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Industry Pushes Back Against Looming Surprise Billing Ban Compliance Date

Payers and hospitals call for a delay until 2023 as they wait for key elements of the NSA to be released and an end to the public health emergency. As the Jan. 1, 2022, compliance date for the No Surprises Act (NSA) that bans surprise (balance) billing approaches, insurers and hospitals are asking to delay […]

The post Industry Pushes Back Against Looming Surprise Billing Ban Compliance Date appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CMS Issues Warning Against Cutting Therapy Visits Under PDGM

Will your utilization data pre- and post-PDGM make you stand out to authorities? As the weeks under the Patient-Driven Groupings Model (PDGM) wear on, more reports of home health agencies (HHAs) cutting therapy visits and staff roll in. Now Medicare officials are telling agencies to cut it out. The Centers for Medicare & Medicaid Services […]

The post CMS Issues Warning Against Cutting Therapy Visits Under PDGM appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Medical Malpractice Cases ? How to Deter Against Ever Increasing Medical Errors!

Physicians who accept responsibility for treatment decisions are accountable for their medical practice errors.

The truth is this: Most of us inherently trust doctors and physicians to keep our best interest in mind and to have the ability to safely help us. This trust may not always be founded, but it’s a deeply rooted part of our culture, and even if we get butterflies before a major operation, our logic still tells us that we’re going to come out fine on the other side.

When that isn’t the case, medical malpractice can really damage our psyche and give us a deep fear of medical attention of any kind. In many cases, that is just the beginning of what happens to our psyche.

Every year medical malpractice cases in America’s most advanced cities like New York, Chicago and California, causing at least 27,000 injuries and 7,000 deaths. Eight times as many patients are injured as ever file a claim, and 16 times as many suffer injuries as ever receive any compensation. At the highest level, the estimated number of medical injuries nationally is more than one million per year; approximately 85,000 malpractice suits are filed annually.

To deter against the medical malpractice cases and these frightening facts and figures from the most developed country of the world, we need to know about what medical malpractice is all about.

What Is Medical Malpractice?

Medical malpractice cases occur when a healthcare provider fails to exercise that degree of care and skill required by a patient. If these standards are not followed, malpractice may have occurred. Medical malpractice can be generally defined as substandard treatment by a physician or other healthcare professional that directly results in physical or economic damages to the patient. “Substandard” care refers to care that violates normal medical practices.

Five Most Common and Most Frightening Effects of Medical Malpractice Cases

There are many different outcomes in medical malpractice cases, but here are some common after-effects of medical malpractice and a medical negligence.

1. Pain and Suffering

The foremost and obvious effect of having something go wrong in a simplest of medical treatment to the major operation is the pain and suffering of the injured.  

2. Disability or Deformity

In many severe medical malpractice cases, a patient may end up disabled or deformed as a result of medical malpractice, causing a disadvantage for the rest of their life, affecting their ability to work and do pretty much anything else.

3. Emotional Stress and Mental Fatigue

One of the deepest extents of any medical malpractice case brings to a person in a situation of emotional stress caused by the negligence of a doctor or a medical practitioner. Even a temporary situation can result in shock and complete re-evaluation of what we can expect from the society around us.

4. Financial Miseries

Medical malpractice negligence happening can become a very expensive issue for the patient. Because it might not only increase the time of recovery from the scratch but also skyrocket the cost of medical attention and most importantly the financial loss due to unemployment.

5. Death

Almost 98,000 people die in hospitals annually each year due to medical malpractice cases. Whether from the wrong medication or something more sinister, these things do happen.

Two Basic Reasons of Increasing Medical Malpractice Cases

Medical inflation is the most important reason that has triggered the medical malpractice cases all around the world from the most developed countries to the countries of the third world. The first reason which halts me up is that the expenses are the biggest and the most predictable part of damages in the high severity cases that drive medical malpractice payments in individual cases to increase at a rate that is closer to the rate of medical inflation than to rate of inflation in the other areas.

Second reason which daunts out expressively is that the health-care sector economy is growing more rapidly than the economy as a whole. Malpractice payments can be expected to grow at about the same rate as the size of health-care sector of the economy and as fast as medical prices. This is in-fact what the research has proved in recent years.

Concluding Comments

•  In principle, a negligence rule of liability against medical malpractice cases can correct these distortions and create incentives for efficient care and risk-taking, under certain conditions. These conditions include that courts set the standard of due care at the efficient level, that damages be optimally set, that providers be liable for failure to obtain informed consent, and that suits be brought and compensation awarded if and only if negligence occurs.

•  Efficient deterrence incentives can, in theory, also be achieved by a rule of strict liability, whereby providers are liable for all injuries caused by medical care, regardless of negligence.

•  Adjusting for medical inflation helps prevent us from mistaking in medical procedures and also a major decrease in medical malpractice cases can be expected.

•  The second thing which can be done to cut the maximizing rate of medical malpractice cases is that to increase the liability, like if a doctor or medical practitioner malpractices, he or she should be arrested and punished to the maximum prison sentence. And if the felony has reached up to death of a patient then the medical practitioner must be treated as the criminal murderer‘s are treated in the judgment court because the human life is more precious than anything.  

•  Committing to implement these standards we can deter those medical practitioner or doctors who are ever been involved in such activities but can also retaliate aggressively against the increasing amount of medical negligence and medical malpractice cases.

Muhammad Saad Khan is a Research Analyst at Q2 Group. Q2 is specialized in medical credentialing, primary source verification, and medical license verification according to the standards of joint commission international. For more about medical malpractice cases, please visit http://medicallicenseverification.com

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Medical Malpractice Ny- Comprehending The Measures Against Offensive Medical Setup!

Medical malpractice cases have been on rise over the past few years. Despite of many regulations and safety measures against such an offensive act, yet people eliminate such an offensive medical mistreatment from the system. Claiming for the compensation just not solves the problem. One has to step up towards removing it from the entire health set up so that no other person gets affected by such a wrong act.

Before we venture into what is medical malpractice NY it is essential to understand which acts can be termed as malpractices in medical profession. Some of the common ways that can be included in the medical malpractice are
Wrong diagnosis
Delayed diagnosis or treatment
Negligent behaviour of doctor and assistant medical staff
Prescription mistakes
Anaesthesia mismanagement
Injuries and faults during child birth or surgeries

It is estimated by various institutes of medicines that maximum number of deaths are caused by the negligence of doctors and wrong diagnosis of the diseases. One need to combat such a risk to health of the common people who may or may not know in whose hands they are laying their health concerns. These medical malpractice acts are generally due to the negligence of the medical practitioners. These mistakes can be avoided but in the race of earning high and reaching high position doctors and their assistants are least bothered about poor patients.

medical malpractice NY is a law in New York City wherein common man can claim the loss he has incurred due to the negligence of medical authorities. As per the law statute, patients who have suffered in the hands of negligent doctors can claim for the loss in the form of financial compensation.

It is a basic and most important human right to have your say in whatever service you need. Also, you have full right to question. Of course there are many medical malpractice lawyers who can help you to win the case against the medical institution. But, as it is said, prevention is better than the treatment, so it would be better that you question your doctor about the disease you are suffering with and what all treatment would be required for the same. Do not give into the demand of hefty medical fees. There are many hospitals that have sound medical facilities in reasonable prices. So, make sure you take decision with utmost discretion. A friends advice would be of good help if they have previously taken medical cure from the doctor you are opting for.

medical malpractice NY lawyers are trained and specialised in dealing such cases with expertise. What you need to do is to be honest with your lawyer and tell him all the exact details of your medical malpractice case. This will help your lawyer to put your case in right light in front of the court. An expert lawyer would bring in all the evidence and witnesses in an organized manner and strengthen your case to win good compensation of mental torture, health loss, and financial loss you had incurred due to doctors negligence.

George Turner gives advice to clients who are looking for attorneys to handle injury related cases. To know more about the services of medical malpractice, Personal Injury Lawyer, medical malpractice lawyers new York, medical malpractice law firm, personal injury New York, medical malpractice New York visit http://www.nbrlawfirm.com

Medical Malpractice Ny- A Law To Safeguard You Against Offensive Medical Treatments!

Medical malpractice cases have become a common in the daily headlines. Have you ever asked this question, why, whats the reason behind this? The most important factor acting as a catalyst behind such a wrong act is our own ignorance and lazy attitude of letting things go by and not taking efforts to complaint for what is wrong and illegal.

New York being the canter of all the major activities of the nation has also become prime location for illegal activities these days. Numbers of hospitals and medical institutions have sprung up promising effective and efficient medical services. However, the fact is that these institutions have been increasing medical malpractice NY at a higher rate. Since people themselves have become too used to being victim to high profile criminal acts.

It is very important to understand what medical malpractice is. It is a legal term that defines the law that acts against illegal and offensive medical procedures carried out in hospitals. As per this law, patient, i.e. the plaintiff who has suffered in the hands of doctors can file a lawsuit against the hospital and claim the loss in the form of compensation. Medical malpractice NY cases can be handled by a proficient and well experienced attorney who works in New York City and is specialised in the field.

Every state in US has its particular statute for the medical malpractice law. So, make sure you take counsel of an attorney who has good record of dealing such cases in your state. This law is specially formulated keeping in view the rising number of people who have suffered in the name of good medical services and have paid heavily for the same. medical malpractice NY law would not only help patients who became the victims but to general public as well to avoid such cases in future.

There are specialized courts dedicated for the hearings and solving of medical malpractice NY cases in the city. Here counsellor, lawyers, and health specialist expert in the sorting out medical malpractice cases and delivering relief to the plaintiff are appointed and available for the assistance of general public. They collectively work together to bring justice to people who have become victim of offensive medical treatment, wrong diagnosis, and even have faced untimely death of their relatives owing to wrong medical procedures.

In the beginning there was a little uproar against the health courts dedicated to medical malpractice NY but it won favours due to the success of the idea and the noble cause attached with it. This has become one of the major steps towards ensuring healthy life style and secured medical practice. This has once again restored the faith of common man in the health cure set up of the nation. Isnt it an effective step to have specialized lawyers, counsellors, and health courts to decide over the cases of medical malpractice NY?

You know this answer already! Now that you have understood what medical malpractice NY is and how it can be counselled, it would be great if you enlighten your kith & kin about it.

George Turner gives advice to clients who are looking for attorneys to handle injury related cases. To know more about the services of medical malpractice, Personal Injury Lawyer, medical malpractice lawyers new York, medical malpractice law firm, personal injury New York, medical malpractice New York visit http://www.nbrlawfirm.com

Related Medical Coding Articles

E/M Course Answer Issue Incorrect against Rule Re DM and Onychomycosis

I just taken a Mod 8 Test / Qstn No. 1 of the Evaluation and Management Course. DX is: Onychomycosis and DM, I selected Answer C, however the online test is only accepting Answer A to be the correct answer.
However this goes against it’s Reasoning which states:

* There was no mention of diabetic neuropathy or ulcer
* There was no documentation that the onychomycosis is a diabetic complication
* Pt. was seen for foot check, and the onychomycosis was found during this check
* Resulting this to be coded as 1st Dx: Oychomycosis B35.1 and 2nd DX: DM E11.9

Please correct this issue or explain why the system is accepting Answer A rather than Answer C. Thank you for your help.

ojt

Medical Billing and Coding Forum

Medical Economics – Top 11 Ways Physicians Can Fight Back Against Denials

AAPC’s Vice President of Member and Certification Development, Raemarie Jimenez, CPC, CDEO, CPB, CPMA, CPPM ,CPC-I, CANPC, CRHC  spoke with Medical Economics to examine how physicians should best manage denied claims. The article gives different avenues for providers to consider when receiving denials, with advice from several industry experts on next steps. Jimenez advises providers […]
AAPC Knowledge Center

Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons

John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.

A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.

You can read the full article on GoErie.com here.

 

 

The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.

The Coding Network

Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons

John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.

A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.

You can read the full article on GoErie.com here.

 

 

The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.

The Coding Network

Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons

John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.

A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.

You can read the full article on GoErie.com here.

 

 

The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.

The Coding Network