By Nagendra Gupta, MD
June 13, 2019 |  0
In a medical malpractice lawsuit, the entire lawsuit – including the plaintiff’s allegations as well as the physician’s defense – is structured around the patient’s medical record. It has been proven beyond doubt that a well-written note can go a long way in formulating a good defense against lawsuits. Your documentation is not only a piece of […]
June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
April 25, 2019 |  2
In April 2017, CMS implemented the new physician specialty code C6, specifically for hospitalists. There has been a lot of confusion about what this means and some uncertainty about why clinicians should bother to use it. Some folks thought initially that it was a new CPT code they could use to bill hospitalist services, which […]
April 18, 2019 |  0
“There is a house in New Orleans. They call the Rising Sun. And it’s been the ruin of many a poor boy. And, God, I know I’m one.” Cue up the above video. Listen to the music. The Animals will tell you a tale to convince you to get vaccinated. Don’t believe me? Follow along. The […]
By Jennifer K. Chen, MD
April 15, 2019 |  1
By: Jennifer K. Chen, MD, pediatric hospital medicine fellow at Rady Children’s Hospital, UC San Diego I first heard the term “discharge before noon” (DCBN) as a third-year medical student starting my internal medicine rotation. The basic idea made sense: get patients out of the hospital early so rooms can be cleaned more quickly and […]
By Leif Hass, MD
April 12, 2019 |  1
By: Leif Hass, MD, Hospitalist, Sutter Health, Oakland, CA I rush into the room at 4:30 p.m., hoping for a quick visit and maybe an early exit from the hospital; I had been asked to see Mr. Bryant in room 6765 with sigmoid volvulus. “Hey, Dr. Hass, my brother!” he says with a huge smile. […]