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Search results for: health insurance

Let Your Voice Be Heard

Sharad Lakhanpal, MBBS, MD  |  April 6, 2017

Rheumatology is a relatively small subspecialty, but our patients need us to be strong advocates for them, ensuring access to the care they need. That’s why the ACR is calling on all of our members to join the American Medical Association (AMA) or renew your membership. Without a unified voice, we have no voice. We’ve…

Filed under:From the CollegeProfessional Topics Tagged with:AMA House of Delegates (HOD)AMA membershipAmerican Medical Association (AMA)CPT Advisory CommitteeRelative Update Committee (RUC)

CORC: The Uncomfortable Move from Fee for Service to Value

Doug White, MD  |  April 4, 2017

ACR members are spread out across the U.S., but we all work in the same place: the land of fee for service. FFS, as it’s known to policy nerds, poses certain problems for cognitive subspecialists like rheumatologists. For instance, much of the work we do—calling providers and patients, coordinating care after hours—often isn’t compensated. And…

Filed under:Billing/CodingFrom the CollegePractice Support

Kansas Passes Medicaid Expansion Bill Despite Governor’s Objection

Reuters Staff  |  March 29, 2017

(Reuters)—The Kansas Senate gave final approval on Tuesday to a bill expanding eligibility for Medicaid under the federal Affordable Care Act (ACA) even though the measure faces a likely veto by Republican Governor Sam Brownback. The 25-14 Senate vote followed the House’s 81-44 passage of the bill last month, with the vote totals falling short…

Filed under:Legislation & Advocacy Tagged with:Affordable Care Act (ACA)KansasMedicaid expansion billSam Brownback

Undercoding Is Not an Audit-Proof Strategy in Medical Documentation

From the College  |  March 20, 2017

Overcoding is a common term used when discussing fraud and abuse in reporting procedures and services not supported by the actual work performed. Alternatively, undercoding—or failing to report the full extent of services or procedures provided—is an equally unsound practice and a compliance risk. In the world of quality reporting, undercoding can have damaging effects…

Filed under:Billing/CodingFrom the CollegeInsurancePractice Support Tagged with:AuditsBillingclaimsCodingdenials managementDocumentationinsuranceMedicarepatient carePractice Managementrheumatologistutilization

The ACR’s Representation in American Medical Association Critical as Review Looms

Sharad Lakhanpal, MBBS, MD  |  March 17, 2017

There is a saying that if the American Medical Association (AMA) did not exist, we would have to invent it. That is just what Dr. Nathan S. Davis did back in 1845 when he called for a national medical convention and laid the foundation for the establishment of the AMA in 1847. This new group would…

Filed under:President's Perspective Tagged with:AC&RAdvocacyAMAAmerican Board of Internal Medicine (ABIM)American College of Rheumatology (ACR)American Medical Association (AMA)benefitsmembershipreviewrheumatologist

5 Skills for Successful Physician Management

Carina Stanton  |  March 10, 2017

After 39 years in rheumatology practice, Herbert Baraf, MD, says, “Management has a great influence over the quality of practice.” Here are some tips for physician management…

Filed under:Practice SupportWorkforce Tagged with:communicationManagementManagersPhysiciansPractice Management

A New Administration Brings Updated ACR Policy Positions

Mary Beth Nierengarten  |  March 1, 2017

The ACR continues to broaden its advocacy efforts on issues critical to rheumatology, as described in updates to its 2017 health policy statements. Along with continuing to advocate for access to care and treatments, enhancements to rheumatology research and training the next generation of rheumatologists, the 2017 health policy statements address a number of new…

Filed under:Legislation & AdvocacyPractice SupportProfessional Topics Tagged with:Biosimilarshealth policyHealthcare ReformMACRA implementation

ACR Releases New Position Statements on Site of Service & Compounding

Mary Beth Nierengarten  |  March 1, 2017

Patient Safety & Site of Service for Biologics Although emphasizing its strong support for the use of biologic agents as necessary treatments for rheumatic diseases, the ACR Board of Directors continues to be concerned about the safe delivery of these agents, given the potential for associated adverse events and infusion reactions. In a position statement…

Filed under:Biologics/DMARDsLegislation & Advocacy Tagged with:biologic infusionsdrug compoundingposition statementquinacrine

Biosimilars to Raise Unique Questions

Vanessa Caceres  |  February 16, 2017

Rheumatologists are accustomed to educating patients about medications, but biologic medications—and now biosimilars—require some additional time and discussion. “Biologics are inherently more complex [than other medications], and there are multiple issues to consider before initiating treatment,” says K. “Kwas” Huston, MD, The Center for Rheumatic Disease, Kansas City, Mo. The first FDA-approved biosimilar to become…

Filed under:Biologics/DMARDs Tagged with:BiologicsBiosimilarsFDAInflectraRemicade

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Tips, Resources to Help Rheumatologists Educate Patients on Biologics and Biosimilars

Vanessa Caceres  |  February 15, 2017

Rheumatologists are accustomed to educating patients about medications—but biologic medications require some additional time and discussion. “Biologics are inherently more complex [than other medications], and there are multiple issues to consider before initiating treatment,” says K. “Kwas” Huston, MD, The Center for Rheumatic Disease, Kansas City, Mo. “This includes the patient’s disease activity, prior medications…

Filed under:Biologics/DMARDsDrug UpdatesPractice Support Tagged with:Association of Rheumatology Professionals (ARP)BiologicsDrugspatient carePractice ManagementQualityrheumatologistrheumatologySafetytherapyTreatment

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