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The Sentinel: February 2018

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If You Order a Test, Follow Up On It

Closed Claim Review  |  Judy King Reneau, JD, BSN

Peggy Sue White* was a busy lady. At 73 years of age, she was described by her husband of 57 years as his “whole world.” They had seven children together, 19 grandchildren and 11 great-grandchildren. She took care of him due to his poor health, made his doctor appointments and attended the appoint...

Government Shutdown Averted

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

The Bipartisan Budget Act of 2018 was expected to focus on immigration, however, healthcare was the prevailing theme of the law that was passed on February 9, 2018. Highlights for medical practices include: The elimination of the Independent Payment Advisory Board (IPAB), a group of 15 stakeholders who wer...

SVMIC Launches Podcast Series

Company News  |  Anne Grissom

This month SVMIC is proud to introduce our Podcast series, “Your Practice Made Perfect,” to our lineup of educational resources. The series idea was born after conducting research with medical students and residents and discovering many of these students seek out, listen to and enjoy Podcasts for ...

The Patient Experience

Risk Pearls  |  Stephen A. Dickens, JD, FACMPE

As healthcare evolves, so do patients’ expectations. Payers are changing reimbursement strategies to focus on value-based care, therefore patients' experiences and subsequent reviews of those experiences can affect the practice’s level of reimbursement. Understanding patients’ opinions and e...

Get the Reimbursement You Deserve

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

How much do you know - and truly understand - about your allowables? This is the term for the discounted price to which you agree as a participating provider for an insurance company. This price is not what the payer reimburses you, but rather the rate you agree to accept as payment in full based on the patie...

Reducing Liability Exposure In the Physician Office

Risk Topics  |  Judy Vinson, CPHQ, LNCC

As healthcare has shifted more toward the outpatient setting, the complexity and acuity of patients seen in that setting has intensified. As noted in MGMA’s Patient Safety and Quality Advisory Committee White Paper, “While most ambulatory care is less technically complex than inpatient care, it is...

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