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A woman suffering from personal problems and the subsequent unexpected death of her son was involuntarily committed to a behavioral health center by a psychologist allegedly following a telephone conference in which the woman expressed suicidal ideation. The physician failed to document the specifics of the conversation on the records required for an involuntary commitment.
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Nearly 35% of all the imaging costs ordered for 2,068 orthopedic patient encounters in Pennsylvania were ordered for defensive purposes, according to study presented recently at the 2011 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS).
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A large hospital system in Massachusetts has agreed to pay $1 million in fines and improve its policies and procedures after an employee left patient information on a subway.
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The $4.3 million civil monetary penalty imposed on Cignet Health in Temple Hills, MD, could have been avoided by simply responding to the reasonable requests of patients for their own medical records, according to the case laid out by the Department of Health and Human Services (HHS).
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The first civil monetary penalty handed down by the Department of Health and Human Services (HHS) has created a buzz throughout the health care industry, and not just because of the eye-popping amount of the fine: $4.3 million.
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Regulatory insurance is becoming more popular with health care providers, says Chip Goen, vice president of sales with MAG Mutual Insurance Agency (MMIA) an insurance company in Atlanta. The company writes about 10 regulatory policies a month, up significantly over the past few years.
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Medicaid programs underfunded nursing facility care by $5.6 billion in 2010, paying $7.17 per hour per patient, less than the nation's current minimum wage of $7.25 an hour, according to an analysis from the American Health Care Association in Washington, DC.
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After the Multipurpose Senior Service Program (MSSP) was targeted for elimination in January 2011, the program's staff put together their own analysis to prove the cost savings achieved by the program, reports Eileen M. Koons, MSW, ACSW, director of Huntington Senior Care Network.
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For decades, a California long-term care program provided case management for about 12,000 elderly Medicaid clients who qualify for placement in a nursing facility but want to remain in the community, but it is now faced with total elimination.
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When a program funded through state-only dollars is targeted for reduction or elimination, there is a possibility that it can be funded through Medicaid instead, notes Patricia MacTaggart, a lead research scientist and lecturer in the Health Policy Department at George Washington University in Washington, DC.
