Correct, complete documentation is the foundation of a sound medical record and compliant reimbursement, but getting that foundation in place can be challenging. Clinicians are juggling critical tasks in a high-stress situation, and administrative burden of electronic documentation and the disconnect that results from spending more time looking at a screen than a patient are often cited as the primary factors in physician burnout. Enter the medical scribe.
Information for 63,551 patients for Middletown Medical, a multispecialty physician group in Middletown, New York, was exposed due to a misconfigured security setting on a radiology interface.
Q: We are a doctor’s office in a small town. Recently, one of our patients threw away some papers containing PHI in a wastebasket in the waiting room. Another patient’s child later took them out of the wastebasket. The child’s parent brought the papers up to the desk and apologized. Is this a privacy breach? Are we responsible for the papers even though we turned them over to the patient?
Medicare billing edits such as National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) must be resolved at their root cause so that they do not continue to occur on claim
