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Search results for: liver

Placebo Outperforms Glucosamine/Chondroitin Sulfate for Knee OA

Erin Blakemore  |  August 24, 2016

(Reuters Health)—Glucosamine sulfate and chondroitin sulfate are not more beneficial than placebo treatments for patients with knee osteoarthritis, a recent trial suggests. In a double-blind study, researchers investigated the efficacy of a medicine that delivered both glucosamine and chondroitin sulfate. The 164 participants all had osteoarthritis and moderate to severe knee pain. Half the participants…

Filed under:ConditionsDrug UpdatesOsteoarthritis and Bone DisordersResearch Rheum Tagged with:Arthritis & Rheumatologychondroitin sulfateglucosamine sulfatekneeKnee Osteoarthritis (OA)knee painplacebo

Prior Authorization Reform Achieves Some Success

Ryan Larosa, ACR staff  |  August 17, 2016

In early August, the American Medical Association (AMA) held its annual state advocacy strategy meeting in Chicago. This meeting pulls together all state medical societies and national specialty organizations. Over three days, participants engage in roundtable discussions on issues, solutions and best practices for health policy. Networking opportunities abound. The meetings showcase legislation that has…

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:American Medical Association (AMA)electronic prior authorizationprior authorization

Treating Asymptomatic Hyperuricemia Could Lower Risk of Developing Chronic Conditions

Martin Garber, DO  |  August 12, 2016

When uric acid becomes elevated in the human body, a variety of problems can develop, most notably gout—a painful, inflammatory arthritis caused by uric acid crystal deposition in joints. Chronically elevated uric acid can also lead to painful kidney stones. The majority of patients found to have hyperuricemia, however, never go on to develop gout…

Filed under:ConditionsGout and Crystalline ArthritisResearch Rheum Tagged with:ArthritisdiabetesGouthypertensionhyperuricemiaResearchrheumatologyriskTreatmentUric acidvascular disease

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E-Health, Telemedicine Pose Challenges, Offer Benefits for Patients with Arthritis

Michelle Burda, MLS, & Terence Starz, MD  |  August 11, 2016

A 52-year-old woman comes to the office complaining of a two-month history of pain and swelling in the small joints of her hands, feet and knees. She says, “Doctor, I’ve been searching the Internet, and I think I have rheumatoid arthritis. I have some questions for you.” The healthcare system in the U.S. is changing…

Filed under:ConditionsResearch RheumTechnology Tagged with:ArthritisInternetonlinepatient carepatient communicationResearchRheumatic DiseaserheumatologistrheumatologyTechnologytelehealthtelemedicine

New Criteria Released for Macrophage Activation Syndrome in Juvenile Idiopathic Arthritis

Susan Bernstein  |  August 10, 2016

Although most systemic juvenile idiopathic arthritis patients don’t develop macrophage activation syndrome (MAS), the approximately 10% who do have this serious complication can experience widespread, massive inflammation, debilitating symptoms and even death. To improve understanding of MAS among physicians and advance efforts to develop effective therapies to treat it, a panel of 28 international pediatric…

Filed under:ConditionsResearch Rheum Tagged with:criteriaDiagnosisJuvenile idiopathic arthritismacrophage activation syndromepatient careResearchrheumatologistrheumatologyTreatment

Rheumatology Coding Question: Level 3 Established Patient Evaluation and Management Office Visit

From the College  |  August 10, 2016

Level 3 Established Patient E&M Visit A 43-year-old patient is seen in the office for a follow-up visit of her RF-positive rheumatoid arthritis and primary osteoarthritis of the left knee. The patient is on sulindac, methotrexate and folic acid. At her last visit, the patient’s methotrexate dose was increased, which has greatly reduced her pain….

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingEvaluationManagementofficepatient carePractice Managementrheumatologistrheumatologyvisit

Rheumatology Informatics System for Effectiveness (RISE) Registry Can Help Rheumatologists Meet MACRA Requirements

Joan M. Von Feldt, MD, MSEd, FACR, FACP  |  August 10, 2016

The ACR has been at the forefront of helping rheumatologists meet practice demands, including federal reporting requirements. The first registry that helped meet these requirements was the Rheumatology Clinical Registry (RCR), and it facilitated quality reporting, but required manual entry of required data. More recently, ACR has contracted with FIGmd to create a tool that…

Filed under:Practice SupportPresident's Perspective Tagged with:BillingCodingMACRAMedicaidMedicarepaymentPractice Managementpublic policyregistryReimbursementrheumatologistRheumatology Informatics System for EffectivenessRISE

How Sick Is Your Patient? Document the Details!

Carol Patton  |  August 4, 2016

Clear. Complete. Concise. These three Cs describe ideal patient record keeping, which is why they are among the key reasons to implement a clinical documentation information (CDI) program into your rheumatology practice. Not only will CDI help you accurately document the full picture of each patient’s clinical status, but it also promotes high-quality care and…

Filed under:Billing/CodingPractice SupportQuality Assurance/Improvement Tagged with:clinical documentation information programCoding

Proposed CMS Physician Fee Schedule May Offer Slight Increases

Carol Patton  |  August 4, 2016

All eyes are on the new physician fee schedule proposed by the Centers for Medicare & Medicaid Services (CMS), which will be finalized this year and go into effect Jan. 1. The ACR is reviewing the proposal and will be providing comments and recommendations to CMS. And many rheumatologists have payment and coding questions: Will…

Filed under:Practice SupportProfessional Topics Tagged with:Centers for Medicare & Medicaid Services (CMS)Medicare ReimbursementPhysician fee schedule

Ultrasound May Be Useful for Grading Rotator Cuff Tendinopathy

Lara C. Pullen, PhD  |  August 1, 2016

Researchers have developed procedures and assessed their efficacy for the use of ultrasound images to measure the inter-rater reliability of the measurement of structural changes in the tendon of patients with supraspinatus tendinopathy. The standardized procedures proved useful in evaluating patients…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:imagingrotator cuffshouldershoulder painsupraspinatus tendinopathyTendinopathyUltrasound

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