Search Results for ""

Displaying 111 - 120 of 7509 in ACP Online

Overview and Compliance Resources for Anti-Kickback Regulations and Stark Law

On November 20, 2020, the Office of Inspector General (OIG) and Centers for Medicare & Medicaid Services (CMS) jointly finalized changes to outdated federal regulations that have burdened health care physicians with added administrative costs and impeded the health care system’s move toward value-based reimbursement. The physician self-referral law (known as the Stark Law) generally prohibits a physician from making referrals to an entity for certain health care services if the physician has a financial relationship with the entity.

No Surprises Act

The No Surprises Act (NSA) prohibits balance billing insured patients who receive emergency or non-emergency services from out-of-network providers at in-network facilities for amounts greater than the patient’s in-network cost-sharing requirement for such services. The NSA also establishes a payment dispute resolution process and requirements to provide good faith estimates to uninsured or self-pay patients. (Note: This rule applies to private pay patients because Medicare and Medicaid already have protections agai

Regulatory Compliance for Medical Practices | ACP

Everything you need to know to stay compliant with federal regulations and avoid penalties.

Physician & Practice Timeline Professional Requirements & Opportunities | Key Deadlines and Target Dates to Remember | ACP

The Timeline is a helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements.

HIPAA

Maintain compliance with all HIPAA requirements by using ACP and HHS resources, guides and tools.

Regulatory Resources

Resources you need to navigate and comply with important dates, compliance requirements, and other system changes related to your practice of medicine. Physician & Practice Timeline A helpful summary of upcoming important dates related to a variety of regulatory, payment, and delivery system changes and requirements. More on the Timeline

QI for Healthcare: Quality Improvement Curriculum | ACP Advance

ACP's Quality Improvement curriculum offers a practical approach that guides you through the stages of implementing QI in healthcare. Learn more today.

COVID-19 Recovery: Promoting Well-being in Residency Programs through Quality Improvement Coaching

This webinar recording features panel presentations from resident champions who share how working with a QI coach helped them achieve their quality goals and promoted well-being during the COVID-19 pandemic, followed by

Using the ACP Diabetes Platform (MedConcert) to ImproveDiabetes Care

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

Understanding New Lipid and Hypertension Guidelines

Join ACP Quality Connect: Diabetes, an ABIM-approved practice improvement module. Receive free personal coaching and much more. Enroll now.

Previous See more results in ACP Online
Displaying 111 - 120 of 500 in Annals of Internal Medicine: Clinical Cases

Meningoencephalitis Caused by Tick-Borne Encephalitis Virus in a Returning Traveler, United States, 2023 | Annals of Internal Medicine: Clinical Cases

We describe a case of meningoencephalitis caused by tick-borne encephalitis (TBE) virus in a traveler returning to the United States presenting with fever, headaches, neck stiffness, encephalopathy, and aphasia. This case highlights the importance of obtaining a travel history and use of the TBE vaccine as appropriate for patients who are at risk for TBE.

Frog Egg Tongue | Annals of Internal Medicine: Clinical Cases

A 5-year-old girl presented with progressive macroglossia, speech difficulties, and pain from repeated tongue trauma over the past 3 months. Clinical examination revealed diffuse tongue swelling, papillitis, and multiple raised red lesions on the ventral surface. Blood test results were normal and diascopy finding was negative. Clinical and histologic findings confirmed oral tongue lymphangioma, showing dilated lymphatic channels and congested blood vessels. Although surgical reduction was recommended, the patient's mother declined it. Follow-up at 6, 12, and 24 months showed no changes in the lesions. This case of lingual lymphangioma was useful in differential diagnosis as it mimicked other oral pathologies.

Multifocal Intestinal Extranodal Marginal Zone Lymphoma Presenting With Autoimmune Hemolytic Anemia: A Case Report | Annals of Internal Medicine: Clinical Cases

Extranodal marginal zone lymphoma of the intestine is a rare, indolent non-Hodgkin lymphoma that often presents with nonspecific symptoms, making diagnosis challenging. We report a 74-year-old woman who presented with severe anemia attributable to autoimmune hemolytic anemia. Imaging revealed splenomegaly and intestinal wall thickening, whereas subsequent endoscopy showed ulcerated lesions in the ileocecal valve, transverse colon, and descending colon. Biopsy results confirmed extranodal marginal zone lymphoma. Treatment with the R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) regimen led to partial remission of the lymphoma and complete resolution of autoimmune hemolytic anemia.

Below the Surface: Genetic Underpinnings and Clinical Manifestations of Familial Multiple Lipomatosis | Annals of Internal Medicine: Clinical Cases

Familial multiple lipomatosis is a rare genetic disorder marked by multiple benign lipomas, often causing cosmetic concerns and, less commonly, functional impairment. We report a 63-year-old man with more than 50 lipomas on his thighs, abdomen, and arms. His unique family history, with male-only penetrance along the maternal lineage, suggests a deviation from typical autosomal dominance, and a novel inheritance pattern that has never been reported on previously, to our knowledge, in the literature. This case and literature review highlights the diagnostic challenges of familial multiple lipomatosis and the need for a multidisciplinary approach involving surgical options, genetic counseling, and psychological support.

Life-Threatening Septic Shock After Bacillus Calmette-Guérin Instillation: A Case Report and Literature Review | Annals of Internal Medicine: Clinical Cases

Intravesical Bacillus Calmette-Guérin (BCG) therapy is widely used as adjuvant treatment of nonmuscle invasive bladder cancer after transurethral resection, but it can lead to severe complications such as disseminated BCG sepsis. We report the case of a 63-year-old man who developed BCG sepsis postinstillation, which required intensive care support. Positive blood cultures for Mycobacterium tuberculosis complex prompted a 6-month course of antimycobacterial therapy. This case emphasizes the importance of recognizing BCG-induced sepsis in patients with persistent fever and underscores the need for the cautious administration of BCG. Current management strategies focus on early diagnosis and individualized treatment, although evidence remains limited.

Large Pericardial Effusion Without Tamponade in a Patient With Severe Hypothyroidism and Iron Deficiency Anemia | Annals of Internal Medicine: Clinical Cases

A 46-year-old woman with untreated hypothyroidism and severe iron deficiency anemia presented with progressive dyspnea and was found to have a large pericardial effusion extending across the thoracic cavity. Pericardiocentesis and treatment with thyroid hormone and iron supplementation led to symptom resolution, underscoring the need for metabolic evaluation in pericardial effusions.

Negative for AL and ATTR: Could It Still Be Amyloid? | Annals of Internal Medicine: Clinical Cases

Amyloidosis is a systemic disease characterized by the extracellular deposition of misfolded proteins. We present a rare case of familial amyloidosis with multiorgan involvement. A 68-year-old woman initially presented with shortness of breath and syncope. Past medical history included chronic kidney disease, skin bronzing, and macroglossia. An echocardiogram revealed asymmetric septal hypertrophy, which prompted serum marker testing for common forms of amyloidosis. These tests returned negative for light-chain and transthyretin amyloidosis. Later genetic testing confirmed an APOA1 gene mutation. This case highlights the importance of considering hereditary forms of amyloidosis, particularly when tests for light-chain and transthyretin amyloidosis are negative.

Severe Aortopathy Caused by Fabry Disease | Annals of Internal Medicine: Clinical Cases

The involvement of the aorta in Fabry disease (FD) is not uncommon, but the need for a surgical intervention and description of its potential results are rare. Pathology of the affected aortic wall is still unavailable. We report severe aortopathy caused by FD refractory to long-term (16-year agalsidase alpha) enzyme replacement therapy and progressing to a large aneurysm (56 mm) of the aortic root requiring surgical repair. We describe the pathology of the aortic wall, including globotriaosylceramide (Gb3) accumulation in the smooth muscle cells, large areas of fatty infiltration, and foci of lymphocytic inflammation as an immune-mediated reaction to Gb3 secretion.

When Supplements Turn Dangerous: Glucocorticoid-Induced Adrenal Insufficiency From Hidden Steroids | Annals of Internal Medicine: Clinical Cases

We report a case of glucocorticoid-induced adrenal insufficiency following the use of 3 different herbal supplements containing hidden steroids. The patient presented with nonspecific symptoms, including fatigue and gastrointestinal upset, complicating diagnosis. These supplements contributed to life-threatening infections and hemorrhagic shock from an upper gastrointestinal bleed. This case emphasizes the clinical challenges and health risks associated with the use of unregulated supplements. Many patients consider these supplements safe; however, they may contain ingredients that pose serious health threats. Increased awareness, comprehensive history, and careful diagnostic approaches are crucial in effectively managing such cases.

Skin-Limited IgA Vasculitis: A Unique Presentation in an Adult Without Renal Involvement | Annals of Internal Medicine: Clinical Cases

We describe a rare case of skin-limited immunoglobulin A vasculitis (IgAV) in an adult with polycythemia vera (PV), a myeloproliferative neoplasm more commonly associated with IgA nephropathy (IgAN) than IgAV. Diagnosis was confirmed by biopsy showing IgA-dominant leukocytoclastic vasculitis without systemic involvement. Our patient was treated supportively for IgAV and with ruxolitinib for PV, with resolution of skin findings and no systemic progression. Although vasculitis is more commonly associated with myelodysplastic syndromes, its occurrence with PV is rare. Careful evaluation for renal involvement in IgAV is essential to guide management and to monitor for systemic progression, particularly renal manifestations.

Previous See more results in Annals of Internal Medicine: Clinical Cases
Displaying 111 - 120 of 253 in ACP Store

SUD Video Bundle from 2022 Internal Medicine Meeting

Captured from Internal Medicine Meeting 2022, this video bundle package provides 3 hours of high-yield video content covering strategies and management options for treating substance use disorder. Note: 2022 Premium registrants or CME 170 purchasers can find this content here.

ACP Blue & Green Plaid Bowtie

New Style!

ACP Blue Stripes Bowtie

New Style!

ACP Green Stripes Bowtie

New Style!

ACP Gray Computer Backpack

ACP Gray Computer Backpack

Intimate Partner Violence: Educating and Connecting

This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Educating and ConnectingACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.

Intimate Partner Violence: Dynamics and Effects

This two-part curriculum provides clinicians with the tools and resources they need to be comfortable talking to patients about intimate partner violence and exploitation.Purchase is only required for non-members who wish to gain access to the online CME learning module, Intimate Partner Violence: Dynamics and EffectsACP members do not need to purchase this product, as CME/MOC for this activity is a free benefit for members.

ACP Embroidered Logo Black Zip-up Hoodie

ACP Embroidered Logo Black Zip-up Hoodie

POCUS 7: Patient Centered Scanning Module

POCUS 7: Patient Centered Scanning Module

X-Express: The ABCs of Prescribing Buprenorphine

X-Express: The ABCs of Prescribing Buprenorphine This one-hour course will provide a thorough overview of the role that buprenorphine plays in the management of opioid use disorder. Since the previously required 8-hour training for buprenorphine prescribing has been eliminated,the goal of this course is to increase prescribing confidence among attendees and have every attendee's "X-waiver" application in progress by the end of the session. Specifically, the emphasis will be on how to recognize opioid use disorder; which patients are appropriate for buprenorphine; how to initiate buprenorphine and how to adjustbuprenorphine; how to manage buprenorphine in patients with acute or chronic pain; reviewing real-world prescribing tips; and addressing barriers to care for buprenorphine patients and providers. Product Code: PNMGT21O5EM

Previous See more results in ACP Store