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November/December 2007
How
do we define nursing care expert witnesses?
By
Frances W. (Billie) Sills, RN, MSN, ARNP
Antibiotic-resistant
“bad bugs” are getting worse
•
The Gist: Those involved in medical cases and their record reviews
must keep abreast of the newest enemies in patient health.
©
2007 The Medical-Legal News
Government
upcoding case against doctor is frivolous; $300,000 given
•
The Gist: As in all cases of upcoding, preparation and
fact-finding are essential. Being an “outlier” on the coding
curve may not impart guilt.
©
2007 The Medical-Legal News
2nd
in a series
Risk analysis: What’s going on in our care?
OPINION
By E. Patrick Moores, Esq.
©
2007 The Medical-Legal News
State
Farm’s claims evaluation software is flawed, says Colorado Court
of Appeals
By
Dan Clifford, publisher
©
2007 The Medical-Legal News
How
specialized software reduces cost of claims for auto insurance
companies
By
Sally Lett, Legal Nurse Consultant
©
2007 The Medical-Legal News
Details
of claims software and the relevance to attorneys and records
reviewers
ESSAY
By James Mathis
©
2007 The Medical-Legal News and James Mathis
Verdicts
& Settlements
Cases
compiled from www.verdictslaska.com; Editorials by Rose
Clifford, editor
©
2007 The Medical-Legal News
Ask
Pat Bemis
Dangers
of discarded data — watch how you pitch it
©
2007 The Medical-Legal News
Judge
vacates judgment in CLNC® certification mark case; mark not
invalid
By
Tommy Sangchompuphen, JD, and Dan Clifford,
publisher
©
2007 The Medical-Legal News
Focus
on: The nurse expert’s report
By
Dorajane Apuna, BSN, MA, RN, CCM, CNLCP
©
2007 The Medical-Legal News
The
perils of communication errors
©
2007 The Medical-Legal News
Written
standards of conduct — one of the seven elements of compliance
•
The Gist: Attorneys may be very interested in a healthcare
organization’s code of conduct (CoC). Any organization that
bills Medicare and Medicaid would need to have a code of business
conduct (CBC), and any healthcare organization that is under a
Corporate Integrity Agreement would need to have a CBC. Most legal
nurse consultants who do “general” work probably would not be
interested in a business’ (CoC), but LNCs who perform compliance
audits or who serve as compliance officers would be most
interested in a company’s business or ethical codes of conduct.
Expert
doctor to be sued for giving testimony; should he be peer
reviewed?
New
York appellate court: Pain and suffering awards can survive death
©
2007 The Medical-Legal News
“Stay-at-home”
plaintiff in non-caps state binds caps-state defendant to home
advantage in lengthy med mal suit
By
Dan Clifford, publisher
©
2007 The Medical-Legal News
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