prevention

Intensive Behavioral Therapy for Obesity: Pub 100-04 Medicare Claims Processing – February 03, 2012

by Keith McGuinness Physician Tools

On February 3, 2012 the CMS Manual System published additional guidance on Medicare claims processing for intensive behavioral counseling. You can download the pdf here: www.cms.gov/transmittals/downloads/R2409CP.pdf. We are interested in your reaction as well as the questions that occur to you as you read the document.

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Arrange: Applying the Fifth of the 5As to Treat Obesity in Primary Care

by Thomas McKnight, MD Physician Tools

If you plan to offer patients assistance with weight management, you must offer a comprehensive program and arrange an appropriate schedule of appointments. The schedule proposed by CMS is very reasonable: Face-to-face appointments every two weeks for the first 6-months, then monthly for the next 6-months. Patients are notorious for starting a weight management program [...]

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How might a physician begin to discuss a child’s obesity with the parents?

by Thomas McKnight, MD Patient Tools

In the drawer next to my exam room computer are the CDC BMI charts filed by pre-adolescent (2-12), adolescent (13-18), and boy/girl. On the CDC chart, my medical assistant circles the child’s BMI and leaves the chart by the computer. At the end of the appointment I hand the chart to the parent. I show, [...]

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