MRI/US Fusion Improves Prostate Cancer Detection

MRI/US Fusion Improves Prostate Cancer Detection

The approach can help identify suitable candidates for active surveillance, but false positives and cost effectiveness are concerns.

Latest Assays Can Improve Prostate Cancer Workup

Latest Assays Can Improve Prostate Cancer Workup

Clinicians now have tools for improving prostate cancer screening and risk stratification.

PAE Is a Promising BPH Treatment Alternative

PAE Is a Promising BPH Treatment Alternative

The procedure may be particularly efficacious for men with very large prostates.

Lower Pay for Women Doctors May Relate to How They Code

Lower Pay for Women Doctors May Relate to How They Code

A study suggests that female physicians do not use as many codes as their male counterparts, resulting in a reimbursement gap.

When Information Breaches Lead to Lawsuits

When Information Breaches Lead to Lawsuits

Now providers can be sued for HIPAA violations related to breaches of protected health information.

Addressing the Top 3 EMR Challenges

Addressing the Top 3 EMR Challenges

Many providers still find EMRs vexing, even after all these years.

Encrypting PHI for HIPAA Compliance

Encrypting PHI for HIPAA Compliance

Addressable doesn't mean optional: Having an implementation plan can be helpful in case of an audit.

Hepatitis C in CKD: Challenges and Opportunities

Hepatitis C in CKD: Challenges and Opportunities

The availability of direct-acting antiviral drugs may enable eradication of hepatitis C virus and improve outcomes.

CMS' Chronic Care Management Program: Is It Worth the Effort?

CMS' Chronic Care Management Program: Is It Worth the Effort?

The gross revenue of the CCM program for a physician with 1,742 patients could range from $44,000 if about one-third of the Medicare patients are eligible to as much as $178,000 if two-thirds are.

Managing Business Associates to Reduce Liability

Managing Business Associates to Reduce Liability

As business associates come under greater scrutiny, healthcare providers could become more susceptible to audits and patient lawsuits.

New Discoveries Provide Insights Into Calciphylaxis

New Discoveries Provide Insights Into Calciphylaxis

It is unclear to physicians why some patients develop calciphylaxis while others do not.

New Obesity Guidelines Recommend Nuanced Treatment

New Obesity Guidelines Recommend Nuanced Treatment

As a heterogenous disease, obesity requires an individualized approach to treatment.

Transition to ICD-10 Going Smoothly? Not So Fast

Transition to ICD-10 Going Smoothly? Not So Fast

Providers are becoming more comfortable with the new system, so Medicare and other payers may scrutinize claims more closely.

Sharing Data With Others? Anonymity Is Crucial

Sharing Data With Others? Anonymity Is Crucial

Practices should review the list of 18 identifiers and remove each item before sharing data.

3 Ways Practices Can Improve Collections From Patients

3 Ways Practices Can Improve Collections From Patients

Prompt-pay discounts and payment plans are among the ways practices can improve collections of what patients owe.

Multidrug-Resistant Bacteria Found in UTI Patient

Multidrug-Resistant Bacteria Found in UTI Patient

First case of colistin-resistant mcr-1 E coli in the United States; strains also have been identified in Europe and Canada.

Still Resisting EMRs? Here's How To Move Forward

Still Resisting EMRs? Here's How To Move Forward

Practices should get demos of the electronic medical record systems they are interested in and analyze the clinical and practice management aspects of these systems.

How to Select a Security Officer for Your Physician Practice

How to Select a Security Officer for Your Physician Practice

HIPAA requires physician offices to appoint a security officer, but a physician should not hold the position.

Satisfaction Surveys Important for Retaining Patients

Satisfaction Surveys Important for Retaining Patients

Survey results can identify physician outliers who may be bring down a whole group's satisfaction score.

HIPAA Disclosure Rules Not As Strict As Widely Believed

HIPAA Disclosure Rules Not As Strict As Widely Believed

Patients' representatives, individuals designated to make medical decisions for them, have equal rights to access information under HIPAA.

Managing Anemia in Cancer Patients With CKD

Managing Anemia in Cancer Patients With CKD

A summary of Dr. Jeffrey S. Berns' presentation that will be given at the National Kidney Foundation's 2016 Spring Clinical Meetings in Boston, MA.

Management of ADPKD in 2016 and Beyond

Management of ADPKD in 2016 and Beyond

A summary of Dr. Ronald D. Perrone's presentation that will be given at the National Kidney Foundation's 2016 Spring Clinical Meetings in Boston, MA.

Getting Out From Under Paperwork

Getting Out From Under Paperwork

Follow these tips to reduce the paperwork burden at your medical practice.

Nephrology Attracting Fewer Doctors

Nephrology Attracting Fewer Doctors

Fellowship positions go unfilled as the US faces expanding population of kidney disease patients.

How to Work With Health Information Organizations

How to Work With Health Information Organizations

Providers typically need business associate agreements with health information organizations.

CMS Uses CROWNWeb for Reporting Depression, Pain

CMS Uses CROWNWeb for Reporting Depression, Pain

The end-stage renal disease community can now capture data on depression screening and pain assessment efforts.

Novel Approaches to Using Radium-223

Novel Approaches to Using Radium-223

An interview with Neal Shore, MD

AACE Issues Guidance for Glucose Monitoring in Diabetes

AACE Issues Guidance for Glucose Monitoring in Diabetes

The new consensus statement reflects the advances made in glucose monitoring technology and offers guidance for clinicians.

The Psychological Impact of Prostate Cancer

The Psychological Impact of Prostate Cancer

Patients diagnosed with prostate cancer often struggle with their diagnosis.

Patients' Rights to Access Health Records Clarified

Patients' Rights to Access Health Records Clarified

New document from the Office of Civil Rights reminds providers of their responsibilities and offers compliance tips.

The Future of Bladder Cancer Research

The Future of Bladder Cancer Research

An interview with David J. McConkey, PhD

Adjuvant Therapies: Time to Fold or Double Down?

Adjuvant Therapies: Time to Fold or Double Down?

Benjamin T Ristau, MD, and Robert G. Uzzo, MD, FACS, examine why adjuvant therapies have been so ineffective.

Using Telemedicine for Patient Encounters: One Urologist's Experience

Using Telemedicine for Patient Encounters: One Urologist's Experience

Patients can be spared having to take off work and travel long distances for routine visits that do not require physical contact.

Simpler Prostate Cancer Grading System Proposed

Simpler Prostate Cancer Grading System Proposed

Tumors fall into 1 of 5 grade groups based on what pathologic findings indicate about prognosis.

Patient Flow: How to Keep Your Doctors' Office on Track

Patient Flow: How to Keep Your Doctors' Office on Track

Appointment schedules should reflect physicians' work style and patient demands.

The Promise of the New Hyperkalemia Drugs

The Promise of the New Hyperkalemia Drugs

Renal & Urology News interviewed Matthew R. Weir, MD, director of the division of nephrology and professor of medicine at the University of Maryland School of Medicine in Baltimore.

Quick, Low-Cost HIPAA Compliance Solutions for Small Practices

Quick, Low-Cost HIPAA Compliance Solutions for Small Practices

Many small practices fall short on requirements because they do not have the resources to comply.

How to Use Dialysis Center Ratings

How to Use Dialysis Center Ratings

At the highest level, the ratings can be used to categorize facilities. They can also indicate which facilities may need more resources.

Taking Steps to Protect Patient Portals

Taking Steps to Protect Patient Portals

Threats and vulnerabilities, such as hacking potential and password strength, should be considered.

Artificial Kidney Technology Moves Forward

Artificial Kidney Technology Moves Forward

If ESRD patients face increasing difficulty getting a kidney transplant in coming years, they may see an artificial kidney as the next best alternative.

How to Prepare for a Health Insurer's Audit

How to Prepare for a Health Insurer's Audit

Commercial carriers increasingly are auditing practices to recoup money paid as a result of inappropriate billing.

Prepare for a Second Round of HIPAA Audits

Prepare for a Second Round of HIPAA Audits

Prepping for an audit can help reduce the risk of a breach.

Running a Small Practice? Put Technology to Work

Running a Small Practice? Put Technology to Work

Solo practitioner uses a number of inexpensive electronic tools that boost efficiency and allow her to see more patients.

Damage Control Following a Health Information Breach

Damage Control Following a Health Information Breach

Practices need to have a response plan in place.

Turning Physicians into Effective Leaders

Turning Physicians into Effective Leaders

To be a good manager, many physicians need to learn how to be humble, a better communicator, and a good listener.

How to Safeguard Protected Health Information

How to Safeguard Protected Health Information

Simple fixes can help practices meet the 'minimum necessary' standard under HIPAA.

Recent Developments in Prostate Cancer Management

Recent Developments in Prostate Cancer Management

Additional novel medical therapies to treat prostate cancer and earlier use of the existing medical therapies are the future of prostate cancer management.

Important Prostate Cancer Advances of the Last 10 Years

Important Prostate Cancer Advances of the Last 10 Years

Advances in prostate cancer screening, management and therapeutics have vastly improved patient care.

Preparation is Requisite as ICD-10 Looms

Preparation is Requisite as ICD-10 Looms

Coding and incomplete documentation are thought to be the biggest challenges under ICD-10.

Put Policies and Procedures in Writing

Put Policies and Procedures in Writing

Experts recommend keeping certain policies on file.

Culture, Processes, Data, and Motivation: Keys to Quality Improvement

Culture, Processes, Data, and Motivation: Keys to Quality Improvement

Each physician has to determine areas where there is room for improvement and the potential return on changes made.

What to Do After the Risk Assessment

What to Do After the Risk Assessment

After the assessment is over, it's time to move forward to mitigate issues and fill gaps where breaches could occur.

Therapeutic Non-adherence: An Ongoing Problem

Therapeutic Non-adherence: An Ongoing Problem

No matter how much pharmacologic therapy advances, patient behavior will remain a significant factor in the outcomes achieved.

Unraveling the Risk Assessment

Unraveling the Risk Assessment

How to comply with HIPAA's risk assessment provision.

A Novel Approach to Giving Iron

A Novel Approach to Giving Iron

Ferric pyrophosphate citrate may play a role in the therapeutic armamentarium for dialysis patients.

What You Need to Know About An Information Breach

What You Need to Know About An Information Breach

In recent years, there have been widespread media reports of large breaches - millions of records compromised, followed by millions of dollars in fines.

Early ADT for Recurrent Prostate Cancer May Hike Death Risk

Early ADT for Recurrent Prostate Cancer May Hike Death Risk

This effect appears to occur mainly in men who experience recurrence when they are younger than 65 and in those with low-risk cancer.

Donor Kidneys Usable Despite Acute Kidney Injury

Donor Kidneys Usable Despite Acute Kidney Injury

Recipients of AKI kidneys have patient and graft survival rates similar to those of recipients of non-AKI kidneys.

Countdown to ICD-10

Countdown to ICD-10

Providers do not have to learn all of the new 68,000 codes in ICD-10. Here's what steps they should take.

Should We Always Treat Edema?

Should We Always Treat Edema?

We may feel good treating a patient's edema, but is fluid retention always harmful?

Ensuring Open Patient Access to Medical Records

Ensuring Open Patient Access to Medical Records

Since the inception of HIPAA, physicians have been required to disclose patient information to 2 places.

Women in Practice Could Mean More Flexible Schedules

Women in Practice Could Mean More Flexible Schedules

Practices may need to adjust schedules, time off, and compensation as the number of female urologists and nephrologists grows.

Whatever Happened to the AIDS Crisis?

Whatever Happened to the AIDS Crisis?

Chronic diseases such as end-stage renal disease (ESRD) have now surpassed opportunistic infections as the leading cause of death among HIV-infected patients.

Statins Promising for Cancers

Statins Promising for Cancers

Studies suggest that these cholesterol-lowering drugs can improve treatment of genitourinary cancers and prevent contrast-induced nephropathy.

Clinical Negligence Leads to Amputation and Lawsuit

Clinical Negligence Leads to Amputation and Lawsuit

Clinicians missed several opportunities to advocate for their patient, leading to the loss of a leg.

Safeguard Paper Documents for HIPAA

Safeguard Paper Documents for HIPAA

Providers need to take a close look at their individual practices, identify potential areas of risk, and put important safeguards in place.

In a New Light: NBI for Bladder Cancer

In a New Light: NBI for Bladder Cancer

Daniel Canter, M.D., discusses narrow-band imaging (NBI) for visualization of bladder cancer.

Diagnosing and Managing Low Testosterone in CKD

Diagnosing and Managing Low Testosterone in CKD

Low testosterone in men with CKD should not be treated routinely, but can be considered on an individual basis in some cases.

Prepping Your Practice for Retirement

Prepping Your Practice for Retirement

Understanding the market is one of the most important aspects of selling a practice.

Ensuring Security of Mobile Devices

Ensuring Security of Mobile Devices

Health care providers are increasingly using mobile devices for patient care.

Providing Health Insurance Under the Affordable Care Act

Providing Health Insurance Under the Affordable Care Act

Experts review ACA provisions that practices should weigh when deciding on employee medical benefits.

Don't Neglect Business Associate Agreements

Don't Neglect Business Associate Agreements

When a security breach occurs, these documents could make things easier during a government audit.

Bundled Payments May Offer Opportunities to Individual Specialists

Bundled Payments May Offer Opportunities to Individual Specialists

Among other considerations, a physician has to define a window of time for the length of care needed to treat a condition.

CROWNWeb Improves Data Entry Efforts and Support Automation of CMS Forms

CROWNWeb Improves Data Entry Efforts and Support Automation of CMS Forms

Centers for Medicare & Medicaid Services (CMS) has worked with members of its CROWNWeb support teams to review federal rules and regulations.

Prostate Cancer Genetics: Ready for Clinical Use?

Prostate Cancer Genetics: Ready for Clinical Use?

For decades, prostate cancer risk (PCa) stratification was based primarily on the architectural pattern of the tumor.

The Renal & Urology News Top 5 Lists for 2014

The Renal & Urology News Top 5 Lists for 2014

Among the most important challenges in producing a medical newspaper is deciding what studies or topics on which to report.

New 5-Star Dialysis Facility Rating System To Debut

New 5-Star Dialysis Facility Rating System To Debut

'Dialysis Facility Compare' will tabulate publicly reported quality measures, such as transfusion rates and mortality.

Common HIPAA Patient Information Violations

Common HIPAA Patient Information Violations

A wide range of patient information is covered under HIPAA privacy statutes, which regulate how information is disclosed.

Using Patient Portals to Improve Outcomes, Save Time

Using Patient Portals to Improve Outcomes, Save Time

Providers should be embracing this patient engagement tool as much as possible, experts say.

Physicians and the Medical-Industrial Complex

Physicians and the Medical-Industrial Complex

Eisenhower warned Americans to beware of the "military-industrial complex" as it can overwhelm us.

Living Kidney Donor Dilemma: Willing But Unable to Donate

Living Kidney Donor Dilemma: Willing But Unable to Donate

Barriers to donation may explain why living donor kidney transplantation has been declining.

Call Coverage: How to Establish a Fair Schedule For Your Medical Practice

Call Coverage: How to Establish a Fair Schedule For Your Medical Practice

If a group has a predictable schedule that works for doctors most of the time, then legitimate reasons for change should be defined.

Shared Decision Making in Managing Idiopathic and Neurogenic OAB

Communicating effectively about appropriate options and eliciting patient input for overactive bladder (OAB) can improve outcomes.

The Ebola Threat: Why Not an Outbreak Here?

The Ebola Threat: Why Not an Outbreak Here?

The separation of continents no longer provides a secure buffer against the spread of communicable diseases from far-flung places.

How to Negotiate Better Payer Contracts

How to Negotiate Better Payer Contracts

Providers should look up Medicare reimbursement rates for their practice's locality.

Why Not Business Class Dialysis?

Why Not Business Class Dialysis?

Would any heterogeneity in the choice of additional services be unethical or implausible?

How to Measure Practice Productivity Using Relative Value Units (RVUs)

How to Measure Practice Productivity Using Relative Value Units (RVUs)

RVUs are a useful gauge of doctors' productivity, but practices also should look at such aspects as each practitioner's caseload and reimbursements.

FSGS: Talking Points for the Practicing Nephrologist

Distinguishing primary from secondary focal segmental glomerulosclerosis is crucial because the treatment approaches and therapeutic goals differ.

Big Data, Transparency and Accountability

Big Data, Transparency and Accountability

We crave clinical and scientific data, yet we grieve the performance-based data increasingly directed toward us.

How Practice Managers Can Build Market Share

How Practice Managers Can Build Market Share

Growing a practice is a matter of knowing your market and reaching out to referral sources and patients.

The Need for a Kidney Research Prize: Interview with Sharon Moe, MD

The Need for a Kidney Research Prize: Interview with Sharon Moe, MD

Dr. Moe spoke about the importance of nephrology research and how a prize competition can facilitate the process.

The Challenge of Dialysis at the End of Life

The Challenge of Dialysis at the End of Life

Dialysis is not necessarily in the patient's best interest, clinicians and ethicists say.

"Doc, Did You Check My Cholesterol?"

"Doc, Did You Check My Cholesterol?"

Many patients still insist that I need to check and manage their cholesterol.

How to Rehabilitate Your Practice

How to Rehabilitate Your Practice

As we move to a more comprehensive model, it makes sense to diminish the separation between the clinical and administrative sides of practice.

Ultrasonic Propulsion of Kidney Stones: Interview with Jonathan Harper, MD

Ultrasonic Propulsion of Kidney Stones: Interview with Jonathan Harper, MD

Jonathan Harper, MD, of the UW School of Medicine in Seattle, explains his "Rolling Stones" concept as a feasible office procedure.

Kidney Function Assessment: The Need for a Confirmatory Test

Confirmation of creatinine-based eGFR should be performed in select circumstances using, where appropriate, either measured GFR or cystatin C.

Medicare Payments Exposed

Medicare Payments Exposed

For the first time, the federal CMS has made public a database showing what it pays out to individual physicians.

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