Current Healthcare Issues

ISMA e-Reports

The Centers for Medicare & Medicaid Services (CMS) received feedback on its April proposal for implementing the Quality Payment Program under MACRA, which replaced the Sustainable Growth Rate formula. Included in that feedback was an AMA letter, with the ISMA as a signatory, expressing concerns about the implementation date occurring so quickly after the final rule would be released - considering the enormity and complexity of the program
Posted: September 19, 2016, 8:00 pm
Indiana will share a grant of $9 million with neighbor states Ohio and Wisconsin, as well as 18 other states and tribes to further drug abuse prevention efforts. The idea is to raise awareness about the dangers of sharing medications and to address the risks of overprescribing.
Posted: September 19, 2016, 8:00 pm
The U.S. Food and Drug Administration (FDA) has again warned prescribers not to prescribe benzodiazepines along with cough medicines and pain medications, in an effort to help reduce the growing number of overdose deaths. The agency first announced new "black box" warning labels in March and now has added even more medications that depress the central nervous system to the warning list.
Posted: September 19, 2016, 8:00 pm
WPS, Indiana's Medicare administrative contractor, advised that recent claim reviews performed by the Comprehensive Error Rate Testing (CERT) contractor have significant errors in evaluation and management (E/M) service procedure codes. In these cases, the performing physician/non-physician practitioner's (NPP) documentation did not support the level of E/M code billed.
Posted: September 19, 2016, 8:00 pm
Join 900 professionals from local, state and federal agencies, businesses, academia, clinicians, treatment providers, counselors, advocates and others at the Annual Rx Symposium, Oct. 13-14 at the Indiana Convention Center in Indianapolis.
Posted: September 19, 2016, 8:00 pm
Share your thoughts on 46 resolutions, even if you cannot attend convention. ISMA's online message board allows you to communicate your concerns about any of the proposals. Resolution 16-21, Replacing ISMA Districts, includes a FAQ.
Posted: September 19, 2016, 8:00 pm
Each new member provides strength to ISMA efforts as we advocate for patients and medical practice. The officers and staff welcome these physicians and thank them for helping to make the practice of medicine stronger in Indiana.
Posted: September 19, 2016, 8:00 pm
As a physician, you urge patient after patient to reduce smoking. Another way to help reduce the number of smokers in Indiana will be open to you at convention this month. Ask your county delegate to consider supporting ISMA Resolution 16-23, authored by ISMA President Rhonda Sharp, MD.
Posted: August 31, 2016, 8:00 pm
Indiana in the 1930s had 13 congressional districts, and the ISMA's structure was aligned with those 13 districts. Today, Indiana has nine congressional districts and at any time, the state may again redraw those districts. But the ISMA retains the 13 districts created some 80 years ago. In 2014, Heidi M. Dunniway, MD, ISMA president at the time, formed an ad hoc Future Directions Task Force to study the district structure.
Posted: August 31, 2016, 8:00 pm
In July, the ISMA filed a request to submit an amicus brief in the case of Kenneth Lockridge, et al v. Anonymous MD, et al. The Indiana Supreme Court granted the ISMA's request and accepted our brief.
Posted: August 31, 2016, 8:00 pm
If you are planning a medical mission trip any time from September 2016 through 2017, you are eligible to apply for the ISMA's Medical Mission Sponsorship. The annual award provides up to $3,000 to help defray costs of a trip.
Posted: August 31, 2016, 8:00 pm
On Aug. 19, Indiana Medicaid's Drug Utilization Review Board adopted restrictions on access to opioid painkillers for the state's Medicaid patients, as previously recommended by the board's Therapeutics Subcommittee. The changes cap the number of opioid doses available to NEW opioid-using Medicaid patients at two (2) seven-day supplies.
Posted: August 31, 2016, 8:00 pm
In August, U.S. Surgeon General Vivek Murthy, MD, MBA, sent a letter to every physician in the country, a historic first, discussing the opioid crisis. The letter asks physicians to pledge their support to end the crisis and offers three steps to take to help.
Posted: August 31, 2016, 8:00 pm
HIPAA most often is associated with privacy, but a significant aspect of HIPAA compliance involves security. The HIPAA Security Rule went into effect in 2005, two years after the HIPAA Privacy Rule. While the Privacy Rule applies to all protected health information (PHI) in any form or format, the Security Rule applies only to electronic PHI (ePHI).
Posted: August 31, 2016, 8:00 pm
The Medical Licensing Board of Indiana (MLB) conducted several lengthy contested hearings during its July 28 meeting. The ISMA Physician Assistance Program Coordinator, Candace Backer, testified to the MLB about a physician's compliance with the program.
Posted: August 31, 2016, 8:00 pm
Some school districts are reporting to Noblesville allergist and immunologist David L. Patterson, MD, that physicians are reluctant to prescribe auto-injectable epinephrine because of liability concerns.
Posted: August 31, 2016, 8:00 pm
Beginning Oct. 1, 2016, changes will be in effect on 2017 ICD-10-CM codes. Here is what you can expect: 2,305 new codes, 553 revised codes and 212 deleted codes.
Posted: August 31, 2016, 8:00 pm
The ISMA extends sincere sympathy to the families of the following members who have passed away.
Posted: August 31, 2016, 8:00 pm
In response to a callout to ISMA members over myriad unpaid MDwise claims, company officials say they are taking the following steps to remedy problems.
Posted: August 12, 2016, 8:00 pm
Now that Indiana law allows you to prescribe epinephrine for schools, help them obtain that medicine for free. The EpiPen4SchoolsR program offers qualifying public and private K-12 schools with a valid prescription for 4 free EpiPenR (epinephrine injection, USP) or EpiPen JrR (epinephrine injection, USP) Auto-Injectors
Posted: August 12, 2016, 8:00 pm
If you are planning a medical mission trip anytime from September 2016 through 2017, you are eligible to apply for the ISMA's Medical Mission Sponsorship. The annual award provides up to $3,000 to help defray costs of a trip
Posted: August 12, 2016, 8:00 pm
Late last month, the ISMA signed onto a letter to Under Secretary for Health David J. Shulkin, MD, with the Department of Veterans Affairs. The letter strongly opposes a Proposed Rule that, if finalized, would permit all advanced practice registered nurses (APRNs) with the Veterans Health Administration's (VHA) to practice without clinical supervision of physicians and without regard to state law
Posted: August 12, 2016, 8:00 pm
The ISMA extends a warm welcome to these new members who join nearly 8,000 colleagues. Thank you for adding to our collective efforts in advocating for physicians and patients.
Posted: August 12, 2016, 8:00 pm
Registration is now open for the Annual Drug Abuse & Heroin Symposium offered by the Office of the Indiana Attorney General. This year's event, "Rebuilding the Hoosier Heartland," will be held Oct. 13-14 at the Indiana Convention Center in Indianapolis
Posted: August 12, 2016, 8:00 pm
The ISMA's 167th Annual Convention debuts a new schedule designed to accommodate busy lifestyles with a fast-paced agenda. You'll still find time to interact with colleagues and enjoy casual conversation, but if you are a delegate, your schedule will be full.
Posted: July 27, 2016, 8:00 pm
Nominations for ISMA officers may be made from the floor at either the Saturday morning or Sunday House of Delegates session. Nominating speeches will be permitted for the president-elect position only. In nominating for other positions, delegates need state only the name and office of the candidates being nominated.
Posted: July 27, 2016, 8:00 pm
Since formation in 2014, the Future Directions Task Force has been examining the structure of the ISMA to prepare it for the coming years. The goal is to evaluate and assess the association's relevancy, credibility and ability to grow membership - in addition to removing barriers to physician participation
Posted: July 27, 2016, 8:00 pm
Medical Licensing Board (MLB) of Indiana held 15 contested hearings, considered multiple license applications and finalized two rules on opioid prescribing during its June 23 meeting
Posted: July 27, 2016, 8:00 pm
HIPAA permits health care providers to disclose protected health information (PHI) to third parties who help them perform certain activities or functions.
Posted: July 27, 2016, 8:00 pm
The ISMA began hearing last fall about claims being incorrectly denied by Medicaid managed care contractor MDwise. Since that time, the ISMA has on numerous occasions met and talked with both MDwise and Indiana Family and Social Services Administration officials. The ISMA discussed not only claims issues but also the inability of MDwise to receive claims, provide effective customer service and access to their provider relations staff
Posted: July 27, 2016, 8:00 pm
The U.S. Department of Justice (DOJ) filed an antitrust lawsuit July 21 against Anthem, Inc., and Cigna Corp. to bring a halt to what would have been "the largest merger in the history of the health-insurance industry." The DOJ was joined in the suit by 11 states and the District of Columbia.
Posted: July 27, 2016, 8:00 pm
Q. I am concerned about the potential for increased violence in the physician office. What suggestions can you offer? A. The practice of medicine was once considered a safe haven from violent incidents. Unfortunately, the health care industry is more likely to experience workplace violence than most realize.
Posted: July 27, 2016, 8:00 pm
Starting Aug. 1, only updated disability license plate application forms will be accepted by the Indiana Bureau of Motor Vehicles (BMV).
Posted: July 27, 2016, 8:00 pm
A Huffington Post article highlighted the fact that "U.S. annual spending on prescription medicines will increase 22 percent over the next five years, climbing as high as $400 billion in 2020." Those figures were reported recently by health care information company IMS Health Holdings (IMS) Inc., a leading global information and technology services company.
Posted: July 27, 2016, 8:00 pm
U.S. District Court Judge Tanya Walton Pratt issued a preliminary injunction June 30, a day before HEA 1337 concerning abortion in Indiana was set to take effect. The American Civil Liberties Union of Indiana and Planned Parenthood filed a lawsuit in April, soon after Gov. Mike Pence signed the law in March. The suit claims the law is unconstitutional and violates privacy rights.
Posted: July 13, 2016, 8:00 pm
Effective immediately, physicians, as well as nurse practitioners (NPs) and physician assistants (PAs) with unlimited licenses may complete athlete examinations and sign pre-participation sports physical evaluation forms. The Indiana High School Athletic Association (IHSAA) Executive Committee amended Rule 3-10 and announced this change June 27.
Posted: July 13, 2016, 8:00 pm
The ISMA joined 118 state, national and specialty societies in signing a letter to the Centers for Medicare & Medicaid Services (CMS) formally commenting on draft rules for the Medicare Access and CHIP Reauthorization Act (MACRA).
Posted: July 13, 2016, 8:00 pm
People in the U.S., young and old, are dying from misuse of prescription pain medications. Physicians are sometimes blamed for these tragedies. However, challenges facing physicians who want to reduce opioid prescriptions include the fact that patients frequently do not have access to physical therapy and other non-pharmacological therapies
Posted: July 13, 2016, 8:00 pm
Anthem's new Pharmacy Home Program will identify and notify high-risk insureds in both individual and employer-sponsored plans to choose one home pharmacy to fill their prescriptions - if they do not change behavior within 60 days
Posted: July 13, 2016, 8:00 pm
If you have concerns, frustrations or recommendations concerning the Indiana Medicaid provider auditing process, the Provider Audit Workgroup wants to hear from you.
Posted: July 13, 2016, 8:00 pm
Resolutions you submit to the ISMA House of Delegates influence the ISMA's legislative efforts or policy. You have until Tuesday, July 26, at 4:30 pm to submit your resolutions for the 2016 annual convention, Sept. 24-25 at the Sheraton Indianapolis Hotel at Keystone Crossing.
Posted: July 13, 2016, 8:00 pm
The ISMA, the Indiana Hospital Association, the Indiana Chapter of the American College of Emergency Physicians and other stakeholders have developed a set of opioid and controlled substance prescribing guidelines. They will help physicians in emergency departments (EDs) manage pain - safely and appropriately
Posted: June 29, 2016, 8:00 pm
Hiring a lawyer to review a potential employment contract can be expensive, but not having a legal review can end up costing you much more. That's the dilemma many Indiana physicians have faced - until now!
Posted: June 29, 2016, 8:00 pm
This month, changes take effect in Indiana's prescription monitoring program, INSPECT. Patients' INSPECT reports can now be included in their medical records - with limitations.
Posted: June 29, 2016, 8:00 pm
For many years, Indiana law has set the fees health care providers can charge for copies of medical records. The HIPAA Privacy Rule in 2003 created an enforceable, legal right of access for patients to request copies of their medical records. It also added a new layer of restrictions on what can be charged for copies of protected health information (PHI).
Posted: June 29, 2016, 8:00 pm
The headlines and numbers are familiar now. National media, industry press and even local hospital newsletters have highlighted increasing reports of physician burnout. Typically, they include the shocking fact that nearly 400 physicians in the U.S. die by suicide each year. That's more than one medical school class lost.
Posted: June 29, 2016, 8:00 pm
At the AMA annual meeting in Chicago June 11-15, ISMA Past President David J. Welsh, MD, a general surgeon and county health officer from Batesville, was elected to the Council on Science and Public Health and ISMA Past President John Knote, MD, of West Lafayette was re-elected to the AMA Senior Physicians Section Governing Council. The new president of the AMA, Pennsylvania's Andrew W. Gurman, MD, called physicians to be leaders and advocates, fighting against powers in government, the private sector and elsewhere that are inserting themselves into health care.
Posted: June 29, 2016, 8:00 pm
The opioid epidemic in Indiana is well documented, and SEA 297 makes the commitment to respond to this issue with an evidence-based comprehensive integrated approach. Six million people suffer from prescription drug abuse disorders in the U.S., and as a result, drug overdoses were blamed for more than 1,000 deaths in Indiana in 2012.
Posted: June 29, 2016, 8:00 pm
The Medical Licensing Board (MLB) of Indiana conducted contested hearings, considered license applications and finalized a new rule during its May 26 meeting. Two physicians whose licenses had previously been suspended had their licenses restored
Posted: June 29, 2016, 8:00 pm
Atlantic Health Partners (AHP) is ISMA's vaccine program partner. As the leading vaccine buying group in the country, AHP offers ISMA members the most favorable pricing and terms for a wide range of immunizations from Sanofi Pasteur, Merck, Pfizer, Seqirus and Medimmune.
Posted: June 29, 2016, 8:00 pm
Hiring a lawyer to review a potential employment contract can be expensive, but not having a legal review can end up costing you much more. That's the dilemma many Indiana physicians have faced - until now!
Posted: June 15, 2016, 8:00 pm
In less than a year, syphilis cases in Indiana have increased 70 percent. In response, the Indiana State Health Department urges you to educate patients and aggressively test, treat and report the infections.
Posted: June 15, 2016, 8:00 pm
Last year at this time, medical practices were busy preparing for the change from ICD-9 to ICD-10 that occurred rather uneventfully in October 2015.
Posted: June 15, 2016, 8:00 pm
If you care for Medicare patients, you will be under new requirements next year and you have until the end of this month to send in your feedback about those rules currently being developed.
Posted: June 15, 2016, 8:00 pm
The officers and members of the ISMA extend a warm welcome to these new members. Collectively, each new member strengthens our efforts to advocate for patients and medical practice. Thank you!
Posted: June 15, 2016, 8:00 pm
The Agency for Healthcare Research and Quality (AHRQ) offers an online toolkit to help you communicate with patients and families when unexpected events may cause harm.
Posted: June 15, 2016, 8:00 pm
Congratulations to ISMA Past President David Welsh, MD, for his election to the AMA Council on Science and Public Health! Elections were held during the AMA's annual meeting June 11-15 in Chicago.
Posted: June 15, 2016, 8:00 pm
Several new laws involving medical practice in Indiana will take effect July 1. For only the first time in 18 years, the state's medical malpractice cap will increase from $1.25 million to $1.65 million in 2017 and go up to $1.8 million in 2019.
Posted: June 2, 2016, 8:00 pm
Indiana Department of Insurance (IDOI) Commissioner Stephen W. Robertson signed the Final Order May 23 to approve the acquisition of Cigna HealthCare of Indiana, Inc. by Anthem, Inc.
Posted: June 2, 2016, 8:00 pm
The federal Office for Civil Rights (OCR) issued new regulations May 18 that prohibit physicians, physician practices, other health providers and insurers from discrimination on the basis of race, color, national origin, sex, age or disability. The regulations take effect for physicians on July 18, 2016, and apply to all physicians who participate in Medicaid, or the meaningful use program, or who receive any other federal financial assistance.
Posted: June 2, 2016, 8:00 pm
What steps are important for physicians managing a medical practice in the event of death, disability or retirement?
Posted: June 2, 2016, 8:00 pm
Do you know whether you are providing your practice employees the best possible deal in an employee benefits program? You can't know for certain unless you have recently considered the ISMA Group Health Insurance Plan in your decision-making process. We have a unique offer that allows small employers to bundle together to purchase health insurance as a large group, providing the opportunity to save money and stabilize future premium increases.
Posted: June 2, 2016, 8:00 pm
I read the article by Dr. Larry Cripe on the art of dying well with grave concern, as it fosters physician-assisted suicide. The physician "aid in dying" concept states that the goal is patient death, quite a distinction from palliative care where relief of suffering is the goal - even if it hastens death. Our Hippocratic Oath requires we do no harm.
Posted: June 2, 2016, 8:00 pm
The ISMA proudly recognizes nearly 90 members celebrating 50 years of dedicated service in the medical profession. The special pins and plaques these physicians are receiving in the mail from the ISMA serve as symbols of our esteem and appreciation for their five decades of caring for the people of Indiana. Congratulate these physicians in your community. See the list here.
Posted: June 2, 2016, 8:00 pm
Resolutions that become ISMA policy expire after 10 years. This year, these so-called sunsetting policies address issues like human papilloma virus vaccine, taxes on cigarettes, submission of claims and silent network PPOs.
Posted: June 2, 2016, 8:00 pm
Next year, new requirements will be in effect for clinicians providing services to Medicare patients. In April, the Department of Health and Human Services announced 962 pages of proposed rules for implementing key provisions of the Medicare Access and CHIP Reauthorization Act (MACRA).
Posted: May 18, 2016, 8:00 pm
We've all heard the terms used to describe individuals struggling with drug addiction. These terms are dismissive and disdainful. They reflect a moral judgment that is a relic of a bygone era when our understanding of addiction was limited, and many thought addiction was some moral failing and a source of shame.
Posted: May 18, 2016, 8:00 pm
You might have heard the meaningful use (MU) program for electronic health records (EHR) is morphing into another program soon, but that doesn't mean the Centers for Medicare & Medicaid Services (CMS) has less interest in where $20 billion in MU incentive payments have gone. In fact, numerous providers have received audit letters from CMS in the past few weeks.
Posted: May 18, 2016, 8:00 pm
While the Indiana State Department of Health (ISDH) continues to investigate confirmed outbreaks of mumps at four universities, you are urged to watch for symptoms in students returning home for the summer.
Posted: May 18, 2016, 8:00 pm
During the ISMA's 2016 annual convention, Sept. 24-25 at the Sheraton Indianapolis Hotel at Keystone Crossing, you have a chance to shape the association's policies and honor a colleague.
Posted: May 18, 2016, 8:00 pm
The officers and members of the ISMA extend a warm welcome to these new members. Collectively, you strengthen our efforts to advocate for patients and medical practice. Thank you!
Posted: May 18, 2016, 8:00 pm
Years in the making, a new law will soon govern telehealth or telemedicine in Indiana. HEA 1263 grants prescribers the authority to issue a prescription using telemedicine - even if the patient has not been seen previously in person by the physician or health care provider - with some exceptions. Also, certain provisions and conditions must be met.
Posted: May 4, 2016, 8:00 pm
Brian Heimer, MD, with American Health Network (AHN) in New Albany has been part of a telehealth pilot project, working closely with Anthem, which offers telemedicine visits as a covered benefit. The pilot study begin in earnest in December 2014.
Posted: May 4, 2016, 8:00 pm
ISMA EVP Julie Reed, JD, presented testimony April 29 during a hearing before the Indiana Department of Insurance (IDOI) on the proposed acquisition of insurer CIGNA by Anthem. Reed told the IDOI that the ISMA believes an insurance consolidation would be harmful to Hoosiers by reducing access, quality and affordability of their care.
Posted: May 4, 2016, 8:00 pm
I look at my son's death certificate and autopsy report and ask, "Why? Why an opioid overdose? What else could I have done?"
Posted: May 4, 2016, 8:00 pm
One of Indiana's robust health information exchanges (HIEs), HealthLINC provides services to health care professionals and institutions throughout the state, helping them adopt health information technology, exchange data and use information to improve outcomes. In a rigorous process with input from the medical community, HealthBridge was selected as a partner more than a decade ago.
Posted: May 4, 2016, 8:00 pm
Marian University College of Osteopathic Medicine has joined more than 60 medical schools nationwide in signing a pledge to require opioid prescribing education for students.
Posted: May 4, 2016, 8:00 pm
During this year's ISMA annual convention Sept. 24-25, you can honor a physician or layperson with an outstanding record of service to their communities. Nominations must be submitted by June 17.
Posted: May 4, 2016, 8:00 pm
Recently, ransomware attacks on health systems and providers have dominated the news. In fact, a report from PricewaterhouseCoopers' Health Research Institute warns that threats from hackers are on the increase this year, and they are targeting mobile health applications and connected medical devices. Be prepared for a security breach or cyberattack or risk lawsuits, loss of revenue and damage to your reputation.
Posted: April 20, 2016, 8:00 pm
Indiana has become a testing ground for improving insurers' provider directories.
Posted: April 20, 2016, 8:00 pm
By 2019, reimbursement models, such as the Physician Quality Reporting System (PQRS), meaningful use and the current value-based modifiers, will be replaced. Two new payment systems will take their place.
Posted: April 20, 2016, 8:00 pm
The Centers for Medicare & Medicaid Services (CMS) released final regulations clarifying Medicare's overpayment refund rule, which became effective March 14. Physicians and other health care providers now face new obligations to proactively find and investigate overpayments.
Posted: April 20, 2016, 8:00 pm
Obesity remains one of the state's top health concerns even though most Hoosiers have adequate access to locations for physical activity. According to the 2016 County Health Rankings report, nearly one-third of Indiana's population is obese.
Posted: April 20, 2016, 8:00 pm
The officers and members of the ISMA extend a warm welcome to these new members. Greater membership and engagement makes a difference as we collectively strive to advocate for patients and physicians.
Posted: April 20, 2016, 8:00 pm
The Indiana Court of Appeals recently ruled that a physician who enters into a collaborative practice agreement (CPA) with a nurse practitioner (NP) has a duty to the NP's patients, even if the physician never sees those patients or reviews their medical records.
Posted: April 6, 2016, 8:00 pm
On March 24, Gov. Mike Pence signed into law SEA 28 that incrementally raises the medical malpractice cap on total damages beginning July 1, 2017. The action ends a 17-year era since the last increase, thanks to efforts by the ISMA to defend the law.
Posted: April 6, 2016, 8:00 pm
If your patients aren't yet looking for assistance with the cost of their prescription drugs, they likely will soon. indicates that by 2020, the dispensing rate of generic medicines will increase from 88 percent to as high as 92 percent. The IMS Institute for Healthcare Informatics also predicts that in the same timeframe, 75 new medications will be introduced - for treating cancer, hepatitis-C, auto-immune disorders and more.
Posted: April 6, 2016, 8:00 pm
I'm aware of the importance of obtaining informed consent from my patients, but what about informed refusal?
Posted: April 6, 2016, 8:00 pm
All providers enrolled with Medicare prior to March 25, 2011, will be required to revalidate due dates by the last day of each month. The revalidation can be submitted up to six months prior to the due date.
Posted: April 6, 2016, 8:00 pm
Shortly after completing my fellowship, I cared for a woman with chemotherapy-refractory lymphomatous meningitis who had been hospitalized when she fell. In the course of a week, she lost the use of her arms and legs, control of her bowels and bladder, and her eyesight. She asked me why she had to lie there losing - one by one - the things that made life worth living. Why couldn't she die when and how she chose? She was going to die anyway.
Posted: April 6, 2016, 8:00 pm
The March 24 meeting of the Medical Licensing Board (MLB) of Indiana resulted in a number of license suspensions.
Posted: April 6, 2016, 8:00 pm
Last fall, the ISMA House of Delegates adopted a resolution encouraging physicians to use a special form that would help reduce iatrogenic relapse among patients with a history of prescription medication addiction.
Posted: April 6, 2016, 8:00 pm
If you practice in a small clinic, consider participating in the Purdue Healthcare Advisors (PHA) Healthy Hearts in the Heartland (H3) research program, designed to strengthen quality improvement strategies for cardiovascular care
Posted: April 6, 2016, 8:00 pm
To help combat prescription opioid abuse, the Health Resources and Services Administration (HRSA) has awarded grants totaling $94 million to 271 health facilities nationwide, including four in Indiana.
Posted: April 6, 2016, 8:00 pm
On behalf of our nearly 8,000 ISMA members, we extend a warm and hearty welcome to these physicians and thank them for adding to our collective strength. Each member advances ISMA efforts to advocate for patients and medical practice.
Posted: April 6, 2016, 8:00 pm
The Centers for Disease Control and Prevention (CDC) issued Guidelines for Prescribing Opioids March 15, broadening the discussion on this topic and keeping it a focus of concern among physicians and prescribers. In Indiana, the epidemic of opioid abuse has impacted patients, families and communities. Since 1999, drug overdose deaths have increased five-fold in Indiana.
Posted: March 23, 2016, 8:00 pm
The U.S. Food and Drug Administration (FDA) issued a warning March 22 about several safety issues with the entire class of opioid pain medicines. The agency noted there are potentially harmful interactions with numerous other medications, problems with the adrenal glands, and decreased sex hormone levels. Label changes will now warn of risks with these drugs.
Posted: March 23, 2016, 8:00 pm
When caring for a patient with chronic non-cancer pain, the best advice is to start or restart the treatment paradigm. Beyond the scope of this discussion, it is necessary to have a comprehensive history, physical examination, and radiographic and diagnostic procedures performed prior to starting the treatment paradigm.
A new pilot program is being tested in Indianapolis that will help improve the health of Indiana veterans.
Posted: March 23, 2016, 8:00 pm
The big switch is history now, but ICD-10 coding should still be a focus of attention and interest. You want to maintain the progress you've made and stay current on changes and revisions.
Posted: March 23, 2016, 8:00 pm