Express Scripts Is on the Same Page with the White House on Opioids

Express Scripts Is on the Same Page with the White House on Opioids

President Trump recently declared the epidemic of opioid addiction and related deaths to be a national emergency, pledging the federal government would spending more money and pay more attention to stemming the crisis. While details are still to come, theoretically future actions could include mandatory education for prescribers nationally and increasing funds to treatment and prevention programs. Coinciding with that, Express Scripts, the nation’s largest pharmacy benefit manager, is trying to restrict access to opioids. …

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Follow-up: AMA Cries Foul over New Anthem ED Policy

Follow-up: AMA Cries Foul over New Anthem ED Policy

We’ve told you recently about plans some insurers have to stick patients with the bill for emergency room visits that are retrospectively determined to have been nonemergent in nature. In essence, if patients go to the ED with an illness or injury that could have been handled in a lower-acuity setting (such as an urgent care center), as determined by the insurer, the patient’s claim will be denied. Now the American Medical Association is demanding …

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Southwest Conference Offers Interactive Education for Operators, Staff, and Clinicians

Southwest Conference Offers Interactive Education for Operators, Staff, and Clinicians

Urgent care clinicians, operators, and staff will gather in Houston at one of the larger regional urgent care conferences in the country later this month. The 2-day Southwest Urgent Care Conference offers both a Clinical Track and a Leadership track in deference to the unique makeup of the industry, with clinicians often also being business owners and corporate leaders. The clinical curriculum was also designed with consideration for the fact that nurse practitioners and physician …

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AMA Aims to Help Med Students Work with EHRs

AMA Aims to Help Med Students Work with EHRs

The American Medical Association wants to help medical students deal with the reality of working within electronic health record (EHR) systems. They launched a new program, the brainchild of Indiana University School of Medicine and the Regenstrief Institute, to grant med students access to misidentified and deidentified EHR information in the classroom before they enter clerkships in order to address a gap between clinical medical education and practical skills needed in the practice setting. The …

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Impacted Cerumen

Q. When a patient comes in with ear pain due to impacted cerumen, the health-care provider would normally instruct the nurse to perform ear irrigation. If the irrigation successfully removed the impacted cerumen, the procedure would be considered part of any evaluation and management (E/M) service and we could not bill for the service separately. With new rules regarding cerumen removal this year, can we get reimbursed for the ear irrigation if it is not …

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