Risk & Quality Management
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UMass Settles HIPAA Violations After Malware Infection
A malware infection cost the University of Massachusetts Amherst $650,000 for potential HIPAA violations, and the school must comply with a corrective action plan.
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Radiology Practice Settles FCA Claims for $8 million
A radiology group in New York has agreed to pay $8 million to settle claims that it knowingly submitted false claims to Medicare and Medicaid.
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Understand Discovery Rule, How to Avoid its Effects
The discovery rule can determine whether a potentially costly malpractice case will proceed, so understanding how it works is important for risk managers.
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Report Overpayments to CMS Carefully to Avoid More Trouble
CMS expects hospitals and healthcare systems to report overpayments within 60 days of discovery to avoid false claims allegations, but knowing when and how to report is not always easy.
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Freestanding EDs Growing in Popularity
Hospitals are opening freestanding EDs (FSEDs) at a rapid rate and mostly in states that allow them without meeting “determination of need” requirements.
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Freestanding EDs Can Have Special Compliance, Liability Concerns
As hospitals increasingly look to freestanding EDs as a way to serve patients better while potentially increasing profits, legal and compliance experts caution risk managers that they may bring risks beyond the familiar concerns of a hospital-based ED.
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Culture Most Important in Preventing Falls with Elderly
The organization’s culture is the factor most determining the liability risk of a facility or community serving the elderly, according to a recent report from CNA Financial Corporation in Chicago.
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Tell Staff How Safety Reports Make a Difference
Hospital staff will report safety concerns more when they are informed of how their previous reports helped improve patient safety, according to a recent report from St. Jude Children’s Research Hospital in Memphis.
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Patient ID a Top Source of Error; Newborns High Risk
Wrong-patient errors linked to identification are significant and may correlate with increasing patient volume and frequent handoffs among providers, plus increased data sharing, research indicates.
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Doctor’s Failure to Diagnose Results in $7.7 Million Wrongful Death Verdict
A 50-year-old patient died after physicians failed to diagnose a pulmonary embolism.