Practice Management

"As for the case described of a 75-minute audio-only E/M visit there has been no specific coding guidance provided by CPT," write Jonathan Rubenstein, MD, and Mark Painter.

Urologists must advocate for themselves to ensure favorable conditions continue.

“Our findings provide a potential mechanism for the gender gap in burnout, which has implications for workforce mental health and physician retention,” said Lisa S. Rotenstein, MD.

“With interstate licensure waivers expired or expected to expire soon, the question of how to design longer-term licensure policies to facilitate interstate telehealth is urgent,” said senior study author Chad Ellimoottil, MD.

"For appropriate billing and coding, there are 2 important issues to be satisfied: medical necessity and documentation supporting the performance of the procedure," write Jonathan Rubenstein, MD, and Mark Painter.

Urologists prescribe at rates higher than many other specialties.

Challenge is presented by switching from SWL to ureteroscopy intraoperatively.

“What would be wonderful is to have a strong, smart triaging system,” says Shirley Lee, CRNP-FNP, MPH.

“We found that black patients had lower odds of using telemedicine services,” said lead study author Jenny S. Guadamuz, PhD.

The problem is especially acute among women doctors and members of racial and ethnic minority groups, who are subject to such behavior far more often than are white men.

“We’re finally at a place where 51% of med school students are women. However, 40% of women physicians are either quitting or going part time within 6 years of finishing training. That’s a problem,” says Chang.

Medicare Part D data reveal how urology compares with other specialties.

Participants reported lower levels of emotional exhaustion and imposter syndrome.

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“Things we have control over are ourselves, our care team, and to some extent, our care model,” said Sarah Candler, MD.

Labs will need to apply for unique Z code for each panel of tests ordered.

"There is no substitute for face-to-face communication, intergenerational interactions, and chance encounters with colleagues that occur at an in-person meeting," writes Adele M. Caruso, DNP, CRNP, FAANP.

"This non face-to-face care coordination done 'incident to' to the provider...is reimbursable through chronic care management codes," says Shirley Lee, CRNP-FNP, MPH.

“This is a very dangerous situation for medical device companies who want to keep their product and patients safe and reduce risk to their business and brand,” the report warns.

“We really need to listen to what people care about and speak to that,” says Shirley Lee, CRNP-FNP, MPH.

Survey respondents spent an average of 1.77 hours per day outside of office hours completing EHR documentation.

“Burnout levels and staffing concerns overshadow other, more optimistic findings this year," reports Daniel S. Fitzgerald.

“We talked about patient buy in but family caregiver buy in is just as important, especially when we're talking about cancer,” says Shirley Lee, CRNP-FNP.

“We…just need to apply operational efficiencies that are utilized in other industries [to] health care,” says Shirley Lee, CRNP-FNP, MPH.

Diversification is key to mitigate impact of rising rates.

“Status quo EHR [and] status quo documenting [are] not going to give us the insights that we really need about how [patients are] doing now, and what are the opportunities we have to improve their care,” says Shirley Lee, CRNP-FNP, MPH.

“Clinically speaking, it really can harm patients to have gaps in both the data and their care,” says Shirley Lee, CRNP-FNP, MPH.

“If the service is indeed justified and supported, we would recommend checking with the payer prior to submitting code 0649T,” write Jonathan Rubenstein, MD, and Mark Painter.

Urologists are the principal drivers of utilization for 14 drugs.

For their analysis, the study authors linked Medicare claims data to self-reported feelings of burnout and callousness among more than a thousand family physicians seeking to renew their board certifications.