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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