This page shows you your search results in order of relevance. This is page number 12.
Order by Relevance | Date
Total 44503 results found since Jan 2013.
Do hospitalists improve patient outcomes? The answer isn ’t quite clear.
A study published recently in JAMA Internal Medicine looked at 650,651 Medicare patients hospitalized in 2013. It showed that when patients were cared for by their own outpatient physician, they had a slightly better outcome than when the patients were attended to by full-time hospital-based specialists who had not previously known them.
As an internal medicine physician who maintains hospital privileges, as well as caring for patients in an office setting, this study supports the type of medicine I have been trying to practice for the last 38 years. However, I am not naïve enough to believe it entirely.
In recent months,...
Source: Kevin, M.D. - Medical Weblog - December 26, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/steven-reznick" rel="tag" > Steven Reznick, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Primary Care Source Type: blogs
Hospital Closes for Thanksgiving Weekend. Doctors and Nurses Rejoice!
Denver, CO -- The parking lot was empty at Piedmont Hospital today after security locked the doors, turned off the lights and erected 'No Smoking or Trespassing' signs throughout the campus. Administrators made good on their promise to close the hospital for the extended Thanksgiving holiday weekend allowing all doctors and nurses a rare vacation at home with their families, a strategy in direct competition with Black Friday Hospital Deals. The idea was born after Nurse Jenny, a new graduate who was upset nobody ever told her before she went to nursing school that she'd have to work most holidays for the rest of her...
Source: The Happy Hospitalist - November 27, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Billing Critical Care and Discharge On Same Calendar Date?
Can I bill a critical care code and a discharge code on the same day? That's a question a lot of folks finding The Happy Hospitalist are asking themselves. I am a hospitalist with over ten years of clinical experience and years of research in evaluation and management (E/M) medicine. I have a very short answer and one that should lay to rest any question about what code the physician should choose when they provide critical care on the date of discharge. On page 3 of 9 in CMSdocument MM6740, we are toldIn all cases, physicians will bill the available code that most appropriately describes the level of...
Source: The Happy Hospitalist - August 12, 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 t...
Source: The Happy Hospitalist - June 6, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Marijuana Doctors' Lounge at Colorado Hospital is Nation's First.
Denver, CO - Brooks Hospital holds the honor of being the first and only medical facility in the country to offer a full service marijuana physician lounge and doctors say they wouldn't have it any other way. Shortly after Colorado legalized possession of one ounce or less of recreational marijuana, the private physician area was opened at the urging Dr. Jeffrey Potter, a Hospitalist upset with the declining diagnostic skills of his fellow colleagues.Physician smoking marijuana in doctors' lounge"I was shocked at the number of H&Ps and consult notes that had 'heart problems' or 'vision changes' as the final...
Source: The Happy Hospitalist - December 30, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Incident To And Split Shared Services Billing With Non-Physician Practitioners (NP and PA) Explained.
This lecture discusses incident to and shared/split services definitions and coding scenarios with physicians and non-physician practitioners (NPPs). I think it's important to understand how the Centers For Medicare& Medicaid Services (CMS) defines these terms before proceeding on with discussion of detailed coding scenarios. One Medicare carrier (link no longer active) provide a brief descriptions of both terms as well as a few scenarios from a Q&A session.Incident to billing is when a service is provided in an office setting by someone other than the physician. However, if the situation meets the g...
Source: The Happy Hospitalist - August 21, 2012 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 woul...
Source: The Happy Hospitalist - October 9, 2013 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Universal Ortho H&P Rescues Surgeons From Pain and Suffering.
Rosemont, IL - David Teuscher, President of the American Academy of Orthopaedic Surgeons (AAOS), confirmed yesterday a universal H&P that just needs to be signed by the surgeon is the best selling product offered by the society."The H&P is by far the best selling product our society has ever had!" said Dr. Teuscher. "As an ortho doc myself, I have personally struggled through H&Ps my entire professional life. I wish I had these twenty years ago."With Hospitalists increasingly refusing to do 'Need pre-op H&P' consults, ortho doctors have increasingly found themselves in the uncomfortable po...
Source: The Happy Hospitalist - May 13, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Universal Ortho H & P Rescues Surgeons From Pain and Suffering.
Rosemont, IL - David Teuscher, President of the American Academy of Orthopaedic Surgeons (AAOS), confirmed yesterday a universal H & amp;P that just needs to be signed by the surgeon is the best selling product offered by the society. "The H & amp;P is by far the best selling product our society has ever had!" said Dr. Teuscher. "As an ortho doc myself, I have personally struggled through H & amp;Ps my entire professional life. I wish I had these twenty years ago." With Hospitalists increasingly refusing to do ' Need pre-op H & amp;P ' consults, ortho doctors have increasingly found themselves in the un...
Source: The Happy Hospitalist - May 13, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Collaboration with hospitalists, rather than competition, improves patient care
It’s been 21 years since Drs. Robert Wachter and Lee Goldman, in an article in the New England Journal of Medicine, first described a new delivery model called “hospitalists” – clinicians whose primary professional focus is the care of hospitalized patients. Since that time the healthcare system has seen rapid growth of hospitalist programs across a variety of specialties.
In the OB world, I have had the opportunity to observe the entire transition from both sides. In my opinion, the addition of a unit (OB emergency department, or OBED) where every patient presenting to labor and delivery for unscheduled care is ...
Source: Kevin, M.D. - Medical Weblog - January 1, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/charles-jaynes" rel="tag" > Charles Jaynes, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist OB/GYN Source Type: blogs
The simple thing hospitalists can do that can enhance relationships with patients
I have a theory. There is a simple thing hospitalists can do that can enhance relationships with our patients, and even, I bet, improve patient satisfaction scores. The catch is it is not something you can do for yourself; you can only “pay it forward” for somebody else.
We know patients who trust their physicians are more likely to follow recommendations, and that trust and confidence in physicians probably leads to higher satisfaction scores. According to data from Tom Lee, Chief Medical Officer at Press Ganey, “confidence in provider” is the key differentiator between those who say they would recommend their p...
Source: Kevin, M.D. - Medical Weblog - August 21, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/christopher-moriates" rel="tag" > Christopher Moriates, MD < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs
NC Pediatricians/Physicians RISE Against CHEAP/PROFITEERING Hospital Executives: Maybe I ' m Not " Disgruntled " . . . Or " Disruptive " . . . OR ALONE . . . After All.
First, read the following article (linked in red) at North Carolina Health News - " lifted " from a story/letter published at the Charlotte Ledger:The doctor won ' t see your newborn now - North Carolina Health NewsIt only under-scores the cheap, supremely arrogant C-Suite mind-set that I ' ve been blogging about . . . and fighting . . . as an inpatient Pediatrician covering the duty in small/rural/community hospitals in NC and Virginia . . . for over 20 years.Pediatricians that work for hospitals are " a-dime-a-dozen " . We ' re " interchangeable light bulbs " . We can be " replaced by nurses " . The gen...
Source: Dr.J's HouseCalls - June 23, 2021 Category: American Health Tags: ApolloMD APRN Central Carolina Hospital CMS Duke Lifepoint JCAHO LDRP medical scope creep Mother-Baby Care Pediatric Hospitalist Pediatrics Quality Assruance Source Type: blogs
