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Congress has delayed primary care's Medicare reimbursement cut for another year. Rather that this being cause for celebration, however, it simply represents the reality that had the cut gone through, there wouldn't be much incentive to stay in the practice of medicine-and Congress knows that.

The bigger and thicker your policy manual is, the more you may be choking the health and growth of your practice.

Although the recently passed legislation that creates a 1-year extension of current Medicare physician payment rates is a step up from the series of shorter-term patches witnessed during 2010, it is "only one step toward a permanent solution to the flawed sustainable growth rate formula that threatens deep Medicare payment cuts and the financial viability of primary care physician practices," according to Roland Goertz, MD, president, American Academy of Family Physicians.

Medical societies representing the 50 states and the District of Columbia and 57 national medical specialty societies have requested that the Centers for Medicare and Medicaid Services use the $200 million from Congress to provide physicians with overdue Medicare reimbursements for payments that they should have received in 2010.

Surgeons married to physicians appear to face more challenges in balancing their personal and professional lives than do surgeons whose partners work in a nonphysician field or stay at home, according to a recent study.

Taking care of business

Family physician Gregory Oliver, DO, has always had an interest in business, although it wasn't until his late 30s when he became an employed hospital physician that his interest deepened.

An independent physician organization in Massachusetts representing 1,800 doctors and Blue Cross Blue Shield of Massachusetts Inc. signed a multi-year contract that pays physicians with a modified global payment model designed to encourage cost-effective care rather than reward doctors for the quantity of the care they deliver to patients.

Acting up or acting out

Sigmund Freud regarded acting out as a clinical concept related quite specifically to psychoanalytic treatment. During treatment, patients' actions may represent the only way repressed memories and wishes initially find their way to the surface.

2011 coding changes

The best way to maximize payment from insurers for the services your practice provides to patients is to keep your knowledge current regarding American Medical Association Current Procedural Terminology coding so that you correctly report your services to the payers the first time you submit a claim.

A fully automated cell phone-based telemonitoring system that involves patients in their care significantly improved blood pressure control among patients who had diabetes and uncontrolled systolic hypertension, according to a study by Alexander G. Logan, MD, of the University of Toronto, and colleagues.

Insufficient privacy protection with social networking sites such as Facebook may have an impact on the doctor-patient relationship, according to a recent study published in the Journal of Medical Ethics.

Americans remain divided over the nation's healthcare reform package, with 40% of adults wanting to repeal all or most of the legislation while 31% favor keeping all or most of the reforms, and 29% uncertain, according to results of a poll.

The most current Report to the Nation on Fraud by the Association of Certified Fraud Examiners estimates annual fraud at $952 billion, an increase of more than 46% from the 2008 figure of $652 billion.

Making sense and cents

It's natural for people to worry about that which they do not understand. As learned professionals, our reassurance can go a long way toward soothing our patients.

Bridging the gap

The consequences of incomplete information at the point-of-care can be inconvenience, inefficiency, increased costss, and adverse, even life-threatening outcomes for patients.

A real reminder

Burnout threatens sometimes when the frank reality of what you have to do overtakes the feeling of altruism that led you to do it in the first place.

Who is a woman physician?

The American Medical Women's Association is the oldest multispecialty organization for women in medicine.

How can my small group practice compete with the larger practices and the health system-owned practices, you may be asking?

Prescribing hope

How would you react if your doctor told you that you have 6 months to live?