Law & Malpractice

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doctor lie

Honesty may be the best policy. But is complete truthfulness the compassionate course in every case? Here's what you need to know about the legal, ethical, and professional issues around withholding information from patients.

Mainstream EHR vendors have gotten better at catering to physicians in specialties outside of primary care, but don't count out niche EHR vendors. We help you examine your purchasing options.

This year's annual MGMA conference comes at a particularly unnerving time for many practices, as they face uncertainty about federal reimbursement and complex EHR requirements. The annual conference of the medical practice association is being held in New Orleans October 24 to 27, and will cover a wide range of topics from health reform to ICD-10.

Recently, David Nash, MD, a health policy expert from Thomas Jefferson University in Philadelphia, wrote a blog post urging physicians to take advantage of the 62 RECs that have been established. The responses to his post reveal physician attitudes toward RECs and EHRs just three months before the government incentives start becoming available in 2011.

The new meaningful use criteria for EHR incentives focus on whether a computer system can perform specific functions or provide particular features - things that are easy to tabulate. It’s harder to determine if you actually use the system and if you, your practice or your patients are better off. There is no assessment of the possibility that computerizing made things worse.

It turns out many physicians aren't aware of the penalties if they don't meet the EHR meaningful use requirements by January 2015.

State EHR Mandates

Maryland, Massachusetts, and Minnesota are putting extra pressure on physicians to adopt EHRs. Now it's time to see if other states follow.

The federal government has estimated that some 50,000 additional health IT workers will be needed in the next five years to help practices and hospitals digitize healthcare. So where will they come from?

The Health Insurance Portability and Accountability Act requires authorization from patients for the release of protected health information for uses other than treatment, payment or health care operations. Here's a sample form for this purpose. Provided by Rachel Glitz, Paul Smith, and Becky Williams of Davis Wright Tremaine, LLP.

Use this form to document internal review of and response to complaints concerning compliance with human resource, HIPAA, Medicare billing or other ethical and legal guidelines.

Ask staff to sign this agreement, showing that they understand the need to protect patient confidentiality.

Is your practice “Red Flags” ready? Here are several forms to help you develop a policy to comply with the Federal Trade Commission’s Red Flags Rule, which requires creditors to implement programs to prevent and detect identity theft. Here you’ll find a document with a policy, board resolution, and contract addendum. Just replace “Our Medical Group” with the name of your practice, and you’re on your way.

Meaningful Use Update

In this podcast, Justin Barnes, of the EHR Association and Greenway Medical Technologies, explains CMS’ final rule for meaningful use criteria for EHR incentives.

Confused about EHR certification? You’re not alone. With all the talk lately about the meaningful use criteria for achieving federal funds, many providers aren’t sure what it all means and where certification fits in there.