A 66-year-old woman returns to the office for a follow-up visit. She is seen by the physician assistant (PA) for her rheumatoid arthritis. She is experiencing burning pain in her right knee, and she reports that after going for her morning walk, she rates the pain at a 6 on a scale of 10. She…

RISE Registry Data Now Available for Research Purposes
As medical professionals, we understand the impact quality research can have on how we care for our patients. The extensive adoption of electronic health records (EHRs) has enabled the collection of big data in rheumatology. This has provided a new and unique opportunity for the rheumatology community to conduct in-depth research into how patients are…

When to Add a Rheumatologist to Your Practice
Is a rheumatologist in your practice retiring? Do patients wait a long time for an appointment? Answering yes to these questions could mean it’s time to hire a new rheumatologist. Here are a few other considerations…

RISE Registry Report
The Rheumatology Informatics System for Effectiveness (RISE) Registry is the ACR’s registry for quality improvement and reporting. Aggregated statistics and trends seen in the RISE Registry will be published monthly in The Rheumatologist. Visit www.RISEregistry.org to learn how you can use RISE to improve your patient care. As a Qualified Clinical Data Registry, RISE provides an…
The Important Role of the AMA RVS Update Committee in Medicare Payments
Believe it or not, change begins with one person willing to lead by example—and you can be that person. All too often, we get caught up with the changes we want. However, instead of talking about what we would like, it’s time to lead. The best way to do this is to show others you’re…
RheumPAC’s 2017 Q2 Progress Report Shows Increased Investments, Participation
Members’ voices are crucial to making an impact on policies that have an impact on healthcare. Here, we’d like to thank members who have invested in the first half of this year, yielding $16,000 more than was raised over the same time period last year. In response to an in-depth examination of RheumPAC in 2016,…

How to Fuel Engaged Patient Dialogue
“Too often, a patient may feel too intimidated to ask a question,” says Ara Dikranian, MD. Here are considerations and communication techniques rheumatologists can use to encourage greater patient understanding and engagement…
As Obamacare Repeal Falters, Insurers Start to Press on Subsidies
NEW YORK/WASHINGTON (Reuters)—A failed Republican effort to replace Obamacare raised new concerns on Tuesday for U.S. health insurers over whether the government will continue to fund billions of dollars in medical benefit subsidies. The healthcare bill under consideration in the U.S. Senate would have settled the funding question, but was scrapped after Republican leaders were…
Rheumatology Coding Corner Question: Established Patient Office Visit with Acute Gout
A 66-year-old female patient returns to the office complaining of swelling and a burning pain in her right first toe. She rates the pain level at a 9 out of 10. She currently takes an over-the-counter non-steroidal anti-inflammatory drug (NSAID), but it has done little to alleviate the pain. This is her second episode this…
Rheumatology Coding Corner Answer: Established Patient Office Visit with Acute Gout
Take the challenge. CPT: 99214-25, 89060, 20600-RT ICD-10: M10.271, T50.2X5A, I10 This is an established outpatient visit. This encounter is coded as 99213, because it included: History—Detailed: The history of present illness is extended, the review of systems is extended, and the past medical and social histories are documented. Examination—Detailed: Seven organ systems are examined….
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