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The Sentinel: November 2018


The Five Main Causes of Physician Burnout

Risk Topics  |  Dike Drummond, MD

This is the first in a three-part series from Dike Drummond, MD. Dr. Drummond is CEO of, where he provides burnout prevention and leadership development coaching, training and consulting to individual physicians and healthcare organizations. Dr. Drummond will be speaking on this topic at the 20...

Self-Inflicted Wounds

Closed Claim Review  |  Jeff Williams, JD

Lisa Owens was a sixty-year-old female.[1] By most standards, she had a good life. Mrs. Owens had a loving husband, adult-aged children and young grandchildren. Mrs. Owens and her husband were both at the twilight of their respective careers and were looking forward to retirement, which meant spending more ti...

Records Go Missing After EMR Outage


The following article is based upon an actual claim situation experienced by an SVMIC policyholder. The details have been altered to protect our policyholder’s privacy. It was day that began like any other for Dr. Sandra Lynn, an internal medicine doctor and the head of a multi-specialty clinic made up...

Changes to Evaluation & Management Coding to Have Major Impact of Government's New Ruling

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

On November 1, the Centers for Medicare & Medicaid Services (CMS) released the Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2019. This highly anticipated, hefty 2,378-page federal ruling outlines key reimbursement changes for 2019 – a...

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