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Avoid cardiovascular complications while maximizing cosmetic results
April 1st 2010Patients undergoing cosmetic procedures may also have underlying cardiovascular (CV) issues for which they may need to take various therapeutic medications. Here, the cosmetic and medical sides of dermatology sometimes clash regarding the negative impact that these medications may have. It is the task of the astute physician to circumvent unwanted adverse events.
Cost control: Boost revenue by auditing claims processing
April 1st 2010Physicians are looking for ways to control costs and increase income as malpractice premiums and practice overhead costs skyrocket and rates paid by insurers decline. Many physicians have exhausted cost-control measures, and most are not aware that they can increase their revenue by improving coding and overall claim processing and reviewing their payer contracts.
Neonatal dermatoses: Some are cause for more concern than others
April 1st 2010Wailea, Hawaii - The level of concern for neonatal dermatoses ranges depending on the type of condition, according to Julie V. Schaffer, M.D., director of pediatric dermatology, director of resident education, assistant professor of pediatrics and dermatology, NYU Langone Medical Center, New York.
Five billing hints for Mohs, repairs in 2010
April 1st 2010Recent changes to how dermatologists charge for Mohs and subsequent repairs have diminished reimbursement for those procedures. But some dermatologists are taking more of a financial hit than necessary because of simple, correctable mistakes, according to Inga C. Ellzey, M.P.A., R.H.I.A., C.D.C., president and chief executive officer, Inga Ellzey Practice Group, Casselberry, Fla.
Digital dermatology: Telemedicine gains popularity
April 1st 2010As medical groups grow in size and doctors tend to migrate toward larger population areas, it’s often harder to find specialists in smaller towns. Particularly in lesser-populated states, such as Oklahoma, South Dakota and Wyoming, a patient needing dermatologic care often has to drive hundreds of miles before finding a dermatologist.
Investing lessons: There's no such thing as risk-free
April 1st 2010You might say that Mark Procino is typical of America’s conservative savers. A middle-age electronics technician, he doesn’t trust the stock market. He faithfully contributes to his 401(k) each month, but he avoids any other investments in stocks. He has several certificates of deposit and a small money market account at his bank. Mark doesn’t like risk, so he wants to keep most of his financial future in what he regards as "safe" investments.
Pediatric dermatology training requirements evolve
April 1st 2010With interest in the new subspecialty of pediatric dermatology still less than robust, leaders in the field are looking at training requirements to see how they might be impacting recruiting. Meanwhile, the window is closing for a small but well-qualified group of physicians to be "grandfathered" into board certification.
Hair serum dimethicone zaps static, smooths cuticle
April 1st 2010Frizz-reducing products for the hair have become popular with the increased use of hair dyes among younger women. Permanent hair dye irreversibly damages the hair cuticle, allowing the hair to become frizzy. Hair serums are clear liquids applied to the hair for a variety of purposes, including frizz reduction.
Metastatic basal cell carcinoma may be under-diagnosed
April 1st 2010Basal cell carcinoma is a skin tumor that is quickly diagnosed, easily managed and curable if treated quickly. However, according to one specialist, metastatic BCC likely occurs much more frequently than currently reported, and dermatologists should consider metastatic lesions and address them accordingly.
Increase revenue by implementing slide prep lab in-house
April 1st 2010The slide preparation lab seems a logical extension of dermatology practice, yet few dermatologists tap into this revenue-producing option. Adding a histopathology component to your practice generates long-term revenue to help make up for dwindling reimbursement and aesthetic devices.
Cosmeceutical regimens complement dematologic disease management
April 1st 2010As consumer interest in the roles of nutrition and cosmeceuticals in skincare continues to increase, it behooves dermatologists to be knowledgeable on these topics. An understanding of the mechanism of action and theoretical benefits of cosmeceutical ingredients is fundamental for designing effective skincare protocols and providing appropriate explanations on the rationale for their use, experts say.
Dermatologists oppose healthcare reform's IPAB panel, lack of Medicare fix
April 1st 2010Dermatologists say they will vigorously oppose many portions of the newly passed healthcare reform bill, although they say it's too soon to determine exactly how. Chief objections are the bill's creation of an independent payment advisory board (IPAB) for Medicare and lack of a fix for Medicare's sustainable growth rate (SGR), sources say.
New regenerative cell therapy effective in aesthetic indications
April 1st 2010Fibrocell therapy is an innovative autologous cell therapy that is showing promise in the treatment of fine lines and wrinkles typically seen in photodamaged and photoaged skin. It also holds promise for treating depressed scar tissue, as it can revolumize the target area.
Which cosmetic procedures are appropriate for young patients?
April 1st 2010Pediatric patients seek many of the same cosmetic procedures that their parents desire. The question, according to one expert, becomes whether dermatologists and others should perform cosmetic procedures on patients who are still growing - physically and mentally.
Online patient portals improve work flow, handle multiple functions
April 1st 2010Internet-based patient portals are Web sites with real horsepower. In addition to posting static information, such as office hours, physician and staff profiles and a list of services, portals deliver functionality to patients. These points of virtual access to your practice generate patient satisfaction because they provide convenient, 24-hour, self-service options to handle many interactions with your practice.
Pediatric dermatology, a growing subspecialty, faces challenges
April 1st 2010Pediatric dermatology has achieved important milestones in recent years, including board certification. However, the small dermatology subspecialty stands at a crossroads in 2010. Faced with a significant shortage of physicians choosing a career in pediatric dermatology, those committed to the subspecialty's survival are searching for solutions.
NYC derm values variety, diversity in patients, practice
April 1st 2010New York City dermatologist Lance H. Brown, M.D., is immersed in the specialty. The solo practitioner offers patients every aspect of dermatologic care - from Mohs and dermatologic surgery to general and cosmetic dermatology to allergy and patch testing. He sees patients of all ages at his office in the Union Square/Greenwich Village area, which is home to or accessible to a diverse population.
Surgery on wrong site: What is the physician's liability?
April 1st 2010Two years ago, Dr. Cancer saw a patient with a biopsy-proven BCC of the right helix. The patient, during initial consultation, also brought a photo of the involved area. Because the patient was so anxious about her upcoming surgery, Dr. Cancer suggested she take an anti-anxiety medication prior to surgery.
For certain congenital melanocytic nevi, surgery not the answer
April 1st 2010Since there is insufficient evidence to recommend for or against prophylatic surgery for patients with congenital melanocytic nevi, physicians need to tailor management based on factors such as the size, thickness and locations of lesions for each patient, an expert says.
Pediatric dermatoses: Off-label biologic use carries risks, benefits
April 1st 2010Psoriasis in adults is among the most-researched inflammatory skin diseases. Yet treatment options for moderate-to-severe atopic dermatitis and psoriasis in children represents a largely unmet medical need, according to an expert.