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Doctor’s Failure to Follow Up on Medical Test Leads to Large Settlement

Pulmonology Advisor - Practice Management

Unfortunately, it’s not uncommon for physicians to order tests and then fail to follow up on results — often due to the sheer volume of patients that the physician sees. Case Facts Mr W, the patient, was a veteran who had been honorably discharged after serving 9 years in the Army, working as a mechanic.

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The Craziest Medical Bills

Scrubs

Patients around the country are getting stuck with enormous medical bills as hospitals continue to mark up the cost of their services, including those for routine medical procedures and advanced surgeries. For many patients and families, rising medical bills can be a nightmare. She soon underwent heart bypass surgery.

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STRONG HF – A Positive Trial that Does Not Help Clinical Medicine

Sensible Medicine

The worry I have about medical science is that a lot of our experiments produce little to no knowledge. The Trial STRONG-HF studied two treatment strategies after a patient was discharged from the hospital after treatment for heart failure. Most experts held this trial up as a win for aggressive up-titration of medicines.

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

In other words, the MA plan may focus its medical reviews on stays of any length in order to ensure compliance with the Two-Midnight Rule. This also means that the medical record must support the reasonableness of the clinician’s admission decision regardless of the total time spent in the facility.

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Friday Reflection 41: Sometimes I Just Need to Complain

Sensible Medicine

What there was -- courtesy of colleagues from across the country – were cases illustrating needless excess, careless follow-up, poor commitment to clinical care, and the devaluation of primary care that undermines our entire system. She is discharged on dual-antiplatelet agents and an increased statin dose.

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Nurse Researcher Wants to Change How Providers Think About Health Literacy

Scrubs

If patients are having trouble following the latest health recommendations, providers can engage with the community to better understand why these problems persist. Yet, every time they would come into the hospital, we would discharge them with the same plan. has a health literacy problem of its own.

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Universal Depression Screening Leads to Unnecessary Harm

Sensible Medicine

The USPSTF claims "screening interventions" decrease the prevalence of depression at six-month follow-up by an odds ratio of 0.60. This number is surprising when we consider the following: A meta-analysis of six RCTs found the benefit of SSRIs, compared to placebo, to be small and statistically insignificant at six months.

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