September 2015, world leaders convened at the United Nations Summit to adopt the Sustainable Development Goals. Goal three, to “ensure healthy lives and promote well-being for all at all ages,” is ambitious, and many in the field are asking how nations can contribute to achieving this target. The world has made great health gains, but in order to ensure health for all, the current and highly successful strategies of investing in primary health care (PHC), outreach, and implementing vertical, disease-oriented programs must be integrated with a safety net of high quality hospitals. We believe that the field of hospita...
Source: Health Affairs Blog - February 16, 2017 Category: Health Management Authors: Arian Hatefi, Madhavi Dandu and Robert Wachter Tags: Global Health Policy Health Professionals Hospitals Organization and Delivery Quality health system strengthening Hospital Care hospital medicine human resources sustainable development goals Source Type: blogs

6 things wrong with hospital medicine
In 2002, when I began my first hospitalist job, I was a dyed-in-the-wool hospital medicine convert, convinced that the transfer of inpatient care to true specialists in hospital medicine (hospitalists) would dramatically improve the quality and efficiency of inpatient care, increase patient satisfaction and decrease costs. By 2008, I had developed serious doubts, which prompted me to publish an editorial in the Journal of Hospital Medicine, entitled “The Expanding or Shrinking Universe of the Hospitalist” (2008) that attempted to raise a red flag of concern about hospitalists, in general, failing to become “hospital ...
Source: Kevin, M.D. - Medical Weblog - September 10, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/david-m-mitchell" rel="tag" > David M. Mitchell, MD, PhD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Practice Management Source Type: blogs

E/M Coding Lecture Slideshow Presentation For Hospitalists
Presented here is a slideshow evaluation and management (E/M) coding lecture presentation I was asked to provide for the local Society of Hospital Medicine (SHM) chapter meeting October, 2014. This lecture is not sponsored or affiliated with any SHM resource but is my interpretation of numerous resources, including CPT and CMS, I have researched over many years to help physicians master correct E/M coding. The 2018 CPT ® manual is an invaluable coding resource and can by found on Amazon through the image below and to the right.This slideshow presentation focuses on the difference between alevel 2 vs a ...
Source: The Happy Hospitalist - October 6, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

Ease the transition to hospital medicine
I came to hospital medicine from the land of pulmonary-critical care. I had spent ten years dealing with septic shock, respiratory failure, and acute renal failure. I had intubated, withdrawn life support, placed central lines, performed thoracenteses, and even placed a couple of chest tubes. I had changed tracheostomy tubes; I ran codes. In short I was a critical care bad ass. I thought I was hot stuff. But I tired of critical care, so I went to hospital medicine. And died. Just died on the vine. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - March 11, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Why COVID-19 is a threat to hospital medicine
As hospitals everywhere have been using every health care provider available to them in response to COVID-19, the specialty of hospital medicine has shown itself to be uniquely suited for coordinating the effort, to be the front of the frontline responders. I suspect that many people don’t understand what“hospital medicine” is, even though it’s […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - July 10, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/hemal-sampat" rel="tag" > Hemal Sampat, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Medicaid Pay Increase For Hospitalists Confirmed For 2013-2014: ACA Rules We Are Qualified Primary Care Providers.
Are hospitalists going to get a Medicaid pay raise for 2013 and 2014?  The answer is yes, hospitalists qualify for Medicaid parity (with Medicare) as required by the Affordable Care Act (ACA).  For many states, Medicaid pays physicians and other providers a small fraction of Medicare rates.  Legislation signed as part of the ACA mandates Medicaid rates to equal 100% of Part B Medicare rates in calendar year (CY) 2013 and 2014.  That means  if you haven't already seen increased rates, and you are a qualified physician providing qualfied primary care services, you will get increased Medicaid payments...
Source: The Happy Hospitalist - April 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Medicaid Pay Increase For Hospitalists Confirmed For 2013-2014.
Are hospitalists going to get a Medicaid pay raise for 2013 and 2014?  The answer is yes, hospitalists qualify for Medicaid parity (with Medicare) as required by the Affordable Care Act (ACA).  For many states, Medicaid pays physicians and other providers a fraction of Medicare rates.  Legislation signed as part of the ACA mandates Medicaid rates to equal 100% of Part B Medicare rates in calendar year (CY) 2013 and 2014.  That means  if you haven't already seen increased rates, and you are a qualified physician providing qualfied primary care services, you will get increased Medicaid payments retro...
Source: The Happy Hospitalist - April 24, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

99232 vs 99233 Coding Comparison (Subsequent Care Hospital Follow-Up).
This lecture will assist physicians and non-physician practitioners (NPP) determine if their inpatient hospital follow-up note documentation meets criteria for a level 2 (CPT ® 99232 mid level subsequent care) or a level 3 (CPT® 99233 high level subsequent care)evaluation and management (E/M) code.  Recovery Audit Contractors will most likely continue to target E/M codes for improper payments.  Physicians and  NPP must pursue documentation education to prevent accusations of over billing and to prevent under billing for work provided.  I am an internal medicine physician with over 10 years experience ...
Source: The Happy Hospitalist - June 24, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

99223 vs 99233: Coding Hospital Inpatient Initial Care Encounters.
When should I code a 99223 vs 99233 for the hospital inpatient initial care encounter?  I was recently asked by a busy hospitalist to comment on this scenario as it relates to their consultative role on post operative surgical patients on the orthopedic service. Here is their question in detail:We see a lot of orthopedic consults on our service. Sometimes 6-8 new consults per day piled on to our starting census. They often have no acute medical condition that we are commenting on. However, they usually have 4 medical conditions and are on opiate PCA as per orthopedic admission orders. In these situations would I ...
Source: The Happy Hospitalist - October 9, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

CPT ® Admission Codes For Initial Inpatient & Observation Hospital H & P.
Determining the correct group of CPT ® admission codes during an initial hospital encounter can be a frustrating experience for doctors and other non-physician practitioners. This lecture simplifies that complex process by having practitioners answer a series of specific questions necessary to define the correct group of care codes used in their initial hospital evaluation.  Physicians use Current Procedural Terminology (CPT ®) codes, part of the Healthcare Common Procedure Coding System (HCPCS), to submit claims for reimbursement. Evaluation and Management (E/M) codes are just one small portion of th...
Source: The Happy Hospitalist - June 6, 2013 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs