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Is mastering coding worth the time?

While Medicare has added new codes to increase the reimbursement available to primary care practices, they can be difficult to implement and may not align with the integrated flow of a visit.
https://immattersacp.org/archives/2022/10/is-mastering-coding-worth-the-time.htm
1 Oct 2022

MKSAP Quiz: Evaluation for hidradenitis suppurativa

A 32-year-old woman is evaluated for hidradenitis suppurativa. She has had tender, foul-smelling, draining nodules in the axillary folds for 4 years. Doxycycline and topical clindamycin have not achieved satisfactory improvement. Following a physical exam and lifestyle support, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2022/10/mksap-quiz-evaluation-for-hidradenitis-suppurativa.htm
1 Oct 2022

MKSAP Quiz: Early-stage nodular sclerosing Hodgkin lymphoma

A 27-year-old woman is evaluated following a recently confirmed diagnosis of early-stage nodular sclerosing Hodgkin lymphoma. She has had no fevers, night sweats, or weight loss. Medical history is unremarkable, and she takes no medications. Following physical exam, lab tests and scans, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/08/02/3.htm
2 Aug 2022

Not enough time for primary care clinicians to provide guideline-recommended care, study finds

A recent simulation study estimated that a primary care clinician would require 26.7 h/d to provide preventive, chronic, and acute care, plus documentation/inbox management, to an average panel of 2,500 patients. This time decreased to 9.3 h/d with team-based care.
https://immattersacp.org/weekly/archives/2022/07/12/2.htm
12 Jul 2022

Don't miss these rare GI diseases

An expert offers evidence-based approaches to diagnosing and treating five rare disorders of the GI system at Internal Medicine Meeting 2022.
https://immattersacp.org/archives/2022/07/dont-miss-these-rare-gi-diseases.htm
1 Jul 2022

Get hip to hip pain assessment

HIPROT becomes an easy acronym to remember when evaluating hip pain, one expert said at Internal Medicine Meeting 2022.
https://immattersacp.org/archives/2022/07/get-hip-to-hip-pain-assessment.htm
1 Jul 2022

MKSAP Quiz: Several-month history of pruritic rash

A 20-year-old woman is evaluated for a several-month history of unintentional weight loss, diarrhea, poor glycemic control, and pruritic rash. She was diagnosed with type 1 diabetes mellitus 2 years ago. Medications are insulin glargine and insulin aspart injection. What is the most appropriate diagnostic test to perform next?
https://immattersacp.org/archives/2022/07/mksap-quiz-several-month-history-of-pruritic-rash.htm
1 Jul 2022

Incorporating families into the care team

Involving one member of a patient's family can benefit the patient and boost work efficiency.
https://immattersacp.org/archives/2022/07/incorporating-families-into-the-care-team.htm
1 Jul 2022

Primary care physicians missing out on reimbursement for preventive services

Physicians provided reimbursable prevention and coordination services to 5.0% to 60.6% of Medicare patients but billed for a much smaller fraction, ranging from less than 1% for alcohol misuse or obesity counseling to 35.8% for wellness visits, a study found.
https://immattersacp.org/weekly/archives/2022/06/28/1.htm
28 Jun 2022

MKSAP Quiz: Involuntary urine loss with coughing

A 68-year-old woman is evaluated for involuntary urine loss that occurs with coughing, sneezing, and laughing and occasionally with physical exertion. She has no dysuria, urinary frequency, hematuria, or nocturia but does report vaginal dryness and dyspareunia. She performs pelvic floor muscle training exercises four times daily. Following a physical exam and pelvic exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/06/21/3.htm
21 Jun 2022

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