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The Sentinel: July 2017

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MACRA 2.0 Proposed

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Proposed updates to the Medicare Quality Payment Program (QPP) for calendar year 2018 would provide many physicians and other providers welcome relief from several regulatory burdens imposed by the Medicare Access to Care and CHIP Reauthorization Act (MACRA). The updates also would give tens of thousands clin...

It Adds Up Quickly

Cyber Security  |  Kari Stearn

Over the past decade, rapid advancements in technology have enabled a vast and expansive digital economy. As a result, medical practices of all sizes are using a broad range of personal and company-issued devices to keep employees connected to each other and to their workplace. But as connectivity grows, so t...

An Analysis of Neurosurgery Closed Claims

Specialty Spotlight  |  Shelly Weatherly, JD

A review of Neurosurgery closed claims from 2004 – 2016, where a loss was paid on behalf of an insured, reveals that there were 3 basic areas (excluding errors in medical judgment and/or technical performance) that contributed to the indefensibility of the claims. These topics are illustrated in the gra...

The New Reality of Patient Financial Responsibility

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

As insurers and employers are now offering health plans with higher deductibles and copayments, collecting at the point of contact is more important than ever to ensure a successful practice. While many medical practices struggle with this, it doesn’t need to be as difficult or intimidating as it might ...

"We Are Sorry to Have to Inform You"

Closed Claim Review  |  Jim Howell, JD

All seemed well at a busy pediatric practice until a routine audit conducted by the Vaccine for Children program (VFC). When the VFC auditor reviewed the temperature log for the practice’s vaccine storage unit, numerous temperatures were noted to be out of conformity with guidelines. Non-conforming temp...

If the "Scribe" Fits

Practice Management  |  Sheri Smith, FACMPE

Physicians struggle with the increased regulatory requirements of documenting a patient encounter in the Electronic Health Record (EHR). The majority of physicians chose medicine as a career path to take care of patients only to find that they spend an overwhelming amount of time and energy documenting patien...

Risk Pearls: July 2017

Risk Pearls  |  Justin Joy, JD, CIPP

Tempting as it may be, think twice before accessing medical records if you receive a notice of intent to sue or are served with a lawsuit. An electronic health record (EHR) system tracks activities and records the information in metadata—the “data about data”—o...

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