Running Group Visits in Your Practice

Running Group Visits in Your Practice

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A Fateful Meeting A year and a half ago, I was sitting at a conference listening to Ed Noffsinger speak, and suddenly had the most profound a€˜a€˜Ahaa€™a€™ moment of my professional career. Here was someone presenting a practical and tested solution to some of the most challenging problems currently plaguing the US healthcare system, problems such as poor access to primary and specialty care; the uncontainable and rising costs of healthcare; our nationa€™s relatively poor quality outcomes; and finally, the sense of frustration, disempowerment, loneliness, and disenfranchisement that patients and their families too often experience. Dr. Noffsingera€™s solution seemed deceptively simplea€”shared medical appointments (SMAs) that afford the highest quality healthcare to be delivered in the highest quality care experiencea€”a group setting. Experience collected over a decade and involving more than 100, 000 patient visits throughout the United States, Canada, and parts of Europe has demonstrated that SMAs, when used in primary care as well as in the medical and surgical subspecialties, lead to increased access to care, enhanced quality of care, and improved patient satisfaction. For physicians, the efficiency gains and team support from their participation in SMAs translate into much needed relief and improved career satisfaction.Table 10.2 Rationale and approach used by some organizations for billing DIGMAs and PSMAsa First, notify all insurers (including Medicare) about the new DIGMA ... But they bill for history, exam, and medical decision making onlya€” using existing billing codes ... a#39;We cana#39;t find anything in the rules that prohibits observers, a#39; says David Hooper, M.D., vice president of Palo Altoa#39;s educational presentation).

Title:Running Group Visits in Your Practice
Author: Edward B. Noffsinger
Publisher:Springer Science & Business Media - 2009-07-21

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