PRMS Blog

Last month a Los Angeles hospital’s computer system was taken over by hackers and the criminals demanded a ransom payment in Bitcoin to release the electronic medical records. From the hospital’s press release: “On the evening of February 5th, our staff noticed issues accessing the hospital’s computer network. Our IT department began an immediate investigation and determined we ...

One of the major issues with telemedicine is that, for the most part, the rules are not clear. The regulators have been slow to share their exact expectations and how those expectations can be met by licensees.  However, until very recently I thought at least these two points were clear: Physicians cannot prescribe to individuals based solely on an online questionnaire. This p ...

I thought you might like to see our Program’s cause of loss chart, updated to include data from our claims and lawsuits closed in 2015. Note that for the first time with this data, “medication issues” has pulled ahead of “suicide/attempted suicide” as the most identifiable cause of loss for psychiatrists. However, keep in mind that cases coded as “incorrect treatment” can certa ...

For only the second time in history, OCR has imposed a civil monetary penalty for a HIPAA violation. And the penalty was upheld by an Administrative Law Judge (ALJ) on summary judgement (meaning there was no genuine issue of material fact, and the party requesting summary judgement was entitled to judgment as a matter of law). The $239,800 penalty was imposed on Lincare, a comp ...

I often have conversations with doctors regarding tail coverage and always receive the same two questions: what is it, and do I need it if I want to switch my insurance to PRMS? What is it? Tail coverage only applies if you have a claims-made policy.  The insurance term for “tail” is an extended reporting period.  Having this coverage allows you to report claims after the polic ...

Background: Under HIPAA’s Breach Notification Rule, individuals must be notified if their protected health information (PHI), which includes demographic and medical information, has been improperly accessed or disclosed. However, if the information is encrypted consistent the National Institute of Standards and Technology (NIST) guidance, using the Advanced Encryption Standard ...

1.  Encrypt! Admittedly, this lesson should have been learned quite some time ago. In 2014, one-third of Office of Civil Rights’ (OCR) resolution agreements were related to the improper disclosure of protected health information (PHI) due to the theft of an electronic portable device.  In 2015, half of OCR’s case resolution agreements involved the theft of portable devices.  Wh ...

On January 4th, President Obama released a series of executive actions to reduce gun violence, including a final rule from the Department of Health and Human Services.  This final rule amends HIPAA’s Privacy Rule to “remove unnecessary legal barriers preventing States from reporting relevant information about people prohibited from possessing a gun for specific mental health r ...

Join our panel of PRMS risk managers on the first Friday of every month for “On Our Minds®.”  You can listen in as they discuss: Emerging trends in psychiatry Current events that may impact your practice Advice on protecting you, your patients and your practice New risk management publications and educational articles And more!     Clients: to listen live, visit PsychProgram ...

In my prior posts, I have provided an overview of the Florida law restricting physicians’ right to inquire about firearms, and I’ve reviewed the three-judge appellate decisions from 2014 and July 2015. WHY DO WE HAVE YET ANOTHER OPINION? As expected, the July 2015 opinion vacating the injunction against enforcement of the law was appealed. The doctors filed a petition again fo ...