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The Sentinel: May 2017

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Putting the Cart Before the Horse?

Closed Claim Review  |  Zynthia T. Howse, JD

In life, and certainly in documentation, there is a right and wrong way to do things. Order is everything. It is a well-known fact that a complete, accurate medical record will foster quality of care. Most importantly, it is the footprint that guides the course of the patient’s medical care and provide...

Cyber Security Coverage: Can You Afford to Be Without It?

Cyber Security  |  Susan Decareaux, CPCU, RPLU, CISR

Cyber security continues to rise towards the top of the list of concerns for businesses and medical practices.  Consequently, cyber insurance protection is also becoming more and more important. Along with the basic cyber security insurance limits ($50,000) provided by SVMIC at no additional premium, hig...

Quality Reporting Under MIPS

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

At first glance, the Merit-based Incentive Payment System (MIPS) may look somewhat like the Physician Quality Reporting System (PQRS), which closed its door on December 31, 2016, but appearances can be deceiving. MIPS features 271 quality measures, of which physicians and other eligible clinicians must repor...

OSHA in a Medical Practice

Practice Management  |  C. Anne Pontius, MBA, FACMPE, CHC, MT (ASCP)

The Occupational Safety and Health Administration (OSHA) is part of the United States Department of Labor. The mission of OSHA is to assure safe and healthful working conditions for working men and women by setting and enforcing regulatory standards.  In addition, OSHA is responsible for providing traini...

QPP Clinician Participation Letter

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

The federal government granted an exclusion for many physicians to its Quality Payment Program (QPP), which features the Merit-based Incentive Payment System. Physicians – and other QPP-eligible clinicians - are omitted on the basis of billing less than $30,000 in Medicare Part B allowed charges per yea...

Risk Pearls: May 2017

Risk Pearls  |  Julie Loomis, RN, JD

Do you have a procedure for handling a missed appointment during which follow-up care or treatment was to be provided? To avoid patient harm and a claim of missed or delayed diagnosis, it is important that practices have a procedure to ensure that no-shows and cancellations are communicated to the treating pr...

An Analysis of Pulmonology Closed Claims

Specialty Spotlight  |  Shelly Weatherly, JD

A review of closed paid pulmonology claims over a seven-year period revealed the primary allegation asserted was failure to diagnose and treat.  Most typically, such diagnostic errors were not the result of lack of knowledge or diagnostic ability on the part of the physician, but rather, as the graph bel...

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