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Subcategories:Billing/CodingEMRsFacilityInsuranceQuality Assurance/ImprovementTechnologyWorkforce

Medical Data, Cybercriminals’ Holy Grail, Now Espionage Target

Jeremy Wagstaff  |  June 8, 2015

SINGAPORE (Reuters)—Whoever was behind the latest theft of personal data from U.S. government computers, they appear to be following a new trend set by cybercriminals: targeting increasingly valuable medical records and personnel files. This data, experts say, is worth a lot more to cybercriminals than, say, credit card information. And the Office of Personnel Management…

Medicare Paid Doctors $90 Billion in 2013, up 17%

Reuters Staff  |  June 3, 2015

NEW YORK (Reuters)—Medicare, the government-run health insurance program for elderly and disabled Americans, paid physicians $90 billion in 2013, up 17% from $77 billion in 2012, U.S. healthcare officials reported on Monday. Physician payments accounted for less than one-fifth of Medicare’s 2013 net outlays of $492 billion, which rose from $466 billion in 2012. Payments to…

High Cost of DMARDs Could Limit Medicare Patients’ Treatment Adherence

Richard Quinn  |  May 29, 2015

The high out-of-pocket costs of biologic disease modifying antirheumatic drugs (DMARDs) place “enormous financial strain” on Medicare beneficiaries and may limit therapy adherence, according to the lead author of a national investigation into Part D coverage and cost-sharing structures. Recently published online in Arthritis & Rheumatology, the study analyzed 2,737 Part D plan formularies for…

Rheumatologist Recalls Personal Experience with RA

Monica Piecyk, MD  |  May 15, 2015

In late March 2012, I awoke with pain in my left hand. I had difficulty moving my metacarpophalangeal (MCP) joints. They did not move smoothly, but clunked. As I repeatedly attempted to open and close my hand, I realized that I had morning stiffness. As the pain and stiffness gradually improved over the next hour,…

Medicare Incident-to Billing Rules, Pitfalls

From the College  |  May 15, 2015

In today’s busy rheumatology practices, the services of nurse practitioners, physician assistants, occupational therapists and clinical nurse specialists are a great asset for patient flow, as well as increased revenue. As the growth of nonphysician providers (NPPs) in rheumatology practices has evolved, it has become increasingly important to understand the incident-to rules and avoid the…

Rheumatology: A Brief History

Charles M. Plotz, MD, MedScD, MACR  |  May 15, 2015

The word rheumatology and its counterpart, rheumatologist, are new to the English language. They didn’t exist 50 years ago. There were a relatively few physicians interested in rheumatologic disease, but not the science of rheumatology. The American College of Rheumatology was founded in 1988. A few of us still alive, notably, the centenarian Ephraim Engelman,…

Rheumatologists Expand Reach Through Telemedicine

Kurt Ullman  |  May 15, 2015

What started out as a way to bring specialty medicine to rural areas around 40 years ago has evolved from sharing imaging and laboratory results to seeing and interacting with patients remotely. Telemedicine is beginning to evolve from its traditional urban–rural linkage, and rheumatologists are following along. “Telemedicine covers a variety of services, but it…

Rheumatology Nursing Book Addresses Core Principles, Resources

Iris Zink, MSN, RN, ANP-BC  |  May 15, 2015

Dramatic changes have occurred over the past 50 years in rheumatology practice and management. As an integral part of the healthcare team, the rheumatology nurse must navigate these changes and the advancements in treatment options and care available for patients with rheumatic disease. Rheumatology nursing was recognized as a nursing specialty by the American Nurses…

Tips for Physicians on Handling Personal Problems at Work

Karen Appold  |  May 15, 2015

As a physician, it’s important to be in the present 100% of the time. “Writing the wrong number on a prescription pad is an extreme, but important, example of what could happen if a physician is distracted,” says consultant Donna Singer, Donna Singer Consulting LLC, Newton, Mass. Sanjay Chabra, DO, director of rheumatology, St. Jude…

Rheumatology Coding Corner Question: Knee Osteoarthritis

From the College  |  May 15, 2015

Incident-to Billing Case Scenario A 51-year-old female patient returns for a follow-up visit with a physician assistant (PA) for unilateral primary osteoarthritis of her right knee. She had an intraarticular corticosteroid injection of her right knee six weeks prior to her visit. She reports significant improvement in her knee pain and stiffness, and states the…

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