Family physicians perform a wide range of procedures outside the hospital and tend to be office based. Examples may include surgical procedures such as excisions, suturing, and joint injections.
May 28 2024American Academy of Family Physicians Background and goal: Since the training can vary substantially, the Council of Academic Family Medicine issued a statement on which procedures they recommend physicians be able to perform competently upon completion of a family medicine residency. The aim of this study was to determine the extent to which family physicians perform CAFM-recommended procedures for Medicare Part B, the outpatient portion of Medicare .
Study approach: Using a publicly available dataset that contains use, payments, and submitted charges for Medicare activities, researchers matched Medicare patient encounter codes with CAFM-recommended procedures to analyze how often family physicians reported CAFM-recommended procedures in an outpatient setting from 2014 to 2021. The researchers classified procedure codes by organ system.
Main results: In 2021, 9,410 family physicians filed 904,278 CAFM procedure claims for 444,309 patients. Related Stories Why it matters: Fewer and fewer family physicians are billing for CAFM-recommended procedures. This trend is concerning as the U.S. population is aging. While procedures may increasingly be performed by physician assistants, nurse practitioners, or specialists after referral, this trend is still troublesome because it is likely to reduce access and convenience while increasing cost. Journal reference:McKenna, R., et al. Family Physicians as Proceduralists for Medicare Recipient.
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