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The Sentinel: February 2021

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Medical Records: An Essential Element of the Defense

Closed Claim Review  |  Kathleen W. Smith, JD

Medical records are essential to the practice of medicine.  Among several uses, medical records ensure continuity of care; facilitate effective communication among providers; serve as evidence of all pertinent facts related to the diagnosis and treatment of a patient; and serve as a basis for reimburseme...

Risk Matters: Telemedicine

Risk Matters  |  Jeffrey A. Woods, JD

Governmental shelter-in-place orders and the need to avoid unnecessary physical contact driven by the coronavirus pandemic have caused many providers and patients to suddenly turn to the virtual world to provide and receive care.  While this has generally been good for the healthcare system and patient s...

The Evolution of ‘Incident to’ Billing

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

‘Incident to’ billing has been a challenging topic since its creation by Medicare. The rules – which allow advanced practice providers to be reimbursed at the full physician rate by Medicare when seeing patients in an office and directly supervised by a physician – are complex and, arg...

2021 Changes to RVUs: Ripple Effects

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

By now, physicians have transitioned into the new rules to code evaluation and management (E/M) encounters in the office.*[1] What may not be recognized, however, is the changes to the relative value units associated with the codes. In addition to the shift in coding guidance, the American Medical Association...

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