CRICO Corner – Pilot Project: Orthopedics and Neurosurgery
The MIEC/CRICO Strategies partnership began with a pilot project in which MIEC submitted claims data for orthopedic surgeons and neurosurgeons, report dates from 2006 to 2011, to CRICO Strategies for coding and analysis. One hundred sixteen (116) orthopedic and 42 neurosurgical medical incidents were deep coded and benchmarked against 152 orthopedic and 38 neurosurgical comparable CRICO peer group cases. Orthopedic claims review CRICO Strategies’ analysts found that MIEC’s rate of orthopedic claims has remained steady and comparable to peers since 2006. MIEC faces a higher percentage of surgical treatment allegations versus peers (78% vs. 61% respectively). Significantly more of MIEC’s...
The Use of Advanced Practice Providers in a Medical Practice: Update 2020
Physicians work with advanced practice providers (APPs) in a variety of medical settings. Advanced practice providers include physician assistants (PAs), and four classifications of advanced practice registered nurses (APRNs): nurse practitioners (NPs), certified nurse-midwives (CNMs), clinical nurse specialists (CNSs), and certified registered nurse anesthetists (CRNAs). As the healthcare industry is experiencing an ever-increasing aging patient population, fewer physicians, is transitioning to value-based reimbursement, APPs are becoming vital to the success of team-based care. In this article we explore the qualifications of APPs, the benefits of employing APPs, as well as the impact they have on the role of physicians. Advanced...
Practicing during a pandemic – Coronavirus/COVID-19
Since first emerging as a novel virus in December 2019, the SARS-CoV-2 coronavirus outbreak has quickly enveloped the world and, as of March 11, 2020, it was declared by the World Health Organization to be a true pandemic. Currently, there are over 118,000 cases in 114 countries, with 4,291 fatalities. In the U.S., there are 1,215 cases in 43 states, with 36 associated fatalities- and those numbers are growing rapidly. A few of the issues that challenge the response to the coronavirus outbreak are the variability of symptoms and disease severity of COVID-19 in individuals, a shortage of viral test...
Idaho: Advanced Practice Provider Laws and Regulations
Physician Assistants Qualifications [IDAPA 22.01.03. Subsection 021.01-06]: Graduate accredited PA program; bachelor’s degree; NCCPA exam. MD Supervision of Physician Assistant [IDAPA 22.01.04, Subsections 020.01 – 020.06]: Supervising physicians must register with Idaho’s Board of Medicine and generally may supervise no more than three (3) PAs at a time. The Board may authorize a physician to supervise a total of six (6) PAs contemporaneously if necessary, to provide adequate medical care and upon prior petition documenting adequate safeguards to protect the public health and safety. The supervising MD must: Accept full responsibility for the medical acts and patient services provided by...
Alaska: Advanced Practice Provider Laws and Regulations
Physician Assistants Qualifications [12 AAC 40.400]: Graduate accredited PA program; current NCCPA certificate. MD Supervision of Physician Assistant: Collaborative Plan as defined in 12 AAC 40.410(a)-(j), in part: PA may not practice without at least one collaborative relationship that is documented by a plan on a form provided by the medical board. Must include: Name, license number and specialty of primary supervising physician, at least one alternate collaborative physician, beginning date of employment, physical location of practice, compliance with 12 AAC 40.415 as it pertains to a remote location, and prescriptive authority granted by collaborating physician under the collaborative plan....
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