Geriatrics, Oct 1, 2009 - Geriatrics
Geriatrics
Geriatrics, Oct 1, 2009
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Cover Story; Feature Article
Practical strategies for management of hypertension in the elderly
By Maria V. Gibson, MD, PhD , Julie Fritz, MD , Vladimir Kachur, BS
Key strategies for hypertension treatment in elderly include lifestyle changes and hypertension treatment until target BP goal is reached with mono or combination therapy.
Feature Article
Osteoarthritis: A review of treatment options
By Sheila M. Seed, BS, PharmD, MPH , Kaelen C. Dunican, PharmD , Ann M. Lynch, PharmD
Osteoarthritis is the leading cause of disability in the United States, especially among older adults. Treatment options primarily focus on alleviating the pain associated with the condition, but safety concerns over some of the traditional pharmacotherapeutic agents used in the management of osteoarthritis have led health care professionals to seek other options.
Geriatrics; Editorial
Opinion: Treat hypertension in the elderly
By Fredrick T. Sherman
Despite reams of data documenting the benefits of treatment of hypertension well into late life, many of our elderly patients never achieve their goal blood pressures because we fail to treat them adequately.
Derm DDx
Case: Gradually enlarging plaque on hand
By Norman Levine, MD
Consider porokeratosis if there is an annular plaque with a thin, thready, scaly border.
Medicare Matters
Medicare Q & A: If after surgery, during post-op, a surgeon asks me to see my patient because of abnormal lab results can I bill a consultation for that hospital day?
By Don Self
If a surgeon is asking for your opinion, post-op, on a patient because of abnormal lab results, you can charge a consultation.
Medicare Q & A: Can an emergency department visit be billed if a Medicare patient is triaged by a nurse but leaves before seeing a physician?
By Don Self
In a physician clinic, billing is fee-for-service, but rural health clinics are paid from Medicare Part A on an encounter basis and the encounter has to be performed by a physician, physician assistant, or nurse practitioner.
Medicare Q & A: If an EKG is taken at the hospital on a patient, but I don't read the results and do my interpretation until the next day, what date should be put on the interpretation
By Don Self
Use the actual date of any service. If interpretation and technical portion are done on separate dates, you would charge on the separate dates.
Medicare Q & A: If I perform a diagnostic test on a patient in my office and then send the test to a physician in another country for interpretation, can I still be paid for the technical portion of the test?
By Don Self
You can be paid for the technical portion of a diagnostic test being sent to another country, but Medicare cannot pay for an interpretation provided outside the United States.
Medicare Q & A: Because Medicare pays less for a B-12 service than the B-12 costs me, can I have a patient sign an Advanced Beneficiary Notice and then bill the patient separately?
By Don Self
You are not allowed to bill a patient for a covered service that is bundled into another service even if the patient signs an Advanced Beneficiary Notice.
Departments
Health-related quality of life little affected by menopausal transition
The menopausal transition has relatively little effect on quality of life, after adjusting for age and other covariates including symptoms, medical condition, sociodemographic variables, physical activity, and psychological factors.
Testosterone improves functions for older men with heart failure
Testosterone supplementation may improve functional capacity, muscle strength, and glucose metabolism in older men with chronic heart failure.
Higher bone lead concentration is linked to higher mortality
Lead concentration in the bones accumulated in prior decades of environmental exposure is associated with all-cause and cardiovascular mortality.
Waist-hip ratio more accurate predictor of seniors' mortality
In high-functioning older adults, waist-hip ratio is a more accurate predictor of all-cause mortality than either body mass index or waist circumference.
Acute inflammation may speed mental decline in Alzheimer's
Acute systemic inflammation linked to episodes of illness or injury may speed the rate of cognitive decline in persons with Alzheimer's disease.

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