Should Doctors Bill For Phone Calls?

Should Doctors Bill For Phone Calls?

Beginning in January 2019, the Centers for Medicare and Medicaid Services (CMS) rolled out G2012 – a new CPT code for “Brief communication technology-based service (virtual check-in)”. This code can be used for patient phone calls as well as electronic medical record patient portal contacts initiated by a patient. For the first time, doctors can […]

The 2020 Medicare Readmission Penalty Program

The 2020 Medicare Readmission Penalty Program

Each year, Medicare analyzes the readmission rate for every hospital in the United States and then imposes financial penalties on those hospitals determined to have excessively high readmission rates. And every year, most U.S. hospitals get penalized. This year is no exception – 83% of all hospitals face penalties. The Medicare Hospital Readmission Reduction Program […]

Gender Bias In Lecture Acoustics

Gender Bias In Lecture Acoustics

Last month, I attended the American College of Chest Physicians annual meeting. At one of the sessions, I realized I could hear the men talking but I had a hard time hearing the women despite the fact that they were all standing in front of the same lectern and all speaking in what seemed to […]

Controlling The Epidemic Of Outrage

Controlling The Epidemic Of Outrage

Outrage is one of those human emotions that when used sparingly is useful to separate the most egregious violations of social norms from the constant background of minor social violations. This applies to whether you are working in a hospital or anywhere else. But in excess, outrage can be lethal to workplace culture. We live […]

What Does EMTALA Really Mean For The Hospital

What Does EMTALA Really Mean For The Hospital

The EMTALA law was enacted 33 years ago as an “anti-dumping” law. EMTALA fundamentally has 2 main implications for the hospital: how you manage patients in the emergency room and how you manage hospital transfers. It stands for the Emergency Medical Treatment and Active Labor Act and it placed requirements on hospitals receiving Medicare payments; […]

Making Wound Care Work

Making Wound Care Work

Hospital wound care clinics are one of those unheralded parts of healthcare. As our population ages, gets more obese, and has more diabetes, chronic wounds are only going to become more common and having a location within the hospital system that can provide a comprehensive approach to healing wounds is important today but will be […]

Telomeres And Pulmonary Fibrosis

Telomeres And Pulmonary Fibrosis

My stepfather was the quintessential short telomere syndrome patient. His hair turned gray in high school, his father died of idiopathic pulmonary fibrosis, his sister died of idiopathic pulmonary fibrosis, and then he too died of idiopathic pulmonary fibrosis, complicated by bone marrow failure from myelodysplasia. Last month, I attended an international conference on telomeres […]