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The Sentinel: November 2024

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Release of 2025 Final Medicare Payment Rule

Industry News  |  Elizabeth Woodcock, MBA, FACMPE, CPC

On November 1, the Centers for Medicare & Medicaid Services (CMS) released the 2025 Physician Fee Schedule (PFS) final rule. Medicare payments to physicians will be reduced by 2.93% in 2025 compared to the current payment rate, in place since the spring of 2024 when Congress stepped in to stabilize rates....

Ransomware Cost This Practice $240,000 in Government Penalties: How Phishing Set Off a Chain Reaction

Cybersecurity  |  Rana McSpadden, FACMPE

On October 3, 2024, the Office for Civil Rights (OCR) announced Providence Medical Institute (PMI) in Southern California was ordered to pay $240,000 because of a ransomware breach investigation.  What makes this announcement unique compared to other OCR investigations is that, in a rare move, the paymen...

A Year-End Recap

Risk Matters  |  Jeffrey A. Woods, JD

Through the monthly Risk Matters, online programs including specialty-specific programs, seminars, and individual communications with physicians, advanced practitioners, and practice executives, our Risk Education Department provides you with the most up-to-date, practical information to improve patient safet...

Credibility is Crucial

Closed Claim Review  |  Stephanie Walkley, JD, BSN

Pearl McGuire[1],  a 70-year-old retired nursing assistant with chronic back pain, scheduled an appointment to see orthopedic surgeon, Dr. Howard Glover, for evaluation of ongoing back issues. During her initial visit, Mrs. McGuire reported significant back pain, bilateral leg numbness, and difficulty wa...

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