Kissing up
About a month ago I had a pre-med student spend an afternoon with me. Actually, it wasn't even that. After 2 hours she looked liked she was bored out of her mind (I'd warned her about that, but she still wanted to come in) and left at 3:00, saying she was meeting a friend for lunch. Anyway, I didn't hear from her again until yesterday, when this neatly typed note showed up in the mail:Dear Dr. Grumpy,Thank you for taking the time and allowing me to shadow you last month. I understand that having me there required a tremendous amount of time and effort, and I genuinely appreciate your support. My time with you was an unpar...
Source: Doctor Grumpy in the House - July 16, 2014 Category: Neurologists Authors: Grumpy, M.D. Source Type: blogs

What’s Your Favorite Way to Earn Money?
One thing that a lot of employee-minded people suffer from is opportunity blindness. They’re surrounded by fun and expansive ways to earn plenty of money, but they have a hard time seeing those opportunities. They’ve been socially conditioned to think that getting a job is the one and only way to earn money for them. They complain about a lack of opportunities. But the reality is that they’re blinded by their own limiting beliefs and an inflexible attitude. Earning money from a straight salary is just one of many ways to generate income. There are many others though. Here are some ways I’ve earned i...
Source: Steve Pavlina's Personal Development Blog - June 27, 2014 Category: Life Coaches Authors: Steve Pavlina Tags: Balance Career & Work Passive Income Productivity Public Speaking Success Wealth & Money Source Type: blogs

Should physicians work for hospitals?
A physician I have known for many years recently told me about his decision to enter the world of concierge medicine. His reasoning was telling, saying that it came down to a very simple decision on staying independent or becoming a hospital employee. He liked being an independent solo practitioner, and that was his primary motivation: to maintain independence in a time of consolidation. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - June 17, 2014 Category: Journals (General) Authors: Tags: Policy Hospital Primary care Source Type: blogs

Prime Your Brain for a Permanent Performance Gain (in a Few Minutes)
Inside your skull is a massive supercomputer. You own it free and clear. With its 100 billion neurons, and with a typical neuron linking to 1000 to 10,000 other neurons, your highly networked brain is incredibly powerful and capable. Pick up a simple object nearby like a pen or a spoon, and look at it. Turn it upside down. Spin it around. Notice that your brain is able to recognize the object no matter how you position it. You can change the lighting by putting the object in shadow. You can obscure part of it from view. You can bend or break it. And your brain still recognizes that object simply and easily. Even a child ca...
Source: Steve Pavlina's Personal Development Blog - March 24, 2014 Category: Life Coaches Authors: Steve Pavlina Tags: Consciousness & Awareness Goals & Goal Setting Intention & Manifestation Motivation Personal Development Problem Solving Productivity Source Type: blogs

CMS Issues RFI on Transforming Medical Practices and Value-Based Payment
The Centers for Medicare and Medicaid Services (CMS) is soliciting public commentary on the optimal ways to transform medical practices and prepare them for value-based purchasing. Entitled Request for Information: Transforming Clinical Practices, the RFI seeks responses from Clinicians, Health Plans and a variety of other associations about large scale transformation of clinician practices, to generate better care and better health at lower costs. According to CMS, the feedback from the RFI may be used to develop future Requests for Proposals and test new payment and service delivery models to assist practices in their ...
Source: Policy and Medicine - March 24, 2014 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs

The EHR Market Isn’t Like Other Markets
Today at a healthcare IT meetup I attended in Dallas I ran into a former contact at an EHR vendor. He no longer works at that EHR company and has moved on to two other companies. In our discussion we had an interesting discussion about the market. Having moved on, he’d lost touch with the EHR market. He asked me, “Are there still 700 EHR vendors?” I told him there were probably 300, but I’ve contended that their have been 300 EHR vendors for a while. I’m not counting the hundreds of ancillary companies that are “certified EHR” but only perform 1-2 EHR related functions. Over ...
Source: EMR and HIPAA - March 18, 2014 Category: Technology Consultants Authors: John Lynn Tags: Certified EHR Electronic Health Record Electronic Medical Record EMR HealthCare IT Ambulatory EHR Market EHR Market Consolidation EMR Market Hospital EHR Market Source Type: blogs

ICD-10 Coding Could Create Cash Crunch in Physician Offices
On October 1, 2014, all health care providers will switch from ICD-9 coding to ICD-10 coding when they bill private insurance, Medicare and Medicaid . To understand how large this move is, there are only 20,000 ICD-9 codes while the number of codes in ICD-10 set is nearly 70,000. Healthcare finance officials disagree on whether the new coding will increase or decrease initial denials. It is clear that when the October 2014 deadline comes, provider productivity will see an initial drop in due to denial of claims that will eventually drop off to similar levels existing today. However, denial management will become easier as...
Source: EMR EHR Blog for Physicians - March 14, 2014 Category: Technology Consultants Authors: Alok Prasad Source Type: blogs

EHR Implementation - 5 Things Your Competitors Can Teach You
Implementing electronic health records, or making upgrades to existing systems, presents challenges for any type or sized medical practice. Luckily, a number of organizations have made the switch to electronic medical records in the past decade, which means your office can build upon lessons learned by others. Efficiency should be a concern prior to software selection. Documentation from Dr. Armand Gonzalez, who runs a solo pediatric practice in Illinois, indicates that efficiency should be a major concern for offices. According to Dr. Gonzalez, a lesson learned during his implementation is that software must integrate we...
Source: EMR EHR Blog for Physicians - March 9, 2014 Category: Technology Consultants Authors: Alok Prasad Source Type: blogs

Big is Not Necessary Better – How a Solo Doctor is Changing Pediatric Healthcare in Her Own Way [Pediatric Practice Management AwesomeCast]
Today on the AwesomeCast, we had the pleasure to talk to Dr. Robin Warner. Dr Warner is a solo doc outside of Cleveland. Chip and I were interested in talking to Dr. Warner for several reasons. For starters, we wanted to learn about her experience as a solo doc. We also uncovered some interesting patterns […] (Source: Pediatric Inc)
Source: Pediatric Inc - March 7, 2014 Category: Pediatricians Authors: Brandon Tags: Customer Experience EMR Innovation Leadership Pediatric Practice Management VideoCast Social Media app gamification Healthcare iphone iphone app loyalty program medical home Medicine Pediatrics Source Type: blogs

Big is Not Necessary Better – How a Solo Doctor is Changing Pediatric Healthcare in Her Own Way [Pediatric Practice Management AwesomeCast]
Today on the AwesomeCast, we had the pleasure to talk to Dr. Robin Warner. Dr Warner is a solo doc outside of Cleveland. Chip and I were interested in talking to Dr. Warner for several reasons. For starters, we wanted to learn about her experience as a solo doc. We also uncovered some interesting patterns that I think are great lessons for those of us that have smaller practices. Dr. Warner also shared a project she has been working on that I think is absolutely brilliant. Here is a hint… she is embracing the smartphone craze, leveraging people’s attraction to on-line games and using it to provide deliver aweso...
Source: Pediatric Inc - March 7, 2014 Category: Pediatricians Authors: Brandon Tags: Customer Experience EMR Innovation Leadership Pediatric Practice Management VideoCast Social Media app gamification Healthcare iphone iphone app loyalty program medical home Medicine Pediatrics Source Type: blogs

Be an Apprentice for 5 Months
If the following four items apply to you, then you might appreciate this post, which is about a special coaching program. Otherwise, if you don’t qualify for all four, there’s no need to read the rest. You’d rather be self-employed than work for someone else. You recognize that you could significantly increase your income by improving your focus and efficiency. You care about following your path with a heart, so it’s important that you earn your money through meaningful, purpose-driven work that has a positive impact on people’s lives. You’re ready to invest in coaching from an experien...
Source: Steve Pavlina's Personal Development Blog - February 27, 2014 Category: Life Coaches Authors: Steve Pavlina Tags: Business Career & Work Entrepreneurship Passive Income Success Wealth & Money Source Type: blogs

New and Established Patient E/M Definitions (CMS vs. CPT®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient.  Identifying the correct classification will prevent delays or denials of payment.  Many evaluation and management (E/M) codes are by definition described as new or established.  This lecture will attempt to explain various important clinical aspects related to this determination.  Keep in mind while the Centers For Medicare & Medicaid Services (CMS) uses  Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT® definitions.  This di...
Source: The Happy Hospitalist - February 27, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment.  Many evaluation and management (E/M) codes are by definition described as new or established.  This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs