Mutual Matters

DOJ Announces Establishment of Opioid Fraud and Abuse Detection Unit

Posted by Scott R. Grubman, Esq. on Aug 30, 2017 9:08:47 AM

Scott R. Grubman, Esq.
Gregory A. Tanner, Esq.

Chilivis, Cochran, Larkins & Bever, LLP

In response to the nationwide opioid epidemic, the U.S. Department of Justice (DOJ) has announced the creation of the Opioid Fraud and Abuse Detection Unit. 

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Updated Guidelines for Management of Pulmonary Nodules on CT

Posted by Marshaleen King, MD on Aug 24, 2017 1:00:00 PM

The Fleischner Society has published new guidelines for the management of incidental pulmonary nodules detected on CT images. The updated guidelines reflect new data in the field and are based on the consensus of a multidisciplinary group comprised of experienced thoracic radiologists, pulmonologists, surgeons, pathologists and other specialists. The guidelines apply to incidental nodules found in adults ≥ 35 years and should not be used in persons < 35, patients at risk for infection due to an immunocompromised state, individuals being screened for lung cancer or people with a known history of a primary cancer.

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The Challenge of Patient Noncompliance with Medical Recommendations

Posted by Hall B. Whitworth, Jr., MD on Aug 15, 2017 11:30:00 AM

Part 1: Clinical impact, incidence, and potential causes

Noncompliance (non-adherence) to medical recommendations can have a significant impact on a patient’s overall health quality, resulting in decreased opportunities for prevention, delayed diagnosis, and incomplete or ineffective treatment. 

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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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The Social Doctor

Posted by Marshaleen King, MD on Jul 27, 2017 3:16:14 PM

Five ways to use social media to your advantage and become a social doctor:

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eClinicalWorks Agrees to Pay $155 Million to Settle False Claims Act Allegations

Posted by Scott R. Grubman, Esq. on Jul 20, 2017 1:00:00 PM

Written by, Scott R. Grubman, Esq., Gregory A. Tanner, Esq., Chilivis, Cochran, Larkins & Bever, LLP

On May 31, 2017, the U.S. Department of Justice (DOJ) announced that eClinicalWorks (ECW), one of the nation’s largest vendors of electronic health records (EHR) software, along with certain individual employees, has agreed to pay $155 million to settle allegations that ECW violated the federal False Claims Act (FCA).

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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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Nationwide Health Care Fraud Sweep Targets Opioid Providers

Posted by Emma Cecil on Jul 14, 2017 2:49:55 PM

On July 13, the Department of Justice (“DOJ”) announced charges against 412 individuals, including 115 doctors, nurses, and other licensed medical professionals, for their alleged participation in health care fraud schemes involving approximately $1.3 billion in false billings to health care programs.

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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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Georgia medical marijuana expansion now in effect

Posted by Carrie Lowe, J.D. on Jul 7, 2017 3:15:37 PM

 

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Here we share some basic insights on matters that are important to physicians, hospitals and healthcare professionals.

Topics include:

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