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The Sentinel: August 2023


Exemption Application Open for Quality Payment Program – Avoids 9% Penalty

Industry News  |  Elizabeth Woodcock, MBA, FACMPE, CPC

For providers who are required to participate in the federal government's Quality Payment Program, the exemption application is open for the 2023 reporting year. The government is allowing COVID-19 to be the basis for the exemption. Why bother? If you are required to participate in the program based on y...

2024 Medicare Proposed Rule Reveals Insight

Practice Management  |  Elizabeth Woodcock, MBA, FACMPE, CPC

On July 13th, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Physician Fee Schedule (PFS) proposed rule. The ruling is just a proposal, but history demonstrates that it closely aligns with the final policy for the coming year. Therefore, it’s worthwhile to eval...

When PHI Walks Out the Door with a Departing Employee

Closed Claim Review  |  Justin Joy, JD, CIPP

Several recent closed cyber claims involve a similar scenario:  An employee[1] leaves the employment of a clinic, often on a voluntary basis.  Several days or weeks later, the clinic receives reports from existing patients that the former employee is contacting the clinic’s patients and encour...

Risk Matters: Physician-Patient Relationships

Risk Matters  |  Jeffrey A. Woods, JD

With school starting back and fall sports practices commencing, many physicians and providers will be asked to perform a sports physical to provide medical clearance for student athletes to participate in sports activities.  Most jurisdictions will find that even a single encounter for the limited purpos...

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