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Dermatologists say they will vigorously oppose many portions of the newly passed healthcare reform bill, although they say it's too soon to determine exactly how. Chief objections are the bill's creation of an independent payment advisory board (IPAB) for Medicare and lack of a fix for Medicare's sustainable growth rate (SGR), sources say.

Internet-based patient portals are Web sites with real horsepower. In addition to posting static information, such as office hours, physician and staff profiles and a list of services, portals deliver functionality to patients. These points of virtual access to your practice generate patient satisfaction because they provide convenient, 24-hour, self-service options to handle many interactions with your practice.

Love or loathe them, public Web sites that let patients rate their physicians aren't going away, experts say. Making these sites work for you rather than against you requires ongoing vigilance, broad-based patient participation and - for some physicians - patient contracts, they add.

We asked a number of doctors around the country whether they are adding procedures, therapies or equipment to their practices this year, and how those plans are being impacted by economic conditions. While some dermatologists are being cautious, others are actually using the economic challenges to plan for the future of their businesses.

A recent study that ranks dermatology among the most satisfying medical specialties to practice finds agreement among dermatologists, who count the specialty's diversity, flexibility and visual nature among its charms.

Dermatologists are one step closer to understanding how to access the electronic health record (EHR) incentive payments promised in the federal American Recovery and Reinvestment Act (ARRA). Enacted in February 2009, ARRA provides incentives for physicians who demonstrate "meaningful" use of a certified EHR system.

We are receiving a lot of calls and e-mails regarding which Medicare fee schedule dermatology practices are supposed to use starting Jan. 1. There is a lot of incorrect information floating around from various sources.

Recently, a 27-year-old woman consulted me about hair loss of several years' duration. She was in otherwise good health, and she proved this by showing me an impressive list of perfectly normal laboratory results indicating, among other things, that she did not have anemia or thyroid disease.

With all of the talk about the government's EMR stimulus package, new CPT codes, and the impact of the turbulent economy, you wouldn't pick dress codes as a big concern for medical practices. But as the newest generation entering the work force starts filling positions at your dermatology practice, it won't be long before you, too, may need to establish - or update - your practice's dress code.

Physicians' efforts to collect from patients are exponentially better nowadays, but patient statements haven't changed in decades: a slip of paper is popped into an envelope and mailed every 30 days. In this volatile, changing economy, it's time to overhaul your dermatology practice's approach to patient statements.