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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Bundled Billing or Bungled Billing?

Bundled billing: the combination of multiple entities’ fees into a single price. What could be wrong with that? A lot, depending on who is doing the bundling. And, in some cases, depending on why they’re doing it. History The concept of bundled billing came out of the hospital world: In order to market for a […]

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Uncategorized Published - 12 December, 2014    By - Dr. Clemens
Anesthesia Management: Most opioids prescribed in office settings, but habits changing

Policy efforts to address the risks of opioid prescribing should focus on office-based settings, as patients receive significantly more painkiller prescriptions for noncancer pain in ambulatory settings than in hospital emergency departments (EDs), according to an analysis of medical expenditures reported by Internal Medicine News. Specifically, the study found that one in 39 opioid prescriptions […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Preparing Patients Taking Sublingual Buprenorphine to Treat Addiction for Surgery

Here are certain measures that can be taken preoperatively to ensure proper pain management for patients being treated for opioid dependence. The use of buprenorphine products to help treat opioid dependence has increased over the last decade. This trend has been paralleled by an increase in the number of surgeries involving patients taking buprenorphine products. […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Difficult to Treat Chronic Migraine: The Bipolar Spectrum and Personality Disorders

Patients with refractory chronic migraine may also have a high prevalence of comorbidities, including anxiety, depression, bipolar spectrum, and personality disorders. Patients with refractory chronic migraine (RCM) experience a great deal of disability related to their chronic headaches. Significant abuse in childhood, whether sexual, physical, or emotional, may predispose a person to the development of […]

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Uncategorized Published - 11 December, 2014    By - Dr. Clemens
Anesthesia Management: Report Examines U.S.’s Addiction to Opioid Painkillers

Fewer patients are filling prescriptions for opioid painkillers — but those who are filling them are filling more prescriptions with more days of medication per prescription — according to a report by Express Scripts, a pharmacy benefits company. The company examined pharmacy claims for 6.8 million Americans who filled at least one opioid prescription for […]

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