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IN THIS ISSUE ...

AAOE Toolkit
  • Article: Enforcement Creates the Age of Health Care Compliance
  • Article: The Greatest Health Care Fraud Risks of 2014 – Or What Should Be Keeping You Up At Night
  • Article: Auto-Population Gone Wild
  • Article: Mitigating Risks in Clinics and Physician Practices
  • E-book: Risk Management Guide for Physician Practices
  • eNewsletter: Provider Compliance Newsletter
  • LinkedIn: How to Prepare for OSHA’s Unannounced Onsite Inspections
  • LinkedIn: Monetary & Non-Monetary Effects of PHI Breaches
  • Podcasts: The Nuts and Bolts of Achieving HIPAA Security Rule Compliance through Effective Risk Assessment


  • Calendar of Events
  • Calendar


  • Within Your Practice Walls
  • Some doctors wary of taking insurance exchange patients
  • JAMA examines 7 ideas for lowering the risk of medical lawsuits — without tort reform
  • Optimizing an EHR may be better than replacing it
  • Malpractice suits often tap electronic health records
  • Study: Medical bill collectors will contact 1 in 5 Americans
  • Want to fix the 'doc fix?' experiment!
  • Wills and living trusts: Building blocks of every estate plan
  • Malpractice dangers of new medical devices






  • MAKING HEADLINES AT AAOE THIS WEEK

    Enforcement Creates the Age of Health Care Compliance
    AAOE
    In this article, Lee F. Lasris, Health Law Attorney and a Founding Partner of the Florida Health Law Center points out the many rocks under which the government is looking to make sure every practice (maybe yours) is in compliance. He points out the 2014 focus of their pursuit. Make sure you are not on the "list."
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    The Greatest Health Care Fraud Risks of 2014 — Or What Should Be Keeping You Up At Night
    AAOE
    This article was written by Julie Malida, the Principal for Health Care Fraud Solutions in the Security Intelligence Practice at the SAS Institute Inc., this article discusses a list of items as "what should be keeping you up at night."
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    Auto-population Gone Wild
    AAOE
    (2010) — Although EMR documentation can be a time-saver for providers, taking certain types of shortcuts, such as remembered items, pick lists and automatic coding can be risky.
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    Mitigating Risk in Clinics and Physician Practices
    AAOE
    Just because a physician practice is short-staffed and short on budget, does not mean they should forego a compliance program and risk being fined, audited or denied for reimbursement. This article briefly addresses the following areas of concern: HITECH, Coding and National Reporting in Practice.
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    Risk Management Guide for Physician Practices
    AAOE
    This 57-page manual written by Texas Medical Liability Trust provides some basic information to help practices develop a risk management program. It also includes samples and templates for your use.
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    Provider Compliance Newsletter
    AAOE
    CMS publishes a quarterly Provider Compliance Newsletter that addresses common physician billing & documentation errors. Previous volumes are also available for download.
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    How to Prepare for OSHA's Unannounced Onsite Inspections
    AAOE
    Posted by Stephanie Casstevens. Are you ready for an on the spot OSHA inspection? Follow this article from LinkedIn to be sure you are...
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    Monetary & Non-Monetary Effects of PHI Breaches
    AAOE
    Daniel Solove — Research Professor of Law at GW Law School and Founder of TeachPrivacy discusses the monetary and non-monetary effects of PHI breaches. It's a quick read.
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    SPONSORED CONTENT


    The Nuts and Bolts of Achieving HIPAA Security Rule Compliance through Effective Risk Assessment
    AAOE
    In this <10 minute podcast, Dr. Salvatore Volpe, Solo Practitioner and Lee Kim, BS, JD, Director, Privacy and Security, HIMSS briefly discuss the need and requirement for proper security assessment in medical practices.
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    CALENDAR OF EVENTS

    Date Time (EST) Event More Information
    Nov. 6 12 - 1 p.m. AAOE Webinar: Service as a Culture [P2P] Details
    Nov. 14-15 ALeadership Immersion Series – Module 3: Lateral Leadership Details
    Nov. 20 12 - 1:30 p.m. AAOE Webinar: How to Manage Compliance Risk in Your Practice Details
    Dec. 11 12 - 1 p.m. AAOE Webinar: Advocacy and Social Media [HTW] Details
    April 17-18 AOA Leadership Immersion Series — Module 1: Surviving Health Care Changes: Leaders Taking Strategic Action Details
    April 25-28, 2015 2015 AAOE Annual Conference in Chicago Details
    Sept. 24-26, 2015 2015 BONES Society of Florida Annual Meeting Details
    Sept. 25-26, 2015 AOA Leadership Immersion Series – Module 4: Leading High Performing Teams Details

       [P2P]: AAOE Peer-to-Peer Audio Conference
       [HTW]: Hot Topic Webinar


    WITHIN YOUR PRACTICE WALLS


    Some doctors wary of taking insurance exchange patients
    USA Today
    Now that many people finally have health insurance through the Affordable Care Act exchanges, some are running into a new problem: They can't find a doctor who will take them as patients. Because these exchange plans often have lower reimbursement rates, some doctors are limiting how many new patients they take with these policies, physician groups and other experts say.
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    OA Braces: Did increased utilization contribute to billing code changes?
    Townsend Design
    A growing percentage of Medicare patients with OA related knee pain and mobility limitations are being fit with off-the-shelf corrective knee braces. Following this increase in use, CMS has imposed new billing code requirements effective October 1, 2014. Statistics from 2012 indicate Medicare provided reimbursement for over 20,500 L1843 single hinge braces routinely prescribed for unicompartment OA. An additional 19,000 L1845 braces were reimbursed by Medicare. While these dual hinge (L1845) braces are prescribed for both ligament instabilities and knee OA, a majority of the L1845 braces paid for by Medicare are prescribed for older OA patients with joint degeneration.
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    Promoted by Townsend Design


    JAMA examines 7 ideas for lowering the risk of medical lawsuits — without tort reform
    MedCity News
    The threat of being sued for medical malpractice looms over most physicians — but thus far, tort reform's been failing on the federal level. A new free online JAMA article outlines the current medical liability climate, and ways that it can be amended. The piece, titled "The Medical Liability Climate and Prospects for Reform," contained a pretty interesting chart that spelled out the different approaches.
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    Optimizing an EHR may be better than replacing it
    Health Data Management
    The electronic health records system at 28-provider United Regional Physician Group was not working well with high levels of dissatisfaction among clinicians and staff members. The organization retained ECG Management Consultants to evaluate its revenue cycle. The firm learned there was high turnover in the information technology department, unhappiness with the EHR implemented four years earlier, but also that the system was not to any degree being used to its full capacity, said Taraq Mazher, director at United Regional, during a session at the MGMA Conference in Las Vegas.
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    Malpractice suits often tap electronic health records
    Modern Healthcare
    Electronic health records can save money and improve medical outcomes, but using them incorrectly can create significant liability problems for healthcare providers, defense attorneys say. In the overwhelming majority of cases, health records are the "single-most important piece of evidence" in medical malpractice lawsuits, said Craig R. Merkle, a partner at Goodell, Devries, Leech & Dann in Baltimore.
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    Study: Medical bill collectors will contact 1 in 5 Americans
    Sacramento Business Journal
    Americans pay three times more in medical debt to collection agencies each year than they pay for bank and credit card debt combined, according to a new study by NerdWallet Health. In 2014, one in five American adults — roughly 51 million — will be contacted by a debt collection agency about medical bills, NerdWallet found. In 2012, $21 billion was collected.
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    Want to fix the 'doc fix?' experiment!
    Forbes
    For health policy wonks, the end of the year isn't just the holiday season. With the falling temperatures will come a renewed “doc fix” debate, as Congress deliberates on ways to avoid a scheduled double-digit (24 percent last year) cut in Medicare's physician payments. And avoid it they will. As health economist Austin Frakt put bluntly: "Good luck getting physicians to keep Medicare patients if the payments are suddenly cut 24 percent."
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    Wills and living trusts: Building blocks of every estate plan
    By David B. Mandell, JD, MBA, and Carole Foos, CPA
    Nearly all orthopaedic practices know that they need to get their estate planning documents in place. Without them, family members can be disinherited, additional taxes and probate fees can be imposed, and minor children can be raised by guardians whom you have not chosen. In this article, we will lay out the two basic estate planning documents everyone should have.
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    Malpractice dangers of new medical devices
    Medscape
    If a patient is injured owing to a mishap involving a medical device, who gets sued? The patient's attorney could bring a product liability suit against the manufacturer, arguing that the device is defective. He could sue the physician for malpractice for improperly using the device. Or he could sue both of them. Search the Internet for "medical devices and malpractice," and you'll quickly find dozens of law firms touting horror stories involving various devices and urging patients to contact them for consultations.
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