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Search results for: primary care providers

Jennifer Elliott, MD

The Nebraska Rheumatology Society Grows to Meet State’s Challenges

Linda Childers  |  May 15, 2020

As state rheumatology societies go, the Nebraska Rheuma­tology Society (NRS) is one of the new kids on the block. Established two years ago, the NRS hopes to involve all 27 rheumatologists across the state. Marcus Snow, MD, a rheumatologist at the University of Nebraska Medical Center (UNMC), Omaha, says the state’s rheumatologists are spread across…

Filed under:Legislation & AdvocacyProfessional TopicsWorkforce Tagged with:accessNebraska Rheumatology Society (NRS)workforce shortage

Some Telemedicine Barriers Are Down During COVID-19 Pandemic

Larry Beresford  |  May 15, 2020

Telerheumatology—which refers to the application of electronic communication technology to clinical encounters from a distance between rheumatologists and their patients—has the potential to extend a workforce projected to experience significant shortfalls, making it more accessible to more patients. Multiple barriers that stood in the way of taking full advantage of this promise are now down—at…

Filed under:Practice SupportTechnology Tagged with:Centers for Medicare & Medicaid Services (CMS)telemedicinetelerheumatology

Analysis of National & Local Coverage Determinations

From the College  |  April 15, 2020

The Medicare statute states that items and services provided to beneficiaries must be “reasonable and necessary” to qualify for reimbursement. Although the Medicare program determines in specific cases whether an item or service is reasonable and necessary, it also issues policies, called coverage determinations, to instruct Medicare Administrative Contractors (MACs) what to reimburse providers for….

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:Centers for Medicare & Medicaid Services (CMS)local coverage determinations (LCDs)Medicare Administrative Contractors (MACs)National Coverage Determinations (NCDs)

Patient Sexual Orientation & Gender Identity: Do You Need to Know?—Ethics Forum

Nayimisha Balmuri, MD, Jacob Spitznagle, MD, & Karen Onel, MD  |  April 15, 2020

A 17-year-old girl presents to the pediatric rheumatology clinic for follow-up of recently diagnosed systemic lupus erythematosus (SLE) characterized by class IV lupus nephritis, photosensitive rash and antiphospholid antibody positivity. She is currently being treated with prednisone, mycophenolate mofetil, and hydroxychloroquine. She is accompanied by her mother, who has been very involved in the patient’s…

Filed under:EthicsPatient Perspective Tagged with:Ethics ForumLGBTQPediatric Rheumatologysexuality

A Collaborative Website as a Communication Model During the COVID-19 Pandemic

Sheryl Mascarenhas, MD, with Greg Stevens, BS  |  April 10, 2020

Under the onslaught of developing information on COVID-19, one health system found a way to streamline communication using a secure tool it already had access to.

Filed under:Information TechnologyPractice SupportTechnologyTechnology Tagged with:COVID-19SharePoint

Rheumatology in the Age of COVID-19: HCQ Shortages Driven by Small, Nonrandomized Study

Michael Putman, MD  |  March 28, 2020

No data exist for prescribing hydroxychloroquine for post-exposure prophylaxis, and we should not prescribe it for this indication.

Filed under:ConditionsDrug UpdatesOpinionSpeak Out Rheum Tagged with:COVID-19HCQHYDROXYCHLOROQUINE

The Doctor Will See You Now: Legal & Regulatory Reforms Expand Telemedicine

Steven M. Harris, Esq.  |  March 17, 2020

In this time of COVID-19, you may be considering ways to deliver routine rheumatologic care via some form of telemedicine. Here are some of the legal considerations.

Filed under:Legal UpdatesProfessional Topics Tagged with:COVID-19telehealthtelemedicine

As Lyme Disease Spreads Across the U.S., Stay Alert for Fatal Lyme Carditis

Lara C. Pullen, PhD  |  March 3, 2020

The reach of Lyme disease is expanding across the U.S., and cases may be under-reported. A recent CDC case report describes the experiences of two patients with fatal cases of Lyme carditis…

Filed under:Conditions

15% E/M Services Reimbursement Hike a Win for Rheumatology

Carina Stanton  |  February 19, 2020

ACR advocacy leaders are celebrating a 15% planned increase in reimbursement for rheumatology evaluation and management services and are calling on members to thank Congress.

Filed under:Legislation & Advocacy Tagged with:evaluation and management (E/M) codesPhysician fee schedule

Proposed Changes May Loosen Federal Fraud & Abuse Laws

Steven M. Harris, Esq.  |  February 13, 2020

The Stark law and the Anti-Kickback Statute (AKS) are the U.S. healthcare system’s primary fraud and abuse laws, and highly anticipated proposed reform plans from the Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) were finally unveiled on Oct. 17, 2019. The proposed reforms would 1) clarify certain requirements…

Filed under:Legal Updates Tagged with:Anti-Kickback StatuteCenters for Medicare & Medicaid Services (CMS)Stark Law

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