Success Codes—Neurology Edition

Time for another edition of my wildly popular “Success Codes” series. If you haven’t already, you may want to review my world-class, yet humbly simple (yes, really) explanation of RAF scoring—it’ll help you understand some of the shorthand terminologies below. It’s the only one on the web written by a PCP who’s been in the trenches blocking and tackling since Medicare Advantage first arrived on the scene 20+ years ago—and done so with incredible results.  ...

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Sunday Links

CAN THIS CONCUSSION DRUG SAVE FOOTBALL Only if it can speed up the games. Concussions are a bigger, if less publicized problem in basketball, soccer, hockey and baseball—so if this med can help, fantastic.           THE RETURN OF THE BLACK DEATH It never really went away. Great book here.         ALCOHOL CAN CAUSE CANCER In cases of excessive use, this has been known for a long time.  But...

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What The Medicare Advantage STAR System Can Teach Us About MACRA

I remember the straw that broke the camel’s back.     I was closing up the last visit of the day two hours after the final patient had hit the door.  I was dog tired, frustrated and smelled really bad.     That’s when the fortieth colonoscopy reminder of the day popped up on my screen—and I realized it was never, ever going to get better.  Never.     Like an alcoholic, I had my...

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Qualified Patient Encounters

You may be hearing stuff about how Medicare Advantage is transitioning from something called “RAPS” to something else called an “EDS” for risk code collection—and how it’s going to devastate your cash flow.     Don’t worry about it.     Those acronyms simply refer to different sets of patient encounters from which data is pulled for data-based payment.     Medicare believes one set will create a more accurate representation of a patient’s disease...

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It’s Their Choice

“I feel so bad for my doctor. He’s in his sixties and after a full day, he has to go home and spend another three hours on the computer. It’s not right.”     In a seeming blink of an eye, medicine has gone from an art to a trade.     Much of it is now data entry and fast turnarounds.     If you’ve needed healthcare recently, you know what I’m talking about....

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The Dictator’s Handbook—What’s Missing?

In our previous discussions about clinicians pleasing supervisors and rewarding constituents you probably noticed there was one group conspicuously missing.     Patients.     That’s because patients don’t have a place in the organizational hierarchy of a healthcare delivery organization.     They’re your work product.     They’re a tool.  A tool through which you’ll generate value.     Some value you’ll send up to your boss.     Some you’ll pass down...

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Success Codes—Bone and Joint Edition

Time for another edition of my wildly popular “Success Codes” series. If you haven’t already, you may want to review my world-class, yet humbly simple (yes, really) explanation of RAF scoring—it’ll help you understand some of the shorthand terminologies below. It’s the only one on the web written by a PCP who’s been in the trenches blocking and tackling since Medicare Advantage first arrived on the scene 20+ years ago—and done so with incredible results.  ...

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Sunday Links

MORE PREGNANT WOMEN ARE USING POT FOR MORNING SICKNESS Any medication use during pregnancy, especially during the first trimester.  If you’re nauseous, use a prescription med—at least you know exactly what’s in it.  Source research article here.           FITNESS COACHES PROMOTE FAT OPPRESSION It’s a clickbait article about a silly published research article—but the underlying message is concerning.   Your weight and degree of fitness is none of my business, but...

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