Mutual Matters

Medicaid Fraud Control Units Report Nearly $2 Billion in Recoveries

Posted by Scott R. Grubman, Esq. on May 25, 2017 1:05:00 PM

On March 6, 2017, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) published data regarding the enforcement activities of Medicaid Fraud Control Units (MFCUs) across the country during fiscal year 2016.

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Topics: Healthcare Industry, Legal and Regulatory

MACRA is here – and what you don’t know can hurt you!

Posted by Guest Writer on May 19, 2017 2:00:00 PM

If you participate in Medicare Part B and if you don’t take action before October 2nd you will receive a 4% negative payment adjustment in 2019.

What is MACRA?

The Medicare Access and CHIP Reauthorization Act (MACRA) repealed the Sustainable Growth Rate methodology used to update physician fee schedule reimbursement and replaced it with a new reimbursement model, the Quality Payment Program (QPP).  Through MACRA physicians will fall into one of two tracks:

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Topics: Healthcare Industry, Legal and Regulatory

5 Tips for Physician Recruiting

Posted by Bill Kanich, MD on May 18, 2017 12:27:00 PM

Physician recruiting is a fact of life for any practice. Whether it’s replacing a retiring solo practitioner, adding an employee physician to a three-person partnership, or adding additional manpower to a large, multi-specialty clinic, physician recruitment is inevitable and the financial stakes are high. 

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Topics: Hospital Management, Healthcare Industry, Practice Management

Hospital Advisory:  Should Hospital Security Officers Be Armed?

Posted by Chet Crockett on May 11, 2017 11:00:00 AM

In light of continued reports of violent incidents in healthcare facilities, healthcare professionals are debating whether arming their security officers will improve safety for patients.

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Topics: Hospital Management, Patient Safety, Healthcare Industry

Developing Resilience and Avoiding Physician Burnout, Part Four

Posted by Marshaleen King, MD on May 9, 2017 1:00:00 PM

The Road to Recovery Once Burnout Occurs

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Topics: Patient Safety, Healthcare Industry

Beware of Prescription Drugs and Devices from Foreign Sources

Posted by Scott R. Grubman, Esq. on May 5, 2017 1:00:00 PM

Recent enforcement actions by the US Food and Drug Administration (FDA) and the US Department of Justice (DOJ) highlight ongoing government scrutiny regarding the sources of prescription drugs and medical devices dispensed by healthcare providers. Importantly, this scrutiny is not limited to distributors: federal regulators have pursued criminal and civil actions against physicians and physician practices that receive drugs and devices from unauthorized sources. Accordingly, healthcare providers should take proactive steps to avoid obtaining drugs and devices from unauthorized sources, particularly foreign entities (e.g., online retail pharmacies based in foreign countries). 

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Essential Medical Skill Can Change Physician Behavior and Improve Patient Outcomes

Posted by Bill Kanich, MD on Apr 27, 2017 1:49:32 PM

A recent Emergency Medical Journal article[1] examined the relationship between empathy and litigation. The authors enrolled two groups of patients into a randomized, double-blind controlled trial. The subjects watched simulated discharge discussions between physicians and standardized patients; half of the videos differed only by the inclusion of two brief empathy statements. These verbalizations included: 1) a reflection on the patients' concerns about their symptoms, and 2) a reflection on their health awareness.

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Topics: Patient Safety

Developing Resilience and Avoiding Physician Burnout, Part Three

Posted by Marshaleen King, MD on Apr 25, 2017 12:30:00 PM

Self-Care as a Path to Resilience

Resilient persons typically engage in positive thinking and are willing to face challenges. They seldom get frustrated when problems arise and they usually rebound from adversity. Although some people believe resilience is innate, this trait can be developed using a number of techniques. Self-care is a central component of

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Topics: Patient Safety, Healthcare Industry

FDA Boxed Warning Required for Fluoroquinolones

Posted by Bill Kanich, MD on Apr 14, 2017 1:30:00 PM

On May 12, 2016, the FDA released an announcement advising that the serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with acute sinusitis, acute bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options.

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Topics: Patient Safety

Physicians Prone to Medical Liability Claims

Posted by Bill Kanich, MD on Apr 6, 2017 1:00:00 PM

NEJM Study shows 1% of physicians accounted for one-third of all paid claims

A study in the January 2016 New England Journal of Medicine[1] analyzed paid medical liability claims, (an indemnity payment made to an injured party), and the physician’s name was reported to the National Practitioner Data Bank (NPDB) to determine if the characteristics of claim-prone physicians could be identified.

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Topics: Patient Safety, Healthcare Industry