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One-third of providers say their organization has had at least one known case of medical identity theft, and some of those cases might not have been reported, according to a recent survey by the Healthcare Information and Management Systems Society (HIMSS).
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These were some key results from the recent survey conducted by the Healthcare Information and Management Systems Society (HIMSS):
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A pregnant woman experienced bleeding and cramps early on in her pregnancy. She visited her doctor, who confirmed that the woman was three weeks pregnant and diagnosed her with a probable spontaneous abortion. Prior to receiving an ultrasound to confirm the abortion, the woman experienced pain and presented to a local hospital. A pelvic ultrasound was ordered, and the reading radiologist noted "ectopic pregnancy is not ruled out. Please correlate clinically."
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With providers facing potentially costly RAC audits and crackdowns on violations of everything from HIPAA and Stark to EMTALA, the idea of an insurance policy that will cover your fines and other costs can be quite appealing. But experts tell Healthcare Risk Management that you must be skeptical and consider all the fine print before paying that premium.
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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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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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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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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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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 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.
