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The reality is that silos are everywhere, and they are not necessarily bad, but need to be managed. There are silos in all aspects of life, but most of the time we associate them with farming, as with the classic images of grain silos. The term is often used in…
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Direct verbal communication between referring and consulting physicians is the best practice. Communicating in the chart, while convenient and useful, rarely provides the most accurate and complete information. The same is true for internal physician advisors – the internal physician advisor is essentially a consultant to the medical staff, providing…
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A complex process is simplified in a tabular comparison. Not infrequently, in the process of utilization review (UR), we run into situations in which, as physician advisors, we get to review Medicare cases that do not match their original “label” (i.e. the initial status selection was likely not a proper…
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The role has grown in both importance and stature. Back in 2012, Elizabeth Lamkin, MHA, now chief operating officer for the American College of Physician Advisors (ACPA), wrote an article for RACmonitor titled, “Need a Silver Bullet? Try Adding a Physician Advisor.” Six years later, speeding toward 2019, that idea…