Category: primary care

10 telemedicine billing questions and answers that are relevant right now

This article is sponsored by Medici. Telemedicine has increased exponentially since the rise of COVID-19. It reduces COVID-19 exposure risk for both patients and providers. In many ways, telehealth has become an essential service for physicians and oth…

There’s a code for pain, but what’s the code for suffering?

Opiates relieve pain and can transport people to their apparent happy place. So does marijuana.  Lyrica, the seizure-turned-pain medication, caused enough of a buzz in early study participants that it became a controlled substance. The anesthetic ketam…

An unintended consequence of COVID universal masking

Spring 2020 has brought a disproportionate amount of grief for many of us. The losses include mortal ones, such as the death of a loved one, a colleague, or a patient. We’ve lost productivity, opportunities, and income. We’ve also lost freedoms, from t…

A physician and her COVID-free island

I am a physician that was placed in a unique position.  I was hired as a private contractor to work for three months in a remote medical setting on Wake Island. Wake Island is a remote island approximately 2000 miles west of Hawaii, with a population o…

The economics of primary care in a COVID-19 world

Much has been written about the response of the governmental agencies in the foreseeability of COVID-19 spread and management in the United States. Travel restriction from mainland China seemed to be a very timely intervention. However, instead of cons…

How MOC is contributing to the demise of physicians

Let me start by saying that I am a diplomate (i.e., “board-certified”) by the American Board of Psychiatry and Neurology. I was completely in agreement that to display competence in my specialty after four years of residency, I should pass …

Primary care isn’t broken. It needs a better support system.

Primary care is at the heart of each and every health care system. Effective and efficient primary care leads to positive health outcomes across the board, most notably lower rates of mortality and hospitalization, and higher life expectancy. But to ac…

The COVID-19 pandemic is a catalyst for reimagining future health care delivery

Coronavirus has overwhelmed hospitals, staff, and supply chains, stripped many Americans of health care coverage along with their jobs, and affected billions of people worldwide with mounting fatalities. Despite its massive human toll, the pandemic off…

Does the EMR improve or worsen patient safety?

An excerpt from When We Do Harm: A Doctor Confronts Medical Error. One of the selling points for the electronic medical record (EMR) was that it would be a boon for patient safety. Just having all the medical records in one place is a monumental improv…

Telemedicine is making our patient-doctor relationships more human. And that’s a good thing.

COVID-19 essentially shut down my in-person primary care practice, and we immediately turned to telemedicine (“seeing” a patient virtually either through a phone or video-based visit). My primary care group did this out of necessity, but nobody predict…