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Is confirmation bias lurking in your hospital, waiting to cause havoc for even the most skilled, well-intentioned clinicians?
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There was a time when risk managers and regulators were just happy to see that hospital staff had been trained in Health Insurance Portability and Accountability Act (HIPAA) compliance, and they assumed that what worked for one facility would be fine for the next. That’s not the case anymore.
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Transitioning to ICD-10 coding could negatively affect patient safety reporting and perceptions of hospital quality because of inaccurate comparisons between the new codes and those used under the ICD-9 system, according to a study published in the Journal of the American Medical Informatics Association.
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Caroline Carcerano underwent spinal surgery at Tufts Medical Center in Boston in hopes that the procedure would resolve pain from a back injury. During the procedure, her neurosurgeon requested a special dye to test the location of tubing threaded into her spine.
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Recent data from the Centers for Medicare and Medicaid Services (CMS) indicate that violations of the Emergency Medical Treatment and Labor Act (EMTALA) are on the rise. An EMTALA expert suggests there are several reasons:
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Complying with the Emergency Treatment and Labor Act (EMTALA) can be hard enough before court rulings give the rule a longer reach. Courts in Kentucky, Ohio, Michigan, and Tennessee have passed laws that make EMTALA applicable even after admission.
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All Childrens Hospital, Pediatric Physician Services (PPS), and All Childrens Health System in St. Petersburg, FL, have settled a whistleblower lawsuit brought under the False Claims Act for $7 million.
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There are some instances in which healthcare managers must protect themselves, even if means blowing the whistle on your employer, says Josh Hyatt, MHL, CPHRM, senior risk management specialist with NORCAL Mutual Insurance in San Diego.