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General

The why, when, and how of a severance agreement and what it needs to cover

October 23, 2015

A severance agreement can benefit both employer and employee. On the employer side, it’s an insurance policy against employee litigation. “It thwarts claims by former employees,” says employment law attorney Jonathan B. Orleans of Pullman & Comley in Bridgeport, CT. And on the employee side, it softens the blow of being without work and tides people over until they can … [Read more...] about The why, when, and how of a severance agreement and what it needs to cover

Is that resume a sham? Is that job candidate lying?

October 9, 2015

Here's how to find out Estimates are that as many as 50% of job applicants lie on their resumes. It may not be possible to pinpoint the lies, but it is possible to identify the liars, says one professional sleuth. He is Jamie Richardson of Mission Possible Investigations in Albany, NY, which provides investigative services to law enforcement and businesses. Here he lays out a … [Read more...] about Is that resume a sham? Is that job candidate lying?

Try this “win-win” solution to stop personal internet use by staff

October 2, 2015

Manager Beth C. Pharr of North East Orthopaedics in Tupelo, MS, relies on a basic management practice when she presents any new policy. "I make it a win-win situation," she says. "I tell staff 'this why it's necessary, and this is how it benefits you.'" Such was the case when Pharr set a policy to solve a problem common to almost every office – personal internet use. To … [Read more...] about Try this “win-win” solution to stop personal internet use by staff

Reasons for health services encounter get codes in Chapter 21 of ICD-10

September 18, 2015

By Judy Monestime  bio Codes included in Chapter 21, Factors influencing health status and contact with health services (Z00-Z99), represent reasons for encounter. Z codes are provided for encounters when circumstances other than diseases or injury are recorded in the medical record as the diagnosis. The chapter includes the following sections: Z00-Z13, Persons encountering … [Read more...] about Reasons for health services encounter get codes in Chapter 21 of ICD-10

NY manager gets more done with 15 minute one-on-one meetings

September 18, 2015

Offices with a limited number of staffers can follow the management lead of a New York medical office manager who has replaced full-staff meetings with 15-minute individual meetings in which she talks with each person privately. In a group, not everything gets brought out, says the manager of the practice, which has just seven staffers. There is no opportunity to listen to … [Read more...] about NY manager gets more done with 15 minute one-on-one meetings

90 minutes of unpaid time off ends a bookkeeping nightmare

September 11, 2015

A Kentucky medical office manager has devised a method to control time off, focusing on making the paperwork easier. Keeping track of 45-minute appointments or an hour of personal leave is a bookkeeping nightmare, says the administrator for a five-physician women's care clinic. And it's especially difficult for a large practice such as hers, which has 26 staff. So she combined … [Read more...] about 90 minutes of unpaid time off ends a bookkeeping nightmare

Three electronic conveniences also help with EHR requirements

August 28, 2015

A Columbus, MS, pediatrics practice has added three electronic items that not only provide convenience for patients but give the office EHR meaningful use credit. First is online bill paying. That's provided through the office's billing service, says Sabrina McDow, CEO of Children's Health Center of Columbus. The invoices give a website for the online payments, but because the … [Read more...] about Three electronic conveniences also help with EHR requirements

Large West Virginia office finds easier way to solve small problems

August 21, 2015

When managing two offices, eight physicians, and 35 staff became a job of "constantly trying to put out a fire," a West Virginia manager did what many managers do. She named supervisors – one for the clinical staff, one for front office and billing, one for lab, and one for the satellite office. But along with that, she set up an easy way "to put a large number of people … [Read more...] about Large West Virginia office finds easier way to solve small problems

Multiple coding now required for nervous system diseases

August 14, 2015

By Judy Monestime  bio ICD-10 CM's Chapter 6 Diseases of the Nervous System (G00-G99) includes diseases of the central and peripheral nervous systems as well as epilepsy, migraine, and other headache syndromes. Many codes include a combination of conditions, such as persistent migraine aura with cerebral infarction, intractable (G43.61-). The following conditions have been … [Read more...] about Multiple coding now required for nervous system diseases

HIPAA and records hiding somewhere in the hospital

August 14, 2015

Question: One of our physicians took patient charts to the hospital. Two of those charts were lost. They contained personal information such as Social Security numbers as well as the clinical notes. What information should I send to the patients? (Submitted by a New York manager – name withheld by request.) Answer: Respond first with common sense, advises health … [Read more...] about HIPAA and records hiding somewhere in the hospital

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