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The Sentinel: February 2017

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Sometimes, Action Is Required

Closed Claim Review  |  John T. Ryman, JD

Mr. Smith was 72, with a long history of various medical issues including coronary artery disease, carotid artery stenosis, chronic obstructive pulmonary disease, and peripheral vascular disease, when he was referred to cardiovascular surgeon, Dr. Jones.  The referral to Dr. Jones was by Mr. Smith’...

2017 Risk Education Programs

Company News

This year's live Risk Education seminars use real-life experiences and situations as teaching tools for you and your staff. Registration will be open soon!  “Practicing on the Grid” is presented by Justin Joy, JD, CIPP, an attorney with Lewis, Thomason, King, Krieg & Waldrop, P.C. i...

Pain Management Compliance in Tennessee

Industry News  |  Justin Joy, JD, CIPP

Physicians and advanced practice providers managing chronic pain should be aware of the changes to the Tennessee Chronic Pain Guidelines which are posted on the licensing board websites. For ease of identifying the changes, a copy of the guidelines is available on SVMIC’s website (www.svmic.com). Notabl...

MU Payments: Not Too Late for Medicaid

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Looking for $63,750 in bonus payments? That’s the sum total of the checks you’ll receive over a six-year period if you are eligible to participate in the Medicaid Electronic Health Record (EHR) Program. The days of receiving payment boosts for “meaningful use” through Medicare are long...

New Coding Opportunity

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Chronic Care Management (CCM) services offer the opportunity to receive payment for the non-face-to-face services provided to patients by clinical staff. There are certain requirements for billing CCM, one of which is the establishment of a care plan that provides the foundation of the care provided by staff,...

The Afternoon Sweep

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Morning huddles offer an exceptional method for preparing for the day; however, it’s not uncommon for the results to fall short of one’s expectations. Even if your reminder calls went out previously, it’s likely that you’ve had a couple of cancellations that morning. Filling empty slot...

Risk Pearls: February 2017

Risk Pearls  |  Julie Loomis, RN, JD

According to the Food and Drug Administration (FDA), it regulates one trillion dollars’ worth of products each year or approximately 20 cents on every dollar spent in the U.S. When there is a serious problem with a product, the FDA would like to alert you immediately. The alerts contain actionable infor...

An Analysis of Urology Closed Claims

Specialty Spotlight  |  Shelly Weatherly, JD

By Shelly Weatherly, JD, Vice President, Risk Education and Evaluation Services, SVMIC A review of SVMIC Urology claims from 2009 – 2015, where there was a paid loss on behalf of an insured, reveals that failure to timely diagnose and improper performance of a procedure were the most common noted ...

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