Medical Economics - Running a medical practice, physician compensation and salaries, EHR & malpractice liability. Practice management tips & advice for office based physicians and staff.

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When a patient refuses to take a test
I have a patient who?s been prescribed Warfarin. She has been asked repeatedly to go for PT-INR testing but refuses. The last testing several months ago required us to change her dose and I'm sure it will need adjusting again, but there is no way of knowing until I get results from the refused tests. I would think that I'd be held liable if I refill the medication and it causes bleeding or if it's ineffective, but I would think that I could be held liable for not refilling the medication, too! What do I do?
Malpractice Consult
If there is no damage, there is no malpractice
If damages cannot be traced to your actions, there is no valid claim of malpractice
InfoTech Bulletin
Tools: Tech firm aims to deliver key data to OB's iPhones
August 22, 2008
Obstetricians may soon be able to check key patient data in real time on their iPhones.
Health care IT: Public support high for adding more IT to health care
August 22, 2008
Strong public support for the use of information technology in the nation's health industry stands in "stark contrast" to the industry's adoption of it, according to a national survey of 1,000 U.S. adults by the Commonwealth Fund, a health care advocacy nonprofit.
Online research: Doubting their doctors
August 22, 2008
Nearly four out of 10 adults have doubted a medical professional's opinion or diagnosis because it conflicted with information they found online, according to a report from Envisions Solutions, a health care consulting firm.
Telemedicine: Internet video conferencing more effective than telephone consultation, study says
August 22, 2008
Internet audio and video consultations between doctors and stroke patients proved so much more effective than telephone calls that a study comparing the two was prematurely halted.
PHRs: Medicare to launch PHR program in Arizona, Utah
August 22, 2008
The Centers for Medicare and Medicaid Services (CMS) plans to introduce a personal health records pilot program for Medicare patients in Arizona and Utah early next year.
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News You Can Use
News: Health care in New Jersey is reaching a crisis stage
August 15, 2008
Seven New Jersey hospitals have closed in the last 18 months. The state also plans to trim $111 million in hospital funds from its 2009 budget.
News: IRS ups per-mile gas deduction rates
August 15, 2008
The IRS has upped its deduction allowance for business travel to 58.5 cents per mile.
News: Congress blocks Medicare reimbursement cuts
August 15, 2008
The House and Senate overrode President Bush's veto of legislation that protects doctors from a cut in Medicare reimbursement rates.
News: Health care major issue in November elections, survey says
August 15, 2008
Almost four of five respondents to a survey say that health care will be one of the top three issues that will influence their votes in Novemeber's presidential election.
News: Consumer confidence at lowest level since 2002
August 15, 2008
Only one in four Americans expect their finaces to improve in the next six months.
 More Articles

Latest Articles
Q&A: How to fire a troublesome employee without getting sued
One of my staffers is periodically rude to patients and sloppy with paperwork. I've spoken to her about it several times but she keeps backsliding. I'd like to fire her. How do I protect myself in case she tries to sue me?
Medical home model improves efficiency, docs say
Medical Economics spoke with physicians from five of the 32 practices that participated in an AAFP demonstration project that focused on a new model of patient-centered care.
Maximize your collections with better billing
One struggling group practice turned its fortunes around by improving its billing procedures.
Physicians' emergency obligations
What are doctors' obligations to patients outside of normal office hours?
Getting what you're owed by third-party payers
Four practice management consultants describe strategies they've found most effective in helping their clients collect what they're owed by third-party payers.

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What Do You Think?
How do you feel about professional social networking sites?
They're an invaluable tool for my practice.
They have potential, but don't serve my needs well now.
I have tried them and don't care for them.
I have never used one.
They're an invaluable tool for my practice.
31%
They have potential, but don't serve my needs well now.
21%
I have tried them and don't care for them.
7%
I have never used one.
41%
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Care to share more information on this subject? Send your comments to Erich Burnett, Editor in Chief

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