A frequent call to our risk management helpline goes something like this: Physician: I’m treating a minor patient whose parents are divorced. Dad has not been involved in treatment but is now requesting a copy of my chart. Mom doesn’t want me to share anything with dad, so what do I do? Risk Manager: Do you have a copy of the custody order? Physician: No So we then start the di ...
PRMS Blog
College Students Are Self-Reporting Increased Depression
In today’s New York Times, there’s an article discussing a recently released annual survey titled “The American Freshman: National Norms Fall 2014.” More than 153,000 freshmen from 227 US colleges and universities responded on a variety of topics, and the findings include: – They were more likely to aspire to advanced degrees – Self-rated spirituality declined – Alcohol and to ...
Breaches of Confidentiality and Medical Record Destruction from Warehouse Fire
The New York Times reports that over the weekend a seven-alarm fire at CitiStorage, a warehouse in the Williamsburg area of Brooklyn, destroyed and/or displaced the medical records of numerous New York physicians and facilities. If you are one of the affected physicians, there are several steps you can take: – Call your professional liability insurance company to report a possi ...
Do You Have to Check the Prescription Monitoring Program (PMP)?
There’s a new online JAMA article entitled Mandatory Use of Prescription Drug Monitoring Programs in which the authors state the following: “22 of the 49 states with PDMPs now legally mandate prescribers to query the system before writing for controlled substances with recognized potential for abuse or dependence.” To me, that statement seemed too broad to be true, as I’m only ...
4 Steps to Implement e-Prescribing
Are you are thinking about adding e-prescribing to your practice? Or do you practice in New York (where you must begin e-prescribing by March 27th) and don’t know where to start? Here’s what you need to know: 1. Understand the law – federal and state Most federal law relevant to e-prescribing involves electronic prescribing of controlled substances (EPCS). The software vendor m ...
Can You Cancel a Claims-Made Policy Without Buying Tail Coverage?
Many medical professional liability companies only offer claims-made policies to behavioral healthcare providers like you. You are probably familiar with some common assumptions associated with claims-made policies: – A claims-made policy protects you against claims for an incident if the policy is active when the “claim” is “made”. Correct! – An incident must be within the ...
5 Things To Do To Improve Patient Care
Can’t decide what resolutions to make for 2015? How about making a resolution to improve patient care and reduce liability? We know from our experience in handling more than 20,000 claims and lawsuits against psychiatrists that your highest risk exposures are related to psychopharmacology and treating patients with suicidal behaviors. We also know that there are specific steps ...
Physician Online Marketing - Tips to Avoid Drug Seekers
I’ve recently had several calls from physicians who have developed an online presence to seek new patients. Online marketing of your practice seems like a great option to grow a practice. However, what I’m hearing is that many patients who find doctors online do not want a treatment relationship, but rather only want controlled substances. To dissuade potential patients who sim ...
Self-Purchased Coverage or Employer-Provided Coverage
Behavioral healthcare providers working at hospitals, clinics or facilities may opt for coverage under the entity’s policy instead of purchasing their own coverage. At first glance, doing so may seem to be a wise choice from an economic standpoint; however, there are other equally important factors that should be considered before making such an important decision. 1. Avoiding ...
A Special Message from PRMS: Happy Holidays
On behalf of everyone at PRMS, we wish you a lovely holiday season and a new year of happiness and good health. We appreciate that you have chosen PRMS to provide you with your medical professional liability insurance coverage and look forward to being of service in the new year. As is our tradition, we will make donations to charitable organizations in lieu of sending holiday ...
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