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Why & How Our Biologic Drug Discussion with Patients Should Evolve

Paul H. Caldron, DO, PhD, MBA, & John R.P. Tesser, MD  |  February 17, 2019

As we turn the corner on the second decade of biologic use for rheumatic disorders, a reappraisal of approach in our communication with patients is due. In practice, the impact these agents have on patients’ lives justifies the friction rheumatologists face when connecting patients to them. You can understand why older rheumatologists who apprenticed on…

Filed under:Biologics/DMARDsResearch RheumRheumatoid ArthritisSpeak Out Rheum Tagged with:OpinionSpeak Out Rheumatology

Rheumatology Clinics Add Pharmacists to Care Teams, See Benefits

Susan Bernstein  |  January 17, 2019

CHICAGO—Could the addition of a pharmacist to rheumatology care teams improve patient satisfaction, decrease staff burnout or reduce medication-related problems? Three panelists in Integrating Pharmacists into the Workforce, a session at the 2018 ACR/ARHP Annual Meeting, shared positive experiences with this interdisciplinary care model. Less Burnout, More Satisfaction Ten years ago, the Arthritis Treatment Center…

Filed under:Meeting ReportsPractice Support Tagged with:2018 ACR/ARHP Annual MeetingElectronic medical recordspharmacist

Medicare Changes Could Have Some Patients Paying More for Drugs

Lisa Rapaport  |  January 15, 2019

(Reuters Health)—A proposed shift in Medicare coverage for medicines administered by doctors may help reduce total drug spending, but a new study suggests it may also lead to higher out-of-pocket costs for some patients. Right now, drugs given by infusion or injection in outpatient settings are covered by Medicare Part B, which is part of…

Filed under:Drug Updates Tagged with:drug costsMedicareMedicare Part BMedicare Part D

Why I Chose to Be Part of RheumPAC

Padmapriya Sivaraman, MD  |  January 4, 2019

As physicians, we play an important role in the well-being of patients and serve as advocates to ensure our patient receives adequate healthcare services. Unfortunately, many of the policy decisions that govern our medical practices are made by bureaucrats with inadequate input from physicians. Certain constraints placed on the way we should practice medicine have…

Filed under:Legislation & AdvocacyOpinionRheuminationsSpeak Out Rheum Tagged with:health advocacyPadmapriya SivaramanRheumatology Political Action CommitteeRheumPAC

Gearing Up for State Legislation in 2019: 5 Issues that Need Your Attention

Carina Stanton  |  January 4, 2019

With a number of new legislators and new governors sworn in this month, 2019 promises to be an exciting year for state-level rheumatology advocacy. “Now is the time to reach out and share our top issues with new legislators in your state,” suggests Joseph Cantrell, ACR senior manager of state affairs. 2019 Priorities ACR Affiliate…

Filed under:Legislation & AdvocacyWorkforce Tagged with:biosimilar substitutionsMedicaid expansionPharmacy benefit manager reformprior authorizationstep therapyworkforce initiatives

Coding Corner Answers: Rheumatology Word Search

From the College  |  December 18, 2018

Take the challenge. Ultrasound guidance: There must be a permanent picture placed in the patient’s medical chart to meet the requirements of documentation guidelines. Arthrocentesis: This is the proper term for the withdrawal of fluid and/or injection of medication into a joint. If both the aspiration and injection are performed during the same encounter, only…

Filed under:Billing/CodingFrom the College Tagged with:arthrocentesisCenters for Disease Control and PreventionComprehensive Error Rate Testing (CERT)ICD-10insurance verificationjoint injectionMedicare Administrative Contractors (MACs)Office of Inspector GeneralOIGWorld Health Organization (WHO)

Common Issues That Lead to Claim Denials

From the College  |  December 18, 2018

In an already complicated reimbursement landscape, claims denials can potentially pose a serious issue to the financial revenue for rheumatology practices.  Denials are not only highly prevalent in the healthcare environment, but also costly to appeal, which affects overall reimbursements. According to The Physician Billing Process: 12 Potholes to Avoid in the Road to Getting…

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:denials managementprior authorization

Jessica Farrell, PharmD, in the Spotlight: Why the ARP Is for Me

Kelly Tyrrell  |  December 18, 2018

It was never in the plan for Jessica Farrell, PharmD, to enter rheumatology. In fact, when she applied for one of two pharmacist positions at Albany College of Pharmacy and Health Sciences in 2008, she made it clear she was only interested in the family practice position. “I was offered an interview for the family…

Filed under:Profiles Tagged with:Association of Rheumatology Professionals (ARP)Jessica Farrell

The 2018 ARHP Merit Awards & ACR Distinguished Fellows

Carol Patton, with Keri Losavio  |  December 18, 2018

CHICAGO—At the 2018 ACR/ARHP Annual Meeting in October, the ACR and the ARHP honored a group of distinguished individuals who have made significant contributions to rheumatology research, education and patient care. This month, The Rheumatologist speaks with the winners of the ARHP Merit Awards about their individual contributions to advancing rheumatology. You’ll also find interviews…

Filed under:AwardsMeeting Reports Tagged with:2018 ACR/ARHP Annual MeetingAssociation of Rheumatology Professionals (ARP)Daniel SchafferDanielle RiceDr. Ann Marie SzymanskiDr. Antonia ValenzuelaDr. April M. JorgeDr. Bella MehtaDr. Brittany AdlerDr. Carol A. OatisDr. Charles G. HelmickDr. Christina H. OpavaDr. DeAnna A. Baker FrostDr. Debbie Ehrmann-FeldmanDr. Marcela A. FerradaDr. Patrick R. WoodDr. Sara AlehashemiDr. Shudan WangHiral MasterJanalee TaylorLisa Robbins

ACR Leaders Discuss E/M Coding Changes, Step Therapy & More

Thomas R. Collins  |  December 18, 2018

CHICAGO—ACR leaders described a series of looming legislative and regulatory threats to rheumatologists and their patients—including the proposed collapsing of evaluation and management (E/M) coding and potential changes to step therapy rules—and urged everyone in the field to make their voices heard to quash the proposals. They also recounted recent victories in the policy realm…

Filed under:Billing/CodingLegislation & AdvocacyMeeting Reports Tagged with:2018 ACR/ARHP Annual MeetingBiosimilarsE/M CodingH1B visasstep therapy

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