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Business of Medicine

ICD-10 to Bring Big Changes: Learn how to prepare for the new coding system

December 9, 2011

October 1, 2013 should be on the mind of every physician in the U.S. That is the day when a new diagnostic coding system will be instituted, the first such change since 2003. The implementation’s aftermath is predicted to be anywhere from a normal day at the office to financial Armageddon.

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Drug-Eluting Sinus Stent Hits the Market: May help maintain patency after FESS

December 9, 2011

Maintaining sinus patency after functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS) has long been an issue; as many as 23 to 47 percent of patients require revision surgery after FESS. Now, a new drug-eluting, bioabsorbable stent manufactured by Intersect (Palo Alto, Calif.) is being billed as a “breakthrough treatment [that] improves outcomes for sinus surgery,” according to a news release from the company. The device, which received pre-market approval from the U.S. Food and Drug Administration (FDA) in August, has been studied since 2008. It is currently available in Texas, New York, Philadelphia, New Jersey, Atlanta, Ohio and Kentucky.

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Obstructive Sleep Apnea Options

December 9, 2011

Oral appliances may work better than CPAP for some patients

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Lift Off: A carefully planned retreat can take your practice to the next level

December 9, 2011

Every otolaryngology group needs a chance to evaluate its organization outside the frenetic pace of day-to-day patient care. A practice retreat provides the opportunity to assess your operations, examine your mission and conduct strategic planning in a setting where physicians are relaxed and undistracted.

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Server Solution: How to choose the best server to fit your EMR needs

December 9, 2011

What’s more important, your computer’s hardware or its software? You tell me: What’s more important, your heart or your lungs? Obviously, if you’re going to function, you need both. The same is true for electronic medical record (EMR) and electronic health record (EHR) software: Your hardware is mission-critical to the success of your electronic records, and this is not the place to compromise.

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Tough Situations: Residents discuss ethics-fraught cases

November 6, 2011

Residents in the general surgery program at Washington University in St. Louis, Mo., participate in monthly “pizza grand rounds,” in which they discuss ethics-fraught situations they encounter. Some of the situations are the subjects of papers published in Surgery. Here are summaries of a few of those published situations. The papers intentionally do not mention the actions ultimately taken, so that the attention remains on the principles and questions involved.

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Behind the Red Tape: A brief history of common health care regulations

November 5, 2011

Have you ever wondered about the reasoning behind hospital discharge paperwork or the requirement that every patient sign a HIPAA form?Here are explanations for some of the health care policies you come across on a daily basis.

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Conflicting Curriculums: Ethics education for residents inconsistent across programs

November 5, 2011

A man with moderate dementia who is living in a nursing home is diagnosed with laryngeal cancer. The man is still able to talk and interact with other people. But he doesn’t know what year it is and is unable to make decisions on his own.

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Practice Alternatives: Three otolaryngologists discuss what it’s like to work under evolving care models

November 5, 2011

Certain well-established care delivery models for otolaryngologists have long defined the specialty. But, like pharmacology, surgical techniques and treatment therapies, practice models evolve. And while traditional models continue to dominate the scope of most otolaryngology practices, the field is seeing a gradual shift to new constructs. Among them…

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Balloon Sinuplasty Use Continues to Evolve: Procedure may complement traditional sinus surgery

November 5, 2011

Six years after balloon sinuplasty was introduced to the otolaryngology community, it remains an evolving technology. “In my opinion, balloon dilatation has great potential, but it’s still trying to find its proper place in the ENT arena,” said Ralph Metson, MD, clinical professor of otology and laryngology at Harvard Medical School and Massachusetts Eye and Ear Infirmary in Boston.

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