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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

Hospitalists: It’s time to be more exclusive
Our specialty of hospital medicine has grown exponentially over the last decade and now finds itself at the forefront of American medicine. I’m proud to be part of such a growing movement and must say that I find the job just as rewarding as when I first became an attending physician when the specialty was still in its fledgling stage. 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 31, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

The recipe for a great hospitalist program
Internal medicine is the branch of medicine that deals with diseases of the internal organs in adults. It also involves dermatology, minor surgical procedures, general psychiatry and preventive care of well people. It is an excellent field, full of opportunities to think and feel and connect with people, mysteries to be solved and an endless variety of stuff to be learned. Internal medicine contains the subspecialties of nephrology (kidneys), cardiology, oncology and hematology (cancer and blood), infectious diseases, pulmonary and critical care medicine, endocrinology (glands), rheumatology (joints), gastroenterology (gut...
Source: Kevin, M.D. - Medical Weblog - January 7, 2013 Category: Family Physicians Tags: Physician Hospital Hospitalist Source Type: blogs

A day in the life of a hospitalist
I am a young hospitalist who is 16 months into my role at an urban academic medical center. Unlike many of my more-senior colleagues who found their way to hospital medicine by circumstance, luck, or as a second-career path, I have been planning my career in hospital medicine since the beginning of my residency training. 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 - December 20, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Hospitalist groups can make or break hospitals
Considering that hospital medicine has only really taken off as a specialty within the last several years, it’s amazing how far the specialty has come. The word “hospitalist” was first coined in 1996 when it was used in a New England Journal of Medicine article as a way of describing those internal medicine doctors who practiced inpatient medicine instead of primary care. Back then, hospital medicine was a strange new phenomenon. 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 3, 2014 Category: Family Physicians Tags: Physician Hospital Hospitalist Source Type: blogs

How to build a great hospitalist team
Ever since we are children, our parents and society teach us how to play together with others. What we don’t realize is that this lays the groundwork for developing important teamwork skills — the same skills that enable success and positive outcomes in the workplace. My own experiences in hospital medicine practice throughout the last decade continue to increase my appreciation for these seemingly simple yet invaluable techniques. Like many young hospital medicine directors, I began my leadership role with only a basic understanding of teamwork concepts. Excited by the new role, I immediately decided that the firs...
Source: Kevin, M.D. - Medical Weblog - February 1, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Can a Hospital Force a Patient To Go To a Nursing Home (SNF) Or Prevent You From Leaving One?
Many elderly patients get admitted to the hospital with profound weakness due to their acute and chronic medical conditions. Many of them will leave the hospital with profound weakness from their acute and chronic medical conditions (and unfortunately without a palliative care consult). In many situations, these patients will be too weak to take care of themselves. They will need extra help with their activities of daily living either from family or from trained home health care representatives. Patients who cannot safely return to the community often need to transition through a nursing home (with skilled nurses) bef...
Source: The Happy Hospitalist - July 21, 2012 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

You have a dysfunctional hospitalist group. Can it be fixed?
I was talking with a colleague in another section today, and she was noting the difference between our hospitalist group and her section.  She has somewhat intimate knowledge of our section because she did a year with us before moving on to her specialty fellowship.  She is a bit frustrated with her new home and its team members because she feels like there are a lot of “B’s.”  You know — b*tching, bickering, and backbiting. I was asking her to tell me the reasons she thought this is occurring. Is it a top-down issue, is it just a personality problem with people attracted to her specialty, is it that the...
Source: Kevin, M.D. - Medical Weblog - December 4, 2015 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

Ensuring Fairness in Medical Education Assessment
This study takes a first step in centering the margins as we as medical educators grow our understanding of the dynamics of promoting fairness in assessment. Future studies should explore feedback with intentional inclusion and involvement of diverse students, teachers, and researchers at every stage of the research process from conceptualization through dissemination and application of the new learning. We thank our participants for their time and candor discussing this sensitive topic and the Group on Educational Affairs for funding our work. Thank you for your time and attention and the focus that you’ll put on th...
Source: Academic Medicine Blog - September 18, 2023 Category: Universities & Medical Training Authors: amrounds Tags: AM Podcast AM Podcast Transcript Academic Medicine podcast assessment equity Macy Foundation medical education Source Type: blogs

I ’m thankful that medicine is a small world
This past week was one of those weeks looming ahead of me that I was already dreading as I entered into it. I was to be working through another holiday and following a string of nights, and I would have a quick turnaround into a mid-shift. As a nocturnist by choice, I rarely work mornings or mid-shifts. I find the nights busy but also less intrusive — i.e., less administrative personnel around which allows us to have a bit more freedom. We have our own ebb and flow at nights, usually extremely busy when we arrive, and it tends to slow as the night turns into morning and dawn. That being said, we don’t often get to ming...
Source: Kevin, M.D. - Medical Weblog - October 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/maria-perez-johnson" rel="tag" > Maria Perez-Johnson, DO < /a > Tags: Physician Hospital-Based Medicine Hospitalist Source Type: blogs

Advancing Trainee Leaders and Scholars (ATLAS): A New Initiative From Academic Medicine
Academic Medicine recently launched the Advancing Trainee Leaders and Scholars (ATLAS) initiative, which I will oversee as the journal’s inaugural Assistant Editor for Trainee Engagement. So, you might be wondering, who am I and why ATLAS? I hope this blog post will help answer those questions! Who am I? I’m a 3rd-year internal medicine resident at NYU Langone Health in New York City, and am planning to pursue a career as an academic hospitalist. As mentioned above, I will serve as the inaugural Assistant Editor for Trainee Engagement, overseeing the ATLAS initiative. My term will last until summer 2020, when we ...
Source: Academic Medicine Blog - July 9, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: ATLAS Featured learners Source Type: blogs

Should hospital physicians only work on one floor?
A major debate taking place in the hospital medicine community over the last several years concerns the way in which we cohort patients on the medical floors. The traditional way is to have patients belonging to each doctor scattered across the hospital on several different floors. This is in contrast to designing a geographical system where all the patients for any one doctor are located on a single floor. 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 - September 5, 2014 Category: Journals (General) Authors: Tags: Physician Hospital Hospitalist Source Type: blogs

The double meaning of despair in the hospital
How can a doctor resist an essay entitled, “The Sickness Unto Death?” Kierkegaard, the darkest of the bleak existentialists, begins by asking, “Is despair an excellence or a defect?” Can despair be an excellence? It is December in Oregon, the rain comes down in sheets, with only a few hours daily of half-light. Kierkegaard’s winters in 1840 Denmark must have felt a lot like this, so I press on. “In despairing over something, he really despaired over himself, and now he wants to be rid of himself.” In my hospital medicine practice, I see a lot of death and dying. Most weeks I attend to 2 to 3 patients ...
Source: Kevin, M.D. - Medical Weblog - January 10, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/kjell-benson" rel="tag" > Kjell Benson, MD < /a > Tags: Physician Hospital Hospitalist Source Type: blogs