Mutual Matters

Frequently Asked Questions on Privacy and Psychotherapy Notes

Posted by Dana N. Taylor, MHA, CPHRM, CPPS on Jan 17, 2019 12:30:00 PM

Psychotherapy notes receive special protection under the HIPAA Privacy Rule (“Privacy Rule”).  It is important for practices with behavioral health providers to ensure their staff understands the special protections provided to psychotherapy notes.

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Topics: HIPAA and Cybersecurity

Notice of DEA Scam

Posted by Matthew Baker on Jan 10, 2019 11:40:00 AM

MagMutual PolicyOwners℠, along with many other healthcare providers, continue to be targeted by a particularly harrowing extortion scam. It begins with a phone call. Your caller ID reads: "Drug Enforcement Agency," or something equally similar and convincing. It already seems legitimate.

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Topics: HIPAA and Cybersecurity

HIPAA Enforcement, Training Requirements, Tips, and Resources

Posted by Becky Lowman, MBA, RD, LD, CPHRM, CPPS on Dec 13, 2018 2:19:32 PM

In 2003, the Office of Civil Rights (OCR) began enforcing the HIPAA Privacy Rule. In 2009, OCR began enforcing the HIPAA Security Rule. Every year, there is a steady increase in the number of complaints received and investigated by the OCR. Since 2003, the OCR has received over 186,453 HIPAA complaints, initiated over 905 compliance reviews and resolved 96% of these cases. As a result of these HIPAA complaints, OCR has imposed civil monetary penalties on violators totaling $79 million.[1]

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Topics: HIPAA and Cybersecurity

EMTALA: What On-call Physicians Need to Know

Posted by Karen Civali on Oct 19, 2018 4:24:10 PM

In 1986, Congress enacted the Emergency Medical Treatment & Labor Act (EMTALA) to ensure public access to emergency services regardless of ability to pay. Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay. Hospitals are required to provide stabilizing treatment for patients with EMCs. If a hospital is unable to stabilize a patient within its capability, or if the patient requests, an appropriate transfer should be implemented.

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Topics: Patient Care and Interaction

Can an Audit or Regulatory Proceeding Really Happen to You?

Posted by Stephanie Dozier on Oct 12, 2018 11:55:00 AM

Regulation of the healthcare industry is increasing. Almost every aspect of a medical practice is now regulated, including interactions with patients, employees, vendors, and even how you bill for your services.

Though the headlines are filled with articles about million dollar settlements between the government and providers, hospitals, or pharmaceutical companies, no one thinks it will happen to him or her.

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The Importance of Early Reporting and Early Resolution

Posted by Bill Kanich, MD on Oct 5, 2018 11:55:00 AM

Deciding when to report a bad outcome is a difficult decision for physicians and healthcare providers. On the one hand, providers are obligated to report outcomes that could lead to claims to their malpractice insurance provider; on the other, reporting every unanticipated outcome could quickly become burdensome.

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Topics: Patient Care and Interaction

Hurricane Preparedness

Posted by Ruth Wood, MBA, CPHRM on Sep 13, 2018 9:00:47 AM

It’s never too late to prepare for a hurricane or other natural disaster.  While not every eventuality can be anticipated, there are steps you can take that will give your practice the best chance of returning to normal operations as quickly and completely as possible after a natural disaster.

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Topics: Employment Issues and Workplace Management

DOJ Announces Two Large False Claims Act Settlements

Posted by Scott R. Grubman, Esq. on Aug 30, 2018 12:03:00 PM

Earlier this month, the Department of Justice (DOJ) announced two large settlements under the False Claims Act (FCA) against hospital systems:

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Topics: Billing and Reimbursement

CMS Proposes Potential Changes to Documentation Requirements

Posted by Scott R. Grubman, Esq. on Aug 23, 2018 11:57:40 AM

On July 27, 2018, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule containing numerous proposed changes to the Medicare physician fee schedule and other Medicare policies. The proposed rule is intended to update Medicare’s payment systems to better reflect the relative value of services. 

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Topics: Billing and Reimbursement, Patient Care and Interaction

Buying Insurance Through a Payroll Provider, Six Things to Consider

Posted by Mark Francis on Jul 26, 2018 1:00:00 PM

Utilizing a payroll company to ensure accuracy and save time can be beneficial for many practices. However, utilizing this same company for related services such as workers’ compensation insurance – a move that may save time, but usually doesn’t provide value to the practice – is another story.

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Topics: Employment Issues and Workplace Management

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As one of the leading mutual providers of Medical Professional Liability insurance, we're here to help all healthcare professionals with the challenges they face on a daily basis. The topics we cover include: 

  • Healthcare legislation updates
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