provider – MD Update

Significant Amendments to Kentucky’s Health Insurance Utilization Review Laws

November 1, 2019December 9, 2019 Sarah Charles Wright, ESQ ‘12, 12 month ongoing use, amendment, authorization, authorization list, authorization requirement, copays, current FDA information, department of insurance, drug formularies, drug lack evidence, e-prescribing, e-prescribing software, effective date, FDA, FDA 's approved use, FDA 's approved use of the drug, FDA information, health benefit plan, health care service, health insurer, insurance, insurer, Kentucky, Kentucky 's health insurance utilization review, Kentucky health insurer, KRS, list of statute, maintenance drug, MCOs, Medicaid MCOs, medical equipment, necessary health care service, necessary information, new defined term, non-maintenance, non-maintenance drug, non-urgent, non-urgent care decision, patient 's choice, patient 's choice of pharmacy, patient 's PCP, patient receive community-based, payer, PCP, physician, pre-selected pharmacy, preauthorization, Preauthorizations, preauthorized, prescription, prescription drug, prior authorization, prior authorization list, prior authorization requirement, prospective review, provider, provider access, requirement, SB 54, section 1, section 8, section 9, significant amendment, statute, statute chapter, steer prescription, timeframe, UR, UR decision, utilization, utilization review, utilization review process, utilization review statute, utilization review statute govern commercial plan

During the 2019 Regular Session, the Kentucky General Assembly passed Senate Bill (SB) 54, which goes into effect January 1,

Complementary Care SLIDER

Vaping and E-Cigarettes Add to Lung Disease

November 1, 2019December 9, 2019 Elizabeth A. Hoagland, CHFS, DPH, DPQI adult, CDC, cough, curious cluster, curious cluster of case, diarrhea, E-Cigarette, e-cigarette use, e-cigarettes, electronic cigarette, EVALI, Frankfort, healthcare, healthcare provider, injury, Kentucky, Kentucky department, local investigation, long-term health impact, lung, lung injury, marijuana, marijuana extract, marijuana use, national investigation, nausea, nicotine, probable case of lung injury, product use-associated lung injury, provider, public health, shortness, shortness of breath, symptom, THC, tobacco, tobacco product, use e-cigarettes, use-associated, vapes, vaping

FRANKFORT You’ve seen them in stores and on billboards on the side of the road, and heard about them on

Cover Story

Combining Convenience and Compassion

June 1, 2019September 4, 2019 Donna Ison all-female, all-female practice, all-inclusive, area pride, array of in-office, combine convenience, comfort, comprehensive care, comprehensive gynecologic, convenience, cost-effective, Denise Kirkham, endometrial ablation, executive director, female pelvic medicine, female provider, FPMRS, Gil Dunn, gynecologic, Gynecologic surgery fellowship, gynecology, image001 photo, image002 photo, in-office, in-office service, in-office surgery, incontinence, invasive Gynecologic surgery fellowship, invasive surgery, large surgery suite, Lori Warren, Louisville, Louisville 's department, Louisville obstetrics, Louisville pioneer, majority of doctor, Margarita Terrassa, medical degree, medical director, MIGS, miscarriage, nitrous oxide, OB/ GYN, obstetrical care, obstetrics, option, patient demand, patient experience, phase of comprehensive care, photo, ponce, ponce school of medicine, pregnancy, procedure, procedure suite, provider, quality care, reconstructive pelvic surgery, Rob Densmore Loria Warren, state-of-the-art equipment, suite, surgery, surgical procedure, surgical solution, teach patient, Terrassa, treatment of abnormal pap smear, university of Louisville 's department of obstetrics, urinary incontinence, warren, Warren state, woman 's care, woman provider

LOUISVILLE With 11 board-certified female physicians at the helm, Women First of Louisville Obstetrics and Gynecology is no stranger to

Legal

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

News News & Events

News – May 2019

May 1, 2019May 13, 2019 MD-Update Staff A., adult neurology, American academy, American osteopathic board of family physician, APRN, assistant, award program, baptist health, Brian Sosnin, Brittany Chapman, C., Carolina hospital, Cecil, central Kentucky, chi, chi saint, clinic, clinical neurophysiology fellowship, commerce parkway, davenport, Direct-To-Employer, Direct-To-Employer program, Eastpoint parkway, endoscopy, epilepsy, epilepsy track, Erika Ford, fellowship, gastroenterology, group neurology, Intalere, Intalere Healthcare, internal medicine, internal medicine residency, Jennifer Bratton, Joseph, Joseph health, Julie Ellis, Kentucky, Kentucky sleep society, Kimberly, Kimberly A., Kresge, Kresge way, Lexington, Lexington clinic, Lexington clinic 's Direct-To-Employer program, Louisville, Louisville baptist health, Marshall university school, Marshall university school of medicine, medical degree, medical group, medical group neurology, medical society, medicine, medicine residency, member of the American academy of neurology, member of the Jefferson county, Michael T., network of provider, neurological society, neurology, neurophysiology fellowship, new provider, News, north Carolina hospital, nurse, nurse practitioner, operational improvement, PA-C, patient experience, patient satisfaction, photo, physician, physician assistant, provider, residency, Siddiqi, Siraj Siddiqi, sleep, sleep medicine, sleep medicine fellowship, Stephen C., suite, suite 430, suite 56, T, Timothy Bratton, Umansky, university of north Carolina hospital, UofL, UofL school, UofL school of medicine, Wolford

Baptist Health Medical Group Kentuckiana Adds New Providers LOUISVILLE Baptist Health Medical Group has added new physicians and practices to

Special Section

Forgotten No Longer

May 1, 2019June 21, 2019 Jim Kelsey adequate patient population, APRN, Care, Care center, care provider, center 's operation, center 's rapid early growth, Cesario, chamber, chi, chi saint, clinical nurse manager, foot ulcer, forgotten population, Gil Dunn, heal process, home health, hyperbaric chamber, Joseph, Joseph health, Joseph London, lack of wound care, Lawson, Mary Ann Payne, Matthew Lawson, Matthew Lawson estimate, medical climate, medical director, medical director of the wound, new wound, nurse, nurse manager, obesity, orthopedics, Payne, photo, projected growth potential, provider, RN, specialized care, subspecialty, ulcer, wound, wound care

LONDON In a medical climate where specialized care is increasingly the norm, it might come as some surprise that there

Special Section

Tackling a Head-to-Toe Disease

May 1, 2019June 21, 2019 Maggie McCombs amount of work patient, Anna Culver, Bardstown, Bardstown 's chi saint, Bardstown board-certified surgeon, bariatric, bariatric nurse coordinator, bariatric surgery, bariatric surgery work, BSN, chi, chi saint, clinic, clinic 's surgeon, clinic provider, combined love, combined love of technical skill, Culver, education program, exceptional staff, exercise change patient, FACS, Farrell, fat percentage, Flaget, Flaget memorial, Flaget memorial hospital, Gil Dunn Anna Culver, Gil Dunn Hannah Moore, Gil Dunn Robert Farrell, Hannah Moore, head-to-toe disease, image001 photo, image002 photo, image003 photo, Joseph, Joseph health, Joseph medical group, Kentucky, Kentucky PA, Kentucky PA program, LD, longer-term result, Louisville school, maintained weight reduction, McKendree college, memorial staff, Moore, MSPAS, native Kentuckian, necessary lifestyle change, nurse, obesity, operate room nurse, PA program, PA-C, patient education program, patient seek surgery, patient success, persistent medical myth, photo, post-operation, procedure, provider, rd, RN, Robert Farrell, room nurse, support group participant, surgeon, surgery, sustainable health, university of Kentucky PA program, university of Louisville school of medicine, weight loss procedure, weight loss surgery, weight loss surgery clinic, weight loss surgery program, weight loss surgery serve, work patient

BARDSTOWN Board-certified surgeon, Robert Farrell, MD, FACS, leads the Weight Loss Surgery program at Flaget Memorial Hospital in Bardstown, Kentucky,

Legal

Kentucky’s Medical Review Panel Act and Unanswered Questions in the Wake of Its Demise

March 1, 2019May 13, 2019 Sarah Charles Wright attorney.2, claimant, claimant 's statute, claimant 's statute of limitation, Claycomb, commonwealth, constitutionality, constitutionality of the MRP Act.5 Ezra, court 's decision, emergency review, Ezra Claycomb, federal constitutional rights6, first.4, Franklin circuit court, health care provider, id, Kentucky, Kentucky 's medical review panel act, Kentucky 's physician shortage, Kentucky Bill, Kentucky medical review panel, Kentucky supreme court, limitation, medical negligence, medical negligence claim pend panel review, medical negligence suit, medical review panel, MRP, MRP act, MRP Act.5 Ezra, MRP process, negligence, negligence suit, opinion, opinion.3, panel, panel 's opinion.3, panel opinion, panel review, panel review process, panelist, proper court, proposed complaint, provider, review panel, review panel act, rights6, save statute, section 14, statute, statute of limitation, Tonya Claycomb, v., valid arbitration agreement, void, WL 5994975

Heralded by its proponents in Frankfort as the answer to Kentucky’s physician shortage (which was attributed to Kentucky being a

News News & Events

News – Jan 2019

January 1, 2019February 15, 2019 MD-Update Staff ACC, acclaim, accreditation, ambulatory surgery center, American college, American college of cardiology, AMGA, AMGA acclaim award honoree, APRN, baptist health, baptist health center, baptist medical group, bariatrics, cardiology, cardiology fellowship, cath, Cath lab accreditation, central Kentucky, CEO Andrew Henderson, chronic health condition, clinic, diagnostics center, Direct-To-Employer, Direct-To-Employer program, donation, donor, Dr. Erin Moore, educator, fellowship, flagship, group practice, health center, health condition, health family nurse practitioner, healthcare, Healthcare property, honoree, hospital receive cardiac Cath lab accreditation, internal medicine, Jewish hospital, Kentucky, Kentucky university, kidney, kidney donation, kidney transplant, lab, large group practice, Lexington, Lexington baptist health, Lexington clinic, Lexington clinic location, Lexington clinic partner, Lexington clinic veteran, Lexington clinic welcome, Lexington Lexington, Lexington Lexington clinic, Lexington Robert Sawyer, live kidney donation, Louisville, MD-UPDATE, Md., medical degree, medical group, medical weight loss, medicine, Meyerson, network of provider, new chief, new chief of thoracic surgery, News, News item, Nicholasville, Nicholasville road, nurse, nurse experience, outcome, partnership, PCI, photo, physical location of Jessamine, physician, preventive care, proven record of excellence, provider, record-setting, rural health family nurse practitioner, rust, Sawyer, suite, surgery, thoracic surgery, Trager, Trager transplant center, transplant, UK HealthCare, university of Cincinnati, university of Kentucky, university of Louisville, weight-loss

SEND YOUR NEWS ITEMS TO MD-UPDATE > news@md-update.com Lexington Clinic Partners with Flagship Healthcare Properties LEXINGTON Lexington Clinic and Flagship

Special Section

UofL Tackles Opioid Misuse Among Seniors

January 1, 2019March 21, 2019 Natalie Pope adult, adverse drug-drug integration, alternative pain management strategy, Anna Faul, breathe complication, care provider, Christin Furman, didactics, dosage, drug interaction problem, drug-disease, drug-disease interaction increase, drug-drug integration, Faul, good practice, health service administration, increased risk of fall, interaction, majority of old adult, Medicare part D beneficiary, medication, mental health service administration, misuse, old adult, old adult patient, Opioid, Opioid misuse, opioids, optimal age, pain, pain management, pain management strategy, part D beneficiary, possible health complication, practitioner, primary care provider, provider, risk of adverse drug-drug integration, risk of opioid misuse, rural Kentucky, SAMSA, severe health, substance abuse, sustainable health, Trager, Trager institute, Trager institute 's executive director, Trager institute 's flourish program, Trager institute 's medical director, UofL, UofL tackle, UofL Trager, UofL Trager institute

LOUISVILLE According to 2016 data from the Substance Abuse and Mental Health Services Administration, more than 500,000 Medicare Part D

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