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Medicine by the numbers

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The Medical Home: Access and Continuity -- Practice Management

Mar 15, 2019 - Improved access and continuity of care can positively affect patient outcomes and improve quality performance while reducing health care costs.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pcmh/key-functions/access-continuity.html

FAQ on the CPC+ Initiative -- Practice Management

May 19, 2017 - Get answers to the frequently asked questions regarding the CPC+ initiative.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/cpc-plus/faq.html

Hospital Credentialing and Privileging FAQs -- Hospital Privileging

Oct 18, 2017 - Learn the ins and outs of hospital credentialing and privileging with this FAQ.

Practice Management : Practice Ownership, Administration, and Staffing

https://www.aafp.org/practice-management/administration/privileging/credentialing-privileging-faqs.html

FAQ on Transitional Care Management (TCM) -- Physician Payment

Jan 22, 2019 - Frequently asked questions about transitional care management, including what it is, how and when to bill for it, and what services are covered.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/tcm/tcmfaq.html

Chronic Care Management (CCM) -- Physician Payment

Feb 11, 2019 - Learn how to get paid for the new Medicare chronic care management fee.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services/chronic-care.html

ACO Planning Guide -- Physician Payment

Feb 28, 2018 - Learn about accountable care organizations using our planning guide.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/acos/planning-guide.mem.html

Personnel Requirements -- CLIA

Jan 7, 2015 - Discover the required qualifications for personnel working in laboratory settings.

Practice Management : Regulatory

https://www.aafp.org/practice-management/regulatory/clia/personnel.html

Coding for Vaccine Administration -- Physician Payment

Dec 22, 2017 - Find out the correct coding procedures for vaccine administration.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/admin.html

Quality Measures -- Practice Management

Mar 27, 2018 - Learn about quality measures that help measure or quantify health care processes, outcomes, patient perceptions, and organizational systems.

Practice Management : Quality Improvement

https://www.aafp.org/practice-management/improvement/measures.html

Successful EHR Implementation Stories -- Health IT Guides

Jun 13, 2013 - Read the stories of practices and physicians like you who successfully implemented electronic health records.

Practice Management : Health-IT Guides

https://www.aafp.org/practice-management/health-it/product/success-stories.html

Family Physician Compensation and Employment Contracts -- Physician Payment

Feb 7, 2018 - Purchase this on-demand webcast to learn what you need to know before negotiating an employment agreement.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/contracts/webinar.html

Medicare Wellness and Care Coordination Services -- Physician Payment

Feb 23, 2018 - Providing Medicare wellness and care coordination services can help you optimize fee-for-service revenue and improve quality of care.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/medicare-coordination-services.html

Workflow and Redesign for EHR Implementation -- Health IT Guides

Jun 13, 2013 - Determine the workflow changes and design that will be needed to successfully implement electronic health records.

Practice Management : Health-IT Guides

https://www.aafp.org/practice-management/health-it/product/workflow-redesign.html

Telemedicine and Telehealth -- Health IT Guides

Mar 4, 2019 - Read about telemedicine and how using technology to deliver care at a distance can improve patient access and continuity of care.

Practice Management : Health-IT Guides

https://www.aafp.org/practice-management/health-it/telemedicine-telehealth.html

National Provider Identifier -- Regulatory Compliance

Jan 7, 2015 - Find out how apply for a national provider identifier for your practice.

Practice Management : Regulatory

https://www.aafp.org/practice-management/regulatory/compliance/npi.html

Understanding Features and Functions of an EHR -- Health IT Guides

Jun 13, 2013 - Read the minimum functions electronic health records should preform in order to help family physicians practice smarter.

Practice Management : Health-IT Guides

https://www.aafp.org/practice-management/health-it/product/features-functions.html

Physician Payment and Risk -- Physician Payment

Feb 2, 2017 - As health care moves from volume-based to value-based models, physicians must consider business models focusing on quality of care and risk sharing.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/risk.mem.html

Resident Program Directors: Train Your Residents to Transform Their Practice With AAFP ...

Mar 22, 2018 - AAFP TIPS are the AAFP practice improvement modules to help residency program directors train residents to transform their practice with small changes that yield big results.

Practice Management : Practice Transformation

https://www.aafp.org/practice-management/transformation/pi-tips/aafptips_for_residents.html

Family Physicians and Physician Assistant: Team-Based Family Medicine

...Team-Based Family Medicine A Joint Policy Statement of the American Academy of Family Physicians and American Academy of Physician Assistants February 2011...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/admin_staffing/AAFP-AAPAJtPaper.pdf

The Development of Joint Principles: Integrating Behavorial Health Care Into the ...

...FAMILY MEDICINE UPDATES ANNALS OF FAMILY MEDICINE ✦ WWW.ANNFAMMED.ORG ✦ VOL. 12, NO. 2 ✦ MARCH/APRIL 2014 183 ANNALS OF FAMILY MEDICINE ✦ WWW.ANNFAMMED.ORG ✦ VOL. 12, NO. 2 ✦ MARCH/APRIL 2014 182 From the American Academy of Family Physicians From the American...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/initiatives/PCMHJoint2014Update.pdf

Measuring the Success of Electronic Medical Record Implementation

...Centre for Evaluation of Medicines and McMaster University, Hamilton, Ontario, Canada ABSTRACT Computerization of physician practices is increasing. Stakeholders are demanding demonstrated value for their Electronic Medical Record (EMR) implementations. We developed survey...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/health_it_guides/MeasuringEMRSucess.pdf

A Fundamental Asset in Health Care: Valuing Family Physicians

...satisfaction with health care access and quality of care received also increase in a medical home setting.10,11 Meanwhile, access to family medicine and primary care has been associated with increases in preventive screening tests and decreases in additional health care consumption,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/Valuing-FPs.pdf

HIPPAPrivacyManual.docx

...number 5. Fax number 6. Electronic mail address 7. Social Security number 8. Medical record number 9. Health plan beneficiary number 10. Account number maintained by the healthcare provider 11. Certificate or license number such as driver’s license number 12....

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/regulatory_compliance/restricted/HIPPAPrivacyManual.docx

HIPPAPrivacyManual.docx

...number 5. Fax number 6. Electronic mail address 7. Social Security number 8. Medical record number 9. Health plan beneficiary number 10. Account number maintained by the healthcare provider 11. Certificate or license number such as driver’s license number 12....

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/regulatory_compliance/restricted/HIPPAPrivacyManual.docx

HIPAASecurity.docx

...safeguards: administrative safeguards, physical safeguards, and technical safeguards. Within each of these three safeguards, there are a number of specific security standards that must be satisfied by the practice. The security standards are intended to support the protection of the...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/regulatory_compliance/restricted/HIPAASecurity.docx

HIPAASecurity.docx

...safeguards: administrative safeguards, physical safeguards, and technical safeguards. Within each of these three safeguards, there are a number of specific security standards that must be satisfied by the practice. The security standards are intended to support the protection of the...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/regulatory_compliance/restricted/HIPAASecurity.docx

AAFPPlaybookProof5

...Verify your MIPS-eligibility status by entering your national provider identifier (NPI) number using the CMS Look-Up Tool Determine if you are reporting as an individual or as a group (must report all categories as a group if selecting the group option) Review reporting method...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/macra-playbook.pdf

AAFPPlaybookProof5

...Verify your MIPS-eligibility status by entering your national provider identifier (NPI) number using the CMS Look-Up Tool Determine if you are reporting as an individual or as a group (must report all categories as a group if selecting the group option) Review reporting method...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/macra-playbook.pdf

AAFP-PT 2016 Brochure

...availability. A $25.00 shipping charge will be applied if a separate shipment is required. The module cost will be prorated according to the number of shipments remaining in the program year and the financially responsible party will be invoiced. International Shipping...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/office_lab_pt/AAFP-PTBrochure16.pdf

Privileging-Credentialing%20Legal%20Opinion.pdf

...or exercising emergency medicine privileges because the family physician is not board certified in emergency medicine. While this inquiry may have been motivated by concerns about practice in the emergency rooms, the issue is broader than just emergency medicine and potentially...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/Privileging-Credentialing%20Legal%20Opinion.pdf

Privileging-Credentialing-Legal-Opinion.pdf

...or exercising emergency medicine privileges because the family physician is not board certified in emergency medicine. While this inquiry may have been motivated by concerns about practice in the emergency rooms, the issue is broader than just emergency medicine and potentially...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/Privileging-Credentialing-Legal-Opinion.pdf

Privileging-Credentialing%20Legal%20Opinion.pdf

...or exercising emergency medicine privileges because the family physician is not board certified in emergency medicine. While this inquiry may have been motivated by concerns about practice in the emergency rooms, the issue is broader than just emergency medicine and potentially...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/Privileging-Credentialing%20Legal%20Opinion.pdf

Privileging-Credentialing-Legal-Opinion.pdf

...or exercising emergency medicine privileges because the family physician is not board certified in emergency medicine. While this inquiry may have been motivated by concerns about practice in the emergency rooms, the issue is broader than just emergency medicine and potentially...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/Privileging-Credentialing-Legal-Opinion.pdf

SampleBusinessAssocAgreement.docx

...by and between _________________(the "Business Associate") and ______________________________________, a {physician licensed to practice medicine in the State of ____________________ OR a professional corporation organized under the laws of the State of ____________________} (the...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/regulatory_compliance/SampleBusinessAssocAgreement.docx

PQRS: Are you ready?

...measures that are appropriate for family practice, the reporting requirements and examples of measures that are applicable to family medicine. And we’ll talk about considerations when gathering your data and reporting to CMS. You’ll then have the tools you need to report your...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/PQRSAreYouReady.pptx

MIPS-Measures-Ref-Guide.xlsx

...Measure Number Collection Type(s)* Measure Title CMS eCQM ID NQF Quality Number Measure Description Measure Type High Priority Medicare Part B Claims CSV eCQM CMS Web Interface Administrative Claims MIPS CQM Family Medicine Specialty Set Aligns with Medicare Annual Wellness...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/MIPS-Measures-Ref-Guide.xlsx

MIPS-Measures-Ref-Guide.xlsx

...Measure Number Collection Type(s)* Measure Title CMS eCQM ID NQF Quality Number Measure Description Measure Type High Priority Medicare Part B Claims CSV eCQM CMS Web Interface Administrative Claims MIPS CQM Family Medicine Specialty Set Aligns with Medicare Annual Wellness...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/MIPS-Measures-Ref-Guide.xlsx

macra-bundle.pdf

...If you only practice in the ambulatory medicine setting, many of the cost category measures will not apply to the care you provide. The one episode measure that may apply for ambulatory physicians is colonoscopy and biopsy. CMS calculates two other measures that must meet minimum...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/macra-bundle.pdf

macra-bundle.pdf

...If you only practice in the ambulatory medicine setting, many of the cost category measures will not apply to the care you provide. The one episode measure that may apply for ambulatory physicians is colonoscopy and biopsy. CMS calculates two other measures that must meet minimum...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/macra-bundle.pdf

Direct Primary Care: Frequently Asked Questions

...when compared with care received in traditional practice settings (e.g, increased time spent with their family physicians). There are a number of reported outcomes of increasing visit time, including improved patient experience of care , and improved clinical outcomes as patients...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/DirectPrimaryCare.pdf

tcm-faq.pdf

...The nurse can obtain these medications, but the physician needs to order any changes, additions, or deletions to the medication. Medicine reconciliation and management must be furnished no later than the date of the face-to-face visit. Does the required face-to-face visit have to...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/tcm-faq.pdf

Frequently Asked Questions about Core Quality Measures

...American College of Cardiology, American Heart Association, American College of Physicians, American Gastroenterological Association, HIV Medicine Association, Infectious Diseases Society of America, American Academy of Pediatrics, American Society of Clinical Oncology, Council of...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/qi/CoreMeasuresFAQ.pdf

Making Sense of MACRA: Using Data to Prepare

...Types of QRURs CMS generates QRURs twice a year for all solo practitioners and groups based on their tax identification number (TIN). The mid-year QRUR and annual QRUR both contain information about the quality and cost of care of Medicare beneficiaries. Eligible professionals (EPs)...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/MakingSenseMACRA3.pdf

Making Sense of MACRA: Using Data to Prepare

...Types of QRURs CMS generates QRURs twice a year for all solo practitioners and groups based on their tax identification number (TIN). The mid-year QRUR and annual QRUR both contain information about the quality and cost of care of Medicare beneficiaries. Eligible professionals (EPs)...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/MakingSenseMACRA3.pdf

Medicare Annual Wellness Visit: Getting Paid for What We Do Best

...residency in Family Medicine at the University of Maryland in 1978. His training also includes a Robert Wood Johnson faculty development fellowship in academic Family Medicine at the University of Iowa (1979-1981), earning a Master of Science in Preventive Medicine in the course of...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/AWVGettingPaidBest.pdf

CompensationTemplateLetter.docx

...that disadvantages family physicians relative to their peers in internal medicine. Specifically, I understand that the compensation system intends to pay family physicians less than their general internal medicine colleagues simply because MGMA’s data show that the median...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/CompensationTemplateLetter.docx

Microsoft Word - NAIC Sign-on letter Final

...or are limited in scope and number of providers in order to prevent unfair discrimination based on health status. The selection criteria utilized by health carriers for participation in these more restricted or narrow networks must consider the quality of the health services...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/NAICStakeholderLetter-NetworkAdequacy.pdf

PowerPoint Presentation

...Magazine, USA Today, Modern Healthcare, HandHN (Hospitals and Health Networks), Forbes, American Medical News, The New England Journal of Medicine, and many others. Travis Singleton, Senior Vice President, Merritt Hawkins, Dallas, Texas Learning Objectives 1....

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/compensation-employment-contracts.pdf

Am I Ready for Risk in an Advanced Alternative Payment Model ACO?

...Medicine in Chicago, and completed her residency at the University of Texas at Tyler, where she was chief resident. She has also served as the President of the Texas Academy of Family Physicians and chaired the Commission on Quality and Practice for the AAFP. Objectives...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/ReadyRiskAdvancedAltPaymentModelACO.pdf

start-a-practice.xlsx

...Number Needed Estimated Cost Actual Cost Furniture, Fixtures, Equipment for Exam Rooms $0.00 $0.00 Patient chairs/exam room Provider stool Provider desk Network for computer/laptop Exam table Paper rolls for exam table Pillows Adult scale for...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/start-a-practice.xlsx

start-a-practice.xlsx

...Number Needed Estimated Cost Actual Cost Furniture, Fixtures, Equipment for Exam Rooms $0.00 $0.00 Patient chairs/exam room Provider stool Provider desk Network for computer/laptop Exam table Paper rolls for exam table Pillows Adult scale for...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/start-a-practice.xlsx

ScheduleVendorQuestions.doc

...How many family medicine clients do you have? May we have references? How much does your online appointment scheduler cost? Is it a monthly charge for unlimited use, or is it a "per click" charge? Is maintenance included or a separate expense? What other features could we get with...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/patientcare/ScheduleVendorQuestions.doc

PowerPoint Presentation

...owner of a progressive small group practice, Family Medicine of Malta, in Malta, N.Y. He has been active with the New York State Academy of Family Physicians (NYSAFP) and AAFP since 2000 and is the current NYSAFP President-Elect and Delegate to the AAFP after having...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/tcm%20webcast.pdf

PhysicianPaymentRisk.pdf

...A physician has patients with health conditions that are more serious than average. An example is a higher number of patients with chronic conditions than expected. All health plans Nominal Risk Contained in the Medicare Access and CHIP Reauthorization ACT (MACRA) law,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/PhysicianPaymentRisk.pdf

PhysicianPaymentRisk.pdf

...A physician has patients with health conditions that are more serious than average. An example is a higher number of patients with chronic conditions than expected. All health plans Nominal Risk Contained in the Medicare Access and CHIP Reauthorization ACT (MACRA) law,...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/PhysicianPaymentRisk.pdf

TCPi PRIME SAN Benefits

...The American Board of Family Medicine and the American Academy of Family Physicians have teamed up in the PRIME Support and Alignment Network, joining Practice Transformation Networks across the country in this landmark federal initiative. Enroll in a Practice Transformation...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/transformation/TCPI-PrimeSANBenefits.pdf

medicare-payable-services.pdf

...No limit on the number of times ACP can be billed for a given beneficiary during a given time period. Opportunity for patient to communicate and/or document wishes for family. Increased patient engagement and satisfaction in their care. Increases patient satisfaction by...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/medicare-payable-services.pdf

EmailPolicyTemplate.doc

...2-3 business days for [Provider] to answer E-mails. If this is too long for you to wait for an answer, then please call the office at [phone number]. If [Provider]'s response will take longer than normal due to something like vacation, the automatic notice will let you know....

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/pcmh/healthit/EmailPolicyTemplate.doc

PowerPoint Presentation

...Apply concepts to quickly assign common codes typical to family medicine Recognize areas of specificity opportunity Analyze how ICD-10 affects current reimbursement models 2 Alert! CMS discontinued the grace period allowing non-specific ICD-10 codes as of October 1,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/webcasts/ICD10IncreasedSpecificity.pptx

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