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The Sentinel: August 2017


Who's On First, and Who's On Second?

Closed Claim Review

Who is ultimately responsible for notifying the patient of important test results?  If the ordering physician fails to do so, does any responsibility flow to the next provider in line, for example, the physician’s nurse practitioner?  Does responsibility flow outward to other providers who wer...

Meeting Management

Practice Management

One of the unfortunate necessities of managing any organization is the need to have meetings. As medical practice consultants, we work with practices on governance and management issues. Few practices handle their meetings well. Problems range from no regular meetings to meeting too frequently, meetings witho...

Minding Your Information Through Document Retention Policies

Practice Management  |  Justin Joy, JD, CIPP

The information contained in your practice’s documents and records is one of the most valuable assets to your organization. Without this information, your practice cannot treat patients, receive compensation, or otherwise operate. With the fundamental transformation of documents from paper to digital fo...

Hardship Application Open for MIPS' Advancing Care Information

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

“Extreme and uncontrollable” circumstances provide a way out of a key component of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program (QPP). The QPP Hardship Exception Application for the MIPS program year 2017 just opened on August 2, with circumstances such ...

Kentucky Surgeons: July 1, 2017, Start of Government Research Study

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

Several years ago, the Centers for Medicare & Medicaid Services (CMS) proposed a dismantling of the coding system for surgeries. Congress stepped in to block the change, but allowed CMS to study the non-surgical activity that occurs during global periods. That research study began on July 1, 2017, encompa...

Patient Portals

Risk Matters  |  Julie Loomis, RN, JD

At SVMIC, we’re often asked if a practitioner can utilize the patient portal to notify patients of lab/test results that are normal and require no follow-up. The short answer is yes, you can use your patient portal to communicate lab/test results that are normal, require no immediate attention and are n...

An Analysis of Interventional Pain Management Closed Claims

Specialty Spotlight  |  Shelly Weatherly, JD

A review of SVMIC Interventional Pain Management claims with a paid loss from 2007 – 2016, reveals that medical judgment was challenged in 79% of the cases.  Allegations included utilizing improper technique, failing to properly diagnose and treat a complication, failing to order proper diagnostic ...

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