Practice Improvement

Despite the growth of retail-based clinics, the availability of direct-to-consumer video visits, and the implementation of the Affordable Care Act, you are having a busy day in the office.

In this follow-up to his article "Telehealth: A primer for pediatricians" that appeared in the June 2015 issue of Contemporary Pediatrics, Dr. Andrew Schuman describes the logistics of implementing your own office telehealth program.

Andrew J Schuman, MD, FAAP, presents his take on the US Supreme Court decision to uphold the healthcare subsidies provision of the Affordable Care Act and how the monumental decision will affect the future of pediatrics.

Whether you realize it or not, you have been practicing telehealth for years. By communicating with patients by telephone, you are managing their care at a distance.

Although I’ve been writing articles for Contemporary Pediatrics since 1988, I have never received as much supportive e-mail as I have in response to my 2 maintenance of certification (MOC) articles published in the January 2015 issue.

Despite our best efforts, pediatricians have little success in encouraging our patients to eat a healthy diet and get the recommended amount of daily physical exercise.

Pediatricians must learn the nuances of new ICD-10 coding and prepare for the transition now! Dr Schuman presents the reasons behind ICD-10 implementation as well as key elements of ICD-10 adoption to assure a smooth transition for your practice.

The stethoscope is perhaps the most iconic device associated with medical practice, and the most important part of the stethoscope will always be the part “between the ear tips.”

There has been much discussion both for and against Maintenance of Certification (MOC) requirements. This article explains how a permanent board certification program for physicians transitioned into MOC recertification and discusses the controversies surrounding the current program.

I recently had the good fortune to present a forum on medical office technologies (“Must-Have Gadgets, Gizmos, and Technology for the Pediatric Office”) at the American Academy of Pediatrics (AAP) National Conference and Exhibition in beautiful San Diego.

It is easy to take for granted some of the technologies we use every day. The pulse oximeter was invented 40 years ago and has become such a routine part of medical practice that oximetry measurements have often been referred to as the “fifth vital sign.”

Insurance companies are now beginning to compensate pediatricians for performing photoscreening, billed under Current Procedural Terminology (CPT) code 99174. We applaud the efforts of the many pediatricians, pediatric ophthalmologists, and state chapters of the AAP who have aggressively petitioned insurance companies to cover this important service for our patients. -Andrew J Schuman, MD, Section Editor