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The National Association for Medical Direction of Respiratory Care


CMS Proposes New Rule for Telemedicine

From Healthcare IT News…

In the Medicare Physician Fee Schedule (PFS), 2018, CMS has proposed paying for a few new telehealth services. These services include psychotherapy for mental health crises, chronic care management programs, health risk assessments (eg, a patient self-report questionnaire), and visits to determine if a patient may be eligible for a low-dose CT scan for lung cancer detection.


In previous blogs, we have heard about respiratory medical conditions and their effects on our patient population. This blog is a little different. It is about the loss of the human factor in patient care and the dangerous path our country is taking trying to automate every part of our medical system and our patients’ lives. The opinions that follow are my own.

NAMDRC Blog 6-1-17: Successfully managing chronic cough: It’s as obvious as the nose on your face!

Do you cringe when your medical assistant tells you that your next patient is here to be evaluated for a cough that has been present for 5 years? Making matters worse, they have already seen numerous specialists, none of whom “cured” them. In their own words, you are their last resort, compounding the anxiety you may already be experiencing.

NAMDRC Blog: Moderate Sedation – Changes in Coding and Reimbursement

Steve G. Peters, M.D., is Professor of Medicine in the Division of Pulmonary and Critical Care at the Mayo Clinic in Rochester, MN.

Disclosure: Dr. Peters in on the NAMDRC Board of Directors and serves as Advisor to the CPT Panel of the AMA, representing the American College of Chest Physicians.

Current Procedural Terminology (CPT®) is owned and operated by the American Medical Association.

Nasal High Flow Oxygen Therapy

Nasal High Flow (NHF) oxygen therapy is a technique devised to deliver high flow oxygen in a maximally humidified, comfortable, and easily administered fashion. Conventional bubble humidifiers are most commonly used for humidifying medical gas delivered to spontaneously breathing patients, but the absolute humidity of the emergent gas remains low. Any time compressed gas is released the expansion results in significantly cooling and drying of the gas and when delivered directly especially in higher flows causes discomfort and increased airway resistance.

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