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The Sentinel: June 2017

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The Patient Who Cried Wolf

Closed Claim Review  |  Tim Behan, JD

We are all familiar with Aesop’s fable wherein a lonely shepherd boy seeks attention by crying out wolf. This trick brings villagers rushing to his side to protect the flock of sheep from an attack. But there is no wolf the first few times the boy shouts out this false alarm. When a real wolf does appea...

Memphis Maxims

Risk Pearls  |  Hugh Francis III, MD

At the UT College of Medicine, rising third-year medical students usually begin their clinical rotations during the first week of May.  In preparation, UT has historically educated these students in risk management, where they learn, among many other things, the importance of their patients’ knowin...

Quietly Improving Care with QICs

Practice Management  |  Justin Joy, JD, CIPP

Just as physician-patient confidentiality encourages frank discussions between the physician and the patient about the patient's condition without concern of involuntary disclosure of that information, documents generated within the parameters of a quality improvement committee (“QIC”) encourage m...

An Analysis of Emergency Medicine Closed Claims

Specialty Spotlight  |  Carolyn Akland, MBA, RN, CPHQ, LNCC

A review of SVMIC emergency medicine closed claims from 2006 – 2016, where a loss was paid on behalf of an insured, reveals four basic areas that contributed to the indefensibility of the claims as seen in the chart below. DOCUMENTATION ISSUES: Maintaining a well-documented medical record, from both ...

Social Security Number Removal Initiative Reminder: Get Your Systems Ready

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

As you know, beginning in April 2018, CMS will start mailing Medicare cards with new Medicare Beneficiary Identifiers (MBIs) to all individuals covered by Medicare. The MBI will, after a transition period, replace the Social Security Number (SSN)-based Health Insurance Claim Number for transactions such ...

Meaningful Use Deadline Looming

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

July 1, 2017, is the deadline for physicians to submit a hardship application for the 2018 payment adjustment, based on the 2016 reporting period for the EHR Incentive Program. If you were eligible to participate in the program, but you did not successfully report the program’s required “meaningfu...

ABN Update

Practice Management

It is time to update your Advance Beneficiary Notice of Noncoverage (ABN). This important form issued by the Centers for Medicare & Medicaid Services (CMS) is used to communicate with patients about services for which Medicare payment is expected to be denied. The changes as of June 21, 2017 include a new...

Business Suit or Hazmat Suit? Which Do I Wear When Visiting Your Practice?

Practice Management  |  Rana McSpadden, FACMPE

The first visual impression a patient has of a medical practice is the lobby.  Do you know what impression you are making on your patients?  As a medical practice consultant, I have seen my share of lobbies through my travels.  As a patient, I can recall a time that the lobby was so inviting an...

Quietly Improving Care with QICs

Practice Management  |  Justin Joy, JD, CIPP

Just as physician-patient confidentiality encourages frank discussions between the physician and the patient about the patient's condition without concern of involuntary disclosure of that information, documents generated within the parameters of a quality improvement committee (“QIC”) encourage m...

Meaningful Use Deadline Looming

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

July 1, 2017, is the deadline for physicians to submit a hardship application for the 2018 payment adjustment, based on the 2016 reporting period for the EHR Incentive Program. If you were eligible to participate in the program, but you did not successfully report the program’s required “meaningfu...

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