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Editorial |

Finding Common Ground: Professionalism and Acthar Prescribing Practices

Don Liss, MD; Troyen A. Brennan, MD, JD, MPH; Scott Manaker, MD, PhD, FCCP
Author and Funding Information

FINANCIAL/NONFINANCIAL DISCLOSURES: D. L. is Vice President for Clinical Programs and Policy at Independence Blue Cross and serves on the Board of Directors of the HealthWell Foundation. T. A. B. owns stock at CVS Health and works as an employee at CVS Health. S. M. has received fees as a grand rounds speaker, lecturer, consultant, and expert witness on documentation, coding, billing, and reimbursement from hospitals, physicians, departments, practice groups, professional societies, insurers, and various attorneys. In March 2011, he received payment from Aetna Inc for consultation on diagnosis coding. He serves on the Hospital Outpatient Panel, a federal advisory commission to the Centers for Medicare & Medicaid Services; serves on the Contractor Advisory Committee for Novitas Solutions, Inc, a Medicare contractor; and chairs the Practice Expense Subcommittee of the American Medical Association, Specialty Society Relative Value Unit Update Committee. He also serves on the board of directors of ACCP Enterprises, Inc, a wholly owned, for-profit subsidiary of the American College of Chest Physicians.

CORRESPONDENCE TO: Scott Manaker, MD, PhD, FCCP, Department of Medicine, Hospital of the University of Pennsylvania, 100 Centrex Bldg, 3400 Spruce St, Philadelphia, PA 19104


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(3):611-612. doi:10.1016/j.chest.2015.12.020
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“Reasonable people can reasonably disagree on policy.” The profoundly personal, multidimensional, and nuanced nature of clinical medicine makes it particularly ripe for disagreements. Such disagreements often serve to call valid questions, and the ensuing debate furthers our knowledge. So long as the fundamental basis for taking a position includes the obligation to serve the best interest of a patient, respectful disagreement around the interpretation of a given fact pattern is a legitimate, even laudatory, exercise of professionalism.

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