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Rheumatology Practice Management October 2015 Vol 3 No 5

Ethel Owen, practice administrator in West Palm Beach, FL, and newly elected NORM president, has served on the board of the National Organization of Rheumatology Managers (NORM) since 2007. She spoke with Rheumatology Practice Management (RPM) at NORM’s 2015 Practice Managers Conference in Bellevue, WA, about some of the challenges facing healthcare professionals, the importance of leadership, and the power of NORM.
Recently retired and looking back over my decades in the workforce, I see gender issues once again gaining strength. I was raised to believe there were no gender barriers or limitations, and most of what I have seen in my youth and working years has supported that.
The good news for physicians seeking a place of employment is there is a shortage of rheumatologists, urologists, and other specialists in the United States. The bad news is the landscape is dominated by large health systems and, therefore, there is usually little wiggle room in contract negotiations.
Numbers might not lie, but that does not mean they are here to reassure us either. In fact, when one is talking about the marketplace of healthcare, the numbers can be downright terrifying.
For most rheumatology managers, payer contracts represent the bottom line of their practices’ earnings; putting these contracts in order is thus a necessity for the financial health of the organization.
Congress is keeping things interesting for rheumatology practice managers. If it wasn’t challenging enough to run a medical practice before, now there’s a whole new set of acronyms to contend with—MACRA, MIPS, and APMs.
In honor of the 10th anniversary celebration of the National Organization of Rheumatology Managers (NORM), Judith Stovall, a rheumatology practice manager in Trumbull, CT, highlighted 10 different roles that a manager may assume in the course of a hectic day—with great humor and humility.
It is a fact of life. The current tax system rewards taxpayers who are aggressive with their deductions. To find out what people are deducting, we undertook an informal survey of many of our colleagues who are certified public accountants. We found that a handful of deductions show up repeatedly on the tax returns of those taxpayers who tend to be very aggressive with their deductions. How aggressive are you with the deductions you claim on your income tax return each year? Below we discuss some of the more common deductions we have found.
A study presented at the recent meeting of the European Academy of Dermatology and Venereology and published in the Journal of Dermatological Science showed that severe psoriasis is an independent risk factor for renal disease.
In an article published online in the International Journal of Nursing Studies, a scoping review of 17 articles demonstrated that patients with rheumatoid arthritis have a need for more informational, emotional, social, and practical support.
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