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In-workplace blood stress readings are often inaccurate or insufficient. Here's a strategy to get a greater image of how your patients are doing and get paid for it. Author disclosures: no related monetary affiliations disclosed. While patients can examine their blood pressure (BP) at home or at the drug retailer, primary care clinicians nonetheless rely mostly on in-office BP readings for hypertension management. But workplace readings are sometimes inaccurate for a wide range of causes, together with white coat hypertension, time constraints, and issues with measuring gadgets or technique. The United States Preventive Services Task Force (USPSTF) updated its tips in 2015 to suggest that main care clinicians use ABPM to rule out white coat hypertension before prescribing medications for patients with newly elevated workplace BP readings, unless the necessity for such therapy is apparent.2 Last yr the Centers for Medicare & Medicaid Services (CMS) announced it was increasing reimbursement for ABPM to incorporate evaluation of suspected masked hypertension, which is the opposite of white coat hypertension (elevated out-of-office BP with non-elevated workplace BP).
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