healthcare provider – MD Update

Does Saying “I’m Sorry” Help or Hurt You?

June 1, 2019June 21, 2019 Donald P. Moloney 3, admission of fault, admission of negligence, alleviate anger, apology, apology statute, bad outcome, cause of medical error, culture of medicine, disclosure program, doe, explanation, filing of the lawsuit, full disclosure program, general sense of benevolence, healthcare, healthcare provider, highly-regarded physician-patient relationship, Kentucky, Kentucky lawmaker, lawmaker, lawsuit, Lexington, Lexington VA, ligation cost, litigation defense save, litigious climate, malpractice, malpractice lawsuit, malpractice suit, MD 's tenure, medical malpractice lawsuit, medical malpractice suit, medical practitioner, medical risk management, Moloney, negligence, outcome, outcome.2, Pat Moloney, patient 's family, patient-centric, patient-centric model, physician, practitioner, R-Winchester, Ralph Alvarado, sincere expression, sincere expression of empathy, sorry work, statute, Steve Kraman, unexpected medical outcome, unexpected outcome.2, VA, way insurance company

There was a time when physicians wouldn’t hesitate to explain why a bad outcome occurred and offer an apology to

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Compliance: The Best Risk Management Tool

May 1, 2019June 21, 2019 Lisa English Hinkle abuse compliance, Anti-Kickback, Anti-Kickback statute, Anti-Kickback statute 's prohibition, behavioral health service, big data, CMS, commercial health insurance plan, commercial insurance rule, compliance, compliance area, compliance plan, compliance professional, compliance program, compliance program effectiveness, compliance review, complicated medicare payment rule, controlled substance, core element of a compliance program, data analytics, documentation, effective compliance plan, effectiveness of compliance plan, EKRA, eliminate kickback, employer, enactment of the eliminate kickback, evaluation of employee, ever-expanding area, ever-expanding area of compliance, everyday routine of regulator, federal report requirement, Fee schedule rule, filing, final physician, good practice, good risk management tool, healthcare, healthcare provider, HI-TECH, HI-TECH report requirement, Hinkle, important element of a compliance plan, important new area, insurance, insurance rule, internal report system, Kasper, Kentucky, Kentucky board, laboratory test necessary, match originating-site facility fee claim, measure compliance program effectiveness, Medicaid, medical necessity, medical record code, Medicare, Medicare claim, medicare payment rule, monitor adherence, necessity, new area, new area of compliance review, new criminal penalty, new enforcement, originating-site, originating-site facility fee claim, patient broker, payment, prescription of controlled substance, privacy, privacy requirement, program administration, protected health information, provider, provider education, recovery home, regulator, regulator 's sight, regulatory sea ebb, resource guide, review of big data, review of policy, risk management tool, robust compliance program, safety of patient, sample of area, score compliance, sea ebb, stark law, substance, substance disorder treatment, telehealth, telehealth claim, thorough documentation of medical record, tool, topic of a study group, ultimate risk management tool, vendor

What is compliance, anyway? Something that you will know when you see it? What is an effective compliance plan? To

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Compliance is Crucial

December 1, 2018February 15, 2019 William J. George, ESQ additional federal prosecutor, attainable compliance expectation, autonomy of a compliance program, cases.1, civil case involve healthcare provider, civil false claim act, claim act, compliance, compliance expectation, compliance initiative, compliance issue, compliance program, compliant manner, concise policy, contracted provider, culture of compliance, current legal enforcement environment, DOJ, effectiveness of an exist program, employee, enforcement, enforcement environment, false claim act, federal government, federal government 's recoupment, fentanyl-based, fentanyl-based opioid, fraudulent bill practice, government 's recoupment, government.2, government.3, healthcare, healthcare fraud, healthcare provider, healthcare provider 's financial good interest, healthcare provider 's strategic initiative, insurance company, insurance company 's special investigation unit, Insys, Insys therapeutics, J., large financial penalty, meaningful train, medical provider, Opioid, opioid crisis, opioid epidemic, opioid prescriber, opioid-related, opioid-related death, opioids, prescription interdiction task force, provider, qui tam suit, real-world compliance problem, recoupment, stagger success, stagger success of the federal government 's recoupment, therapeutics, type of lawsuit, use of the false claim act, William J.

In the current legal enforcement environment, it is crucial that healthcare providers prioritize compliance initiatives and programs in order to

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Headlines-OP/ED

Pain Medicine is in Pain

December 1, 2018December 28, 2018 Heather C. Wright, ESQ appropriate dose of medication, bluegrass, C., CEO, CEO of the pain treatment center of the bluegrass, constant fear of prosecution, Esq., healthcare provider, help of Kentucky All-Schedule prescription, image001 Heather, image001 Heather C., interventional therapy, magnitude of pain, management physician, medication, medication management, medicine, modality, multidisciplinary pain clinic, Noreen Clark, Opioid, opioid problem, opioids, pain, pain clinic, pain management, pain medicine, pain patient, pain physician, pain practitioner, pain treatment center, pain treatment center of the bluegrass, Phillip Pizzo, physician, practitioner, prescribe of opioids, prescription, prescription of opioids, prescription of pain medicine, variety of modality

LEXINGTON In an article within the New England Journal of Medicine in 2012, Phillip Pizzo, MD, and Noreen Clark, PhD,

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Kentucky’s New Telehealth Act

September 1, 2018November 9, 2018 Sarah Charles Wright act amends, act means, authorization, brief overview of Senate Bill 112, care law, care provider, communication technology, comprehensive change, confidentiality, coverage, deny coverage, deny coverage of telehealth service, electronic medium, exclude coverage, exclude coverage of telehealth service, face-to-face, healthcare, healthcare coverage, healthcare provider, I, Kentucky, Kentucky 's managed care law, Kentucky 's new Telehealth act, Kentucky 's telehealth law, Kentucky Medicaid, Kentucky Medicaid participate provider, Kentucky Medicaid provider, Kentucky physician, Kentucky Telehealth, Kentucky telehealth law, Kentucky Telehealth network, Kentucky.1, list of Kentucky Medicaid participate provider, MD-UPDATE, Medicaid, Medicaid MCOs, Medicaid patient, Medicaid patient 's primary care provider, Medicaid recipient, Medicaid.4, Medicaid.4 specific, new definition, new section of the Kentucky, out-of-state, patient 's health, payer, physician, physician use of telehealth2, prior authorization, provider, SB 112, Senate Bill 112, specialist, statute, statute cover, telehealth, telehealth definition, telehealth service, telehealth2, Telehealth3, telemedicine, treat patient, use of telehealth

Back in 2014, I wrote an article for MD-Update about treating patients by “telehealth” in Kentucky.1 While Kentucky was one

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2018 Kentucky Legislative Update

June 1, 2018September 10, 2018 E. Douglas Stephan affidavit, amount of damage, area reduce long commute, attorney, bill, Bill 148, Bill 4, controlled substance of a deceased hospice, deceased hospice, emergency worker, failed session, HB 148, HB 428, healthcare, healthcare provider, hospice, hospice prescription medication, Kentucky, Kentucky legislative update, liability reform, litigation, malpractice, malpractice action, Matt Bevin, medical incident, medical liability reform, medical malpractice action, medical provider, medical review panel process, opioid crisis, peer, peer review, peer review investigation, plaintiff, plaintiff 's attorney, post-event investigation, provider, review panel process, SB 112, SB 20, senate, Senate allow hospice, Senate Bill 112, statute, statute make, subsequent medical malpractice action, telehealth

The last day of the Kentucky 2018 legislative session was April 14, 2018. Here is a brief review of some

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2017 Legislation Muddies the Water for Kentucky Physicians and Providers

December 1, 2017February 9, 2018 Lisa English Hinkle acute medical condition, appropriate standard of care, Bill 333, carfentanyl, case of Claycomb v. cabinet, class of litigant, Claycomb, Claycomb v. cabinet, concierge, constitutionality, controlled substance, Damon Thayer, direct primary care, direct primary care membership agreement, end-of-life treatment, family service office, family service office of inspector general, fentanyl, fentanyl derivative, Franklin circuit court, frivolous claim, grow epidemic of opioid abuse, HB 333, healthcare, healthcare community, healthcare provider, healthcare provider panelist, healthcare-related, healthcare-related issue, Hinkle, honorable Phillip Shepherd, important new legislation, insurance, insurance contract, Kasper, Kentucky, Kentucky 's legislation, Kentucky 's system, Kentucky board, Kentucky board of medical Licensure, Kentucky board of medical Licensure 's standard, Kentucky physician, Licensure, Licensure 's standard, licensure board, malpractice, malpractice suit, mandated buffer, Medicaid, medical Licensure, medical Licensure 's standard, medical review panel, medical review panel 's opinion, medical review panel statute, Medicare, medication, named party, new law, new restriction, Obamacare, Opioid, opioid abuse, Opioid Bill, pain, panel, panelist, Phillip Shepherd, physician, plaintiff, possible protection, powerful synthetic opioid, practitioner, prescribe authority, prescribe practice, prescription of controlled substance, pretrial medical review panel, pretrial review, priority of republican leadership, productive regular session, proposed amendment, proposed medical malpractice, provider, reach court, regulation, report irregularity, resurgence of use, review panel, review panel 's opinion, review panel statute, Senate Bill 4, Senate Bill 79, statute, suit, three day supply, toxicology, unconstitutional barrier, v.

Majority Floor Leader Damon Thayer described Kentucky’s 2017 legislative session as the most productive regular session in modern history. Over

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A New Day for Healthcare in Kentucky

August 1, 2017 Kathryn Eckert appropriate standard of care, complaint, creation of the panel, effect of the panel opinion, ensue litigation, good cause, healthcare, healthcare provider, Kentucky, Kentucky healthcare provider, Kentucky version, malpractice, malpractice complaint, manner of provider, medical malpractice complaint, medical review panel, member of the panel, new day, new law, opinion, panel, panel chairperson, panel opinion, panel process, panel provider, peer review of medical malpractice complaint, plaintiff, proposed complaint, provider, review panel, selected provider, Senate Bill 4, sufficient good cause, sweep effort

Thanks to a new and sweeping effort at healthcare reform, Kentucky healthcare providers now need to know what to expect

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McBrayer Adds Medical Malpractice and More

July 1, 2017 Elizabeth Bagby accountant, added practice service, Amber Knouff, attorney, business litigation, Calvin Fulkerson, Chad Thompson, client, face malpractice claim, firm, Fulkerson, Fulkerson group, Fulkerson law firm, healthcare, healthcare law, healthcare practice, healthcare provider, healthcare provider 's need, insurance, insurance defense, Jim Frazier, Kathryn Eckert, Kyle, Kyle virgin, legal malpractice defense, Lexington five, Lexington five attorney, liability, liability defense, Licensure, licensure defense, litigation, malpractice, malpractice defense, McBrayer, McBrayer 's new malpractice, McBrayer law firm, medical malpractice, medical malpractice defense, negligence, new practice area, newly-joined, practice area, practice service, product liability litigation, professional liability defense, professional licensure defense, professional malpractice, provider

LEXINGTON Five attorneys and two staff from the Fulkerson law firm have joined the McBrayer law firm in Lexington. Attorneys

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Watch Out MCOs

April 1, 2017 Lisa Hinkle administrative hear, administrative review, appeal, appeal process, available long-awaited relief, beneficiary, calendar, calendar day, care organization, denial, denied Medicaid managed-care claim, department of insurance 's policy of review claim, determination, DMS, DRM, DRM request, enrollee, external review process, find of overpayment, firm 's Lexington office, Franklin circuit court, health care provider face denied claim, healthcare, healthcare provider, insurance 's policy, Kentucky, Kentucky 's department, Kentucky 's Medicaid, Kentucky Medicaid, Kentucky Medicaid business, Kentucky provider, KRS §205.646, Lexington office, long-awaited relief, managed-care, McBrayer, MCO, MCO payment denial, MCOs, Medicaid, Medicaid managed-care claim, Medicaid MCO, Medicaid MCO 's final decision, Medicaid MCOs, Medicaid overpayment determination, Medicaid service, misrepresentation, negligent misrepresentation, new process, overpayment, overpayment determination, payment, prompt payment, provider, recoupment, regulation, reimbursement, reimbursement issue, reported revenue, request, review claim, review process, Senate Bill 20, statute, subject of a new action, third-party review, third-party review of denied Medicaid managed-care claim, time frame, WellCare

With reported revenues in the billions of dollars and net profits not far behind, insurance companies providing a Medicaid Managed

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