West Virginia Supreme Court upholds Medical malpractice awards cap
July 25th 2011The West Virginia Supreme Court of Appeals ruled recently that the state's cap on medical malpractice pain and suffering damages is constitutional. The court approved a lower court's decision to reduce a lawsuit award from $1 million to $500,000, in accord with an amendment enacted by the state legislature in 2003.
AAFP wants change in RUC composition
July 25th 2011To increase parity between specialists and primary care providers (PCPs) and address the growing shortage of PCPs, the American Academy of Family Physicians (AAFP) has called on the AMA/Specialty Society Relative Value Scale Update Committee (RUC) to change its structure to give greater representation to primary care fields.
Brief reprieve on requirement to electronically submit quality measures
July 21st 2011The Centers for Medicare and Medicaid Services (CMS) gave physicians a break in its recently proposed rule on meaningful use requirements for electronic health records (EHRs). The revision would allow eligible providers (EPs) to ?continue to report clinical quality measure results as calculated by certified EHR technology by attestation? through 2012. Previously, CMS had required eligible providers (EPs) to start submitting quality measures electronically to CMS next year.
Join the club: Most practices find today's operational issues overwhelming
July 21st 2011Overwhelmed by changing reimbursement models, emerging regulations and adopting new technology? You?re not alone. Respondents to a recent survey said four of the top five ?considerable or extreme challenges? they face relate to these operational issues.Three of the most troubling issues for practices had not even been on practice group leader?s radars in previous years.
Prescription drug abuse creates liability, regulatory issues for practices
July 21st 2011Prescription drug abuse is the nation?s fastest-growing drug problem, and, unless primary care practices take appropriate precautions, it also could become one of their fastest-growing regulatory and liability issues. With increased regulation on the horizon, a new study recommends ways that physicians can improve prescribing practices for opioids and other often-abused drugs.
Compensation issues push PCPs to move from practices
July 21st 2011Money isn?t everything, but 35% of primary care physicians (PCPs) say it is the most important factor in changing practices. Compensation was 50% more important to PCPs in evaluating a professional move than location or quality of practice, the most significant factors for residents and fellows.
Power wheelchair payment report blames physicians
July 21st 2011When patients seek your help in getting a device that can allow them live at home instead of having to move to a long-term care facility, you have to navigate through a confusing maze of Medicare regulations to submit the order, only to find out that you are being blamed for the latest government healthcare expense boondoggle. What is really behind a recent government report blaming physicians for insufficient documentation for power wheelchairs?
Best answer on when Medicare will run out of funds? Sooner rather than later
July 13th 2011While the latest trustees report says Medicare is running out of money and time, the program's own actuary questions those projections. What is more certain is that, unless some decisive action is taken, reimbursements to physicians and other providers would be cut 10% by 2024, if not earlier.
Public's easier access to disciplinary action raises due process questions
July 13th 2011State medical boards and legislatures are responding to public demands that information about disciplinary action against physicians be timely and easy to get by publishing disciplinary, criminal, and liability histories online. But what about the physicians' rights?
Does liability for your patient continue after referral?
July 13th 2011Does a primary care physician remain legally responsible for a patient after referral? The Delaware Superior Court recently determined the answer to be "No." As with all legal proceedings, however, it is important to discuss context.
Insurers turn to house calls to improve care and reduce costs
July 13th 2011Get your black bag ready. House calls could be in your future. While Medicare prepares to roll out the Independence at Home pilot program next year, commercial insurers have been testing variations on the concept for some time, especially to provide care to the sickest of the sick.
Streamlined claims rule would save your practice time, money
July 13th 2011Fed up with the hours on the telephone to untangle claims issues with insurers? A new proposed rule could help. It requires insurers to use uniform transmission formats and standardized forms when they seek information or provide claims and coverage information to doctors.