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The Sentinel: June 2018

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Unsolicited Test Results

Risk Pearls  |  Julie Loomis, RN, JD

From time to time, physicians and other healthcare providers find themselves in receipt of diagnostic test results they did not order for their patient, or for individuals who are not even patients of the practice at all.   Such results could be anything from laboratory or pathology reports to scree...

Considerations When Disclosing Adverse Events

Risk Topics  |  Justin Joy, JD, CIPP

Healthcare professionals pride themselves on achieving high levels of excellence, if not routine near-perfection, in the care they provide. When an adverse event occurs, facing a patient and his or her family members can be challenging, especially when the adverse event resulted from an error. Approaching dis...

Avoid the Overtime Blues in Your Practice

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Perhaps no one in your practice deliberately abuses overtime. Then again, if you make overtime pay available to employees on a regular basis, who could blame them for grabbing the opportunity? Not only can overtime cost you money, but it may also bring legal liabilities if you fail to manage it with care. It...

Physician Compensation Plans

Practice Management  |  Michael Cash, MHSA, FACMPE

Physician compensation in a private solo practice is simple: The physician receives any profits after expenses are paid as compensation. The physician generally takes a monthly draw and has periodic bonus distributions. When two or more physicians join the practice, the compensation variables change. Open com...

Quality Payment Program Update

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Physicians who bill more than $90,000 in total allowed Medicare Part B charges need to ensure successful participation in the Quality Payment Program (QPP). Two pathways are available: submitting data for the Merit-based Incentive Payment System (MIPS) or joining an Advanced Alternative Payment Model (APM). T...

Who Can Go the Distance? We'll Find Out in the Long Run

Closed Claim Review  |  John T. Ryman, JD

On a hot summer day in 2002, 55-year-old Mr. Adams[1] was working on his farm. When dismounting from the back of his truck, Mr. Adams fell and injured his left leg. He presented to the local ER later that day with complaints of left knee and ankle pain. Mr. Adams had a history of bilateral knee replacements. ...

Understanding HIPAA Authorization Forms

Risk Topics  |  Loretta Duncan, FACMPE

Understanding when an authorization form is required to release protected health information (PHI) has been a challenge for the healthcare community since HIPAA required compliance with the Privacy Rule in April of 2003. Generally, a HIPAA-compliant authorization form is not necessary for most uses and disclo...

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