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A False Claims Act (FCA) settlement totaling $89 million is ringing alarm bells in health care institutions across the country, reminding risk managers that improper billing and coding or even carelessness that gives the impression of fraud can result in a huge monetary loss when all is revealed to the feds.
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The $89 million settlement by Staten Island University Hospital (SIUH) was prompted when two people one the widow of a cancer patient and the other a doctor who saw improper billing sounded the alarm through lawsuits filed under the False Claims Act (FCA).
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Dealing with disruptive physicians is no easy task, even if you recognize the importance of preventing their bullying, abusive behavior. Creating a culture in which such interaction is not tolerated is a good step, but you also must be willing to get physicians help when they need it.
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The first key to better time management is to realize that the term actually is misleading, says Barry Izsak, a productivity expert in Austin, TX. You can't manage time, but you can manage yourself.
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A health care organization might have in place the best information technology (IT) protections available, but complacency can be a dangerous thing considering the gold mine of personal information stored by a hospital.
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Despite increasing demand for privacy surrounding health information, North American hospitals lag behind European counterparts when it comes to one of the most visible impediments to privacy multibed hospital rooms.
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The Department of Health and Human Services (HHS) may have given rise to and oversees HIPAA privacy regulations, but according to a report by the General Accounting Office (GAO), the agency's approach to ensuring the privacy of health information still needs some work.
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On Aug. 22, 2008, the Department of Health and Human Services (HHS) published a proposed rule that would adopt updated versions of the standards for electronic transactions under HIPAA.
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Any risk manager with hopes of reducing birth trauma rates should look to The Seton Family of Hospitals, based in Austin, TX, for lessons in what can yield dramatic results.
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Four recognized categories of hospital-acquired conditions, "never events" that have received more attention in recent years, make up 12.2% of total medical professional liability costs, according to the 2008 Hospital Professional Liability and Physician Liability Benchmark Analysis released recently by risk management services provider Aon Corp. and the American Society for Healthcare Risk Management (ASHRM), both in Chicago.
