Paying your billing service by percentage of claims – is there risk?  (Maybe)

Paying your billing service by percentage of claims – is there risk? (Maybe)

The medicaidlaw-nc blog posted “Do You Pay Your Billing Agent a Percentage of Claims? You May Be in Violation of Federal law!” on 7-12-17.  Obviously, this is an attention-getting title, so let’s begin with a deep breath and some background about the source.  This blog is posted regularly by Nicole Emmanuel, a lawyer in North Carolina who specializes in Medicaid litigation.  She blogs regularly about Medicaid issues, with her intended audience being NC medical professionals but MHConcierge finds her posts to be informative about national issues and monitors her blog.

(more…)

Can Your Patient Secretly Record You?

Can Your Patient Secretly Record You?

JAMA Published “Can Patients Make Recordings of Medical Encounters?: What does the Law Say?” On 8-8-17. This article discusses the fact that recording technology is now readily available for every smartphone user. The authors note that the motivation for for recording may be entirely reasonable; the patient may simply want to be able to review the discussion in order to improve their understanding of the information provided, and possibly to share this information with family members. Researchers found that patients who are provided audio recordings of clinic visits tend to find them to be very helpful. But, what about patients who do these recordings without asking permission of the clinician, who may have or adversarial intent? And, who “owns” the recording? And, what is the status of such recordings in regard to HIPAA?

(more…)

APA President, and policy wonk, Tony Puente on new CPT codes, opportunities

APA President, and policy wonk, Tony Puente on new CPT codes, opportunities

President of Am. Psychological Association, and policy wonk, Tony Puente, Ph.D., posts a podcast about important national health policy issues and opportunities.  It is the second podcast in a new program, Progress Notes: Keeping Tabs on the Practice of Psychology, produced by APA.

(more…)

Patient access to medical progress notes improves self care: implications for mental health?

Patient access to medical progress notes improves self care: implications for mental health?

OpenNotes: Patient engagement with low physician hassle discusses evidence emerging that the OpenNotes pilot project, which enables patients to see their physicians progress notes in their medical record, is finding positive results. Physicians had been concerned that having progress notes available to patients would result in longer appointments, more documentation time and increased patient anxiety about what they read, but this is mostly not the case.

(more…)

International group begins work on alternative to DSM system

International group begins work on alternative to DSM system

Researchers proposed new diagnostic model for psychiatric disorders” reports on the work of a consortium of 50 psychologists and psychologists around the world who are developing a new diagnostic model to replace the DSM 5.  They view the SM five as “far too conservative” and as failing to “recognize and incorporate important scientific evidence.”

(more…)

Should you change your clinical documentation for people at risk for deportation?

Should you change your clinical documentation for people at risk for deportation?

From the blog Statnews.com, “Why I’ve learning to leave blank spots in some patients’ medical records,” posted 3-6-17.  This article reviews potential problems that medical documentation can cause for undocumented people.   To cut to the chase: HIPPA protects patient health information, but it is “not an unconditional legal shield” if you are working undocumented people who may be subject to deportation.

(more…)