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Pasted and Template Text In an EHR Leads to Problematic Medical Records

June 23, 2017

Records containing information from the wrong patient or inaccurate template-generated or pasted content are just some of the difficulties that can arise when using EHR efficiency tools improperly. As the following cases show, it can be difficult to defend otherwise acceptable care with problematic medical records.

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Filed under: Digital Health, Electronic Health Records, Medical Records & Documentation, Case Study, Practice Manager, Physician

EHR Integration Problems Contribute to Delayed Diagnosis of Lung Cancer

June 22, 2017

Assuming an EHR automatically decreases medical record errors is risky. While some medical record errors may diminish, others that are unique to EHR use may arise. It is important to identify these potential risks and put systems in place to catch and correct errors before they cause patient injuries.

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Filed under: Digital Health, Electronic Health Records, Radiology, Medical Records & Documentation, Case Study, Practice Manager, Physician

Supervision of Non-Physicians Performing Cosmetic Procedures

June 22, 2017

The number of medical spas (also referred to as medi-spas or medspas) has been increasing as the desire for cosmetic procedures increases.1 A medical spa combines the atmosphere and traditional offerings of a day spa (e.g., facials, massages, manicures) with the provision of medical treatments such as injectable facial fillers (e.g., Botox), laser procedures, and even liposuction.

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Filed under: Practice Drift, Plastic & Cosmetic Surgery, Article, Practice Manager, Physician, Cosmetic & Reconstructive Procedures

Breast Implant Removal and Mastopexy by an OB/GYN - Practice Drift Risks

June 22, 2017

When cosmetic breast surgery performed by a physician who has not gone through formal plastic surgery training has an unintended result and a lawsuit results, the plaintiff and defendant will most likely seek the opinions of plastic surgeons on whether the defendant physician comported with the standard of care. As the following case study indicates, it can be difficult for plastic surgeons to support such surgery.

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Filed under: Practice Drift, Plastic & Cosmetic Surgery, Case Study, Physician, Cosmetic & Reconstructive Procedures

HIPAA Rules for Responding to Requests for PHI (Protected Health Information)

June 22, 2017

Under HIPAA, a subpoena that is not accompanied by an order from a court or administrative agency does not allow the clinic to release medical records unless certain conditions are met.

There are three primary sets of conditions that allow a Clinic to release medical records in response to a subpoena, which we discuss in this article.

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Filed under: Practice Management, Privacy & HIPAA, Best Practices, Practice Manager, Physician

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