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There was a day when medical transcription was neat and clean. A doctor dictated what happened during an exam and a transcriptionist accurately typed each detail into the patient’s record. Each future encounter built on that record, a detailed history meant to ensure quality care. It wasn’t a perfect system, but it worked.

There are more than 50 policies that medical practices may have to implement to comply with the Health Insurance Portabilityand Accountability Act (HIPAA), so it’s no wonder meeting these requirements may appear overwhelming, especially for smaller practices with limited time and resources.

When it comes to end-of-life issues across all ages, the primary care physician(s) who know the family best should have an integral role in the formal bedside decision-making process. Furthermore, primary care physicians should be compensated for the time it takes at the bedside to assist in directing the best care for these patients.

A recent report released by the Association of American Medical Colleges forecasted that the U.S., will face a physician shortage of somewhere between 61,700 and 94,700 doctors over the next decade.

Primary care physicians commonly screen their patients for depression, but still underuse established and effective care management practices compared to other chronic illnesses like diabetes, asthma, and congestive heart failure, according to a recent study published in Health Affairs.

DOWLING Contributing authorGETTING PAID FOR HOME VISITSRenee Dowling is a billing andcoding consultant with VEIConsulting in Indianapolis, Indiana.Send your coding questions to:[email protected] am in private practice and recently did a home visit, one-hour evaluation for the first time. What is the code for the initial home visit and then subsequent visits?