Mutual Matters

Bill Kanich, MD

Recent Posts

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

Prescribing Controlled Substances in Georgia

Posted by Bill Kanich, MD on May 7, 2018 9:37:23 AM

When initially prescribing controlled substances , the physician must:

  • Obtain a medical history
  • Conduct a physical examination (in a documented emergency can prescribe an amount to cover less than 72 hours without the physical exam)
  • Obtain informed consent
  • Make a diligent effort to obtain prior diagnostic records related to the condition for which the controlled substances are being prescribed and prior pain treatment records and document such efforts (not applicable if the condition is terminal) 
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Topics: Patient Care and Interaction

Misdiagnosed Ectopic Pregnancy – Another Example of Cognitive Bias?

Posted by Bill Kanich, MD on Dec 28, 2017 1:15:00 PM

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Topics: Patient Care and Interaction

Hurricane checklist for your practice or hospital

Posted by Bill Kanich, MD on Sep 8, 2017 4:12:34 PM

With Hurricane Harvey’s recent devastation of the Texas gulf coast fresh in our memories, and Hurricane Irma about to make landfall in Florida, now is a good time to consider your practice’s preparation for a hurricane or any other disaster. It's not too late to prepare! While not every eventuality can be anticipated, there are a few basic steps you can take that will give your practice the best chance of returning to patient service as quickly and completely as possible after a natural disaster.

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Don't Get Lost in Translation

Posted by Bill Kanich, MD on Aug 3, 2017 4:47:46 PM

Compliance requirements with ACA Section 1557

Last year, the U.S. Department of Health and Human Services (HHS), and the Office for Civil Rights (OCR) issued the final rule for Section 1557, the nondiscrimination provision of the Affordable Care Act (ACA).

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MagMutual Introduces Shoulder Dystocia App

Posted by Bill Kanich, MD on Jul 18, 2017 1:00:00 PM

Over the past ten years, MagMutual has spent an estimated $15 million dollars defending cases involving shoulder dystocia and associated complications. While the majority of these cases involved quality medical care, they were frequently difficult to defend because important aspects of the delivery were not recorded or were only partially documented in the medical record.

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Time to start reporting measures for the MACRA Quality Payment Program

Posted by Bill Kanich, MD on Jul 12, 2017 1:00:00 PM

The clock is ticking on the initial reporting period for MACRA; the actions you take now will determine your Medicare reimbursement rates in 2019. If you plan to participate in MIPS, failure to take any action will result in a 4% negative adjustment to your Medicare reimbursement in 2019.  An overview of MACRA and its potential impact on your practice can be found here.

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Coordination of Care: Keep Patient Info from Falling through Cracks

Posted by Bill Kanich, MD on Jun 8, 2017 1:00:00 PM

Accurate information about a patient’s past history is vital for decision making in every physician-patient interaction. In addition, proper documentation is essential for care that may be provided in the future by yourself or other physicians. Coordination of care is as much of a patient safety challenge as making an accurate diagnosis or ordering the appropriate treatment. The path of care from the initial complaint to completion of treatment is far from seamless. Sometimes it can be full of obstacles – such as the potential to misunderstand or not see important information, including details that could pose serious risks for the patient. Many medical liability cases involve poorly coordinated care that results in harm to a patient.

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Specialty Focus: Obstetrics and Gynecology

Posted by Bill Kanich, MD on Jun 2, 2017 4:16:59 PM

Case #1

A 28-year-old G1 P0 female presents in active labor after an uncomplicated pregnancy. She progressed adequately in labor, getting an epidural at 6cm dilatation. After delivery of the fetal head, the head partially withdraws back into the birth canal (turtle head) and this was immediately noted. A modified McRoberts’ maneuver was done with suprapubic pressure without success.

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

Posted by Bill Kanich, MD 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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Sharing Insight on Mutual Matters

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: 

  • MACRA
  • Healthcare legislation updates
  • HIPAA
  • Patient safety guidance
  • Practice and hospital management advice
  • and more. 

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