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The Sentinel: April 2018

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Back to the Basics: The Importance of Good Communication and Documentation in a Complex Case

Closed Claim Review  |  Stephanie Deupree, JD, BSN

Tony Green[1], a 29-year-old construction worker, presented to the emergency department of a small, regional hospital complaining of lower and upper back pain over two days after lifting some flooring at a worksite. He described the pain as worsening with movement and radiating through to his chest. He was ab...

Addressing Juror Expectations in Everyday Practice: MEDIC

Risk Topics  |  Jill Huntley Taylor, Ph.D

Dr. Taylor is a contributor to this year's Risk Education seminar "A Jury's Perspective - The Good, The Bad, The Ugly" As a trial consultant, I am involved in conducting mock trials in all types of cases, including medical malpractice cases.  In each case, I am looking for the problems and opportunities...

Physician Burnout: What Is It and What Causes It?

Physician Interest  |  Michael Baron, MD, MPH, FASAM

Editor's Note: This is part two in a four-part series on physician burnout. Part one was published in the January 2018 edition of The SVMIC Sentinel, available here. Part three in this series will be published in our July edition. A physician touches the lives of many people, including his family, friends, c...

Turning a Negative into a Positive: Managing Patient Complaints

Risk Pearls  |  Julie Loomis, RN, JD

Increasing concerns about the quality of healthcare have arisen as a result of the public perception that cost-cutting measures have caused premature discharge and clinical mismanagement of patients. Changes in healthcare coverage have generated concerns that medical care has become a profit-motivated busines...

Tiering: Levels of Copayments

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Tiering is a concept that has moved from the pharmacy to the medical practice. For years, payers have tiered medications into categories. Certain medications cost the consumer more, while others are available at lower costs. This strategy has steered patients – and ordering physicians – to generic...

Budget Act Extends GPCI Floor

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

The Bipartisan Budget Act of 2018 featured an extension of the physician work geographic price cost index (GPCI) floor. As the work GPCI is a component of the Medicare payment formula, this declaration positively impacts physician reimbursement. On March 20, the Centers for Medicare & Medicaid Services (C...

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