The risks and benefits of malpractice litigation

The risks and benefits of malpractice litigation

e78 Current Practice: How to document and code for E/M services versus eye code services; how to document vision examinations; which tests are bundled...

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e78 Current Practice: How to document and code for E/M services versus eye code services; how to document vision examinations; which tests are bundled with other tests, or surgeries; appropriate modifier application in the office, in the facility, and during global period. Best Practice: Internal compliance controls: subscribe to all payer listservs; liaison with provider representative; and conduct quarterly internal audits to identify deficiencies and implement corrective action plan. Expected Outcomes: Improved awareness of variation in payer policies and apply knowledge to exam, test, and surgical coding documentation. Identification of ICD-9 and correct ICD-10 code linkage. Format: Didactic lecture and case presentation. Summary: Identification of 5 types of payers, including the impact of Affordable Care Act, and the nuances of each; appropriate modifier application; and coding cases from the routine to the complex. Attendees are encouraged to submit questions to [email protected] prior to the course. 248 The risks and benefits of malpractice litigation. Paul Weber, Denise R. Chamblee, Elyssa P. Rosenthal, James R. Broening Purpose/Relevance: No matter how careful and skilful, an ophthalmologist is at risk of being sued for medical malpractice. In order to successfully defend the lawsuit, ophthalmologists need to understand the legal process and the emotional challenges they will face. They also need to understand good risk management practices (documentation, informed consent) that will help them prevail in litigation. Target Audience: Ophthalmologists who specialize in pediatric ophthalmology and treat strabismus. Current Practice: Ophthalmologists often experience shock and anger when sued for malpractice. While these emotions are natural they tend to be counterproductive in understanding the legal process and preparing an effective defense. Best Practice: This review of an actual lawsuit against an ophthalmologist that went to jury trial will describe specific steps to channel the strong emotions that arise in litigation into effectively working with the defense team to defend the lawsuit. Expected Outcomes: When faced with a malpractice claim, ophthalmologists will be able to identify positive steps they can take to successfully weather this stressful event. Format: Didactic and panel discussion. Summary: This workshop will explore the personal, professional and legal issues that arise in malpractice litigation. Specifically, the faculty will discuss the importance of positive collaboration between the ophthalmologist, the defense attorney and the insurance company, and how this essential teamwork helps minimize the stress of litigation and increase the potential for a favorable outcome. 249 Oops—what happened? Presentation and discussion of cases in pediatric ophthalmology and strabismus when the unexpected happened. What happened and why? How can I treat it? Prevent it? What I learned from it? Tamara Wygnanski-Jaffe, Alex V. Levin, Sharon F. Freedman, Joseph L. Demer, Itay Ben-Zion, Gregg T. Lueder Purpose/Relevance: The workshop is designed to share mistakes, unpredicted findings and outcomes with a discussion on preventive measures and management.

Volume 19 Number 4 / August 2015 Target Audience: Pediatric ophthalmologists, general ophthalmologists, and trainees. Current Practice: It's much more difficult to present and discuss mistakes in history taking, diagnosis, imaging, surgical techniques, and unexpected surgical findings and complications than it is to present treatment successes. Sharing others experiences can teach us to expect, be aware, avoid, and plan for the unexpected, if/when it should occur. Best Practice: This workshop allows participants to observe cases with unexpected outcomes with an explanation and discussion by the presenting clinician and discussion with the panel and the audience. Expected Outcomes: At the conclusion of the workshop the audience and the panel will have shared their experience with unexpected findings in common and rare clinical scenarios. It encourages the participants to expect the unexpected, seek and plan for it appropriately. Format: Members of the panel will present clinical and surgical cases in which they experienced an unusual finding due to a clinical anomaly or a clinical, imaging, or surgical mistake. Summary: Clinical and surgical cases with appropriate audio and visual material will be presented for discussion. These presentations will attempt to give the participants something to think about and take back to their respective practices. 250 What's new and important in pediatric ophthalmology and strabismus in 2015. Jitka L. Zobal-Ratner, Nisha Krishan-Dave, William W. Motley, Jason H. Peragallo, Rebecca S. Braverman, Hilda Capo, Leemor Rotberg, Tina Rutar, Melanie Schmitt; other contributors from the AAPOS Professional Education Committee; Darron A. Bacal Linda R. Dagi, Patrick J. Droste, Sergul A. Erzurum, Christopher M. Fercarotta, Douglas Fredrick, C. Corina Gerontis, Melanie A. Kazlas, Ramesh Kekunnaya, Jennifer A. Kozak, Stacy L. Pineles, Graham E. Quinn, Terri L. Young Purpose/Relevance: The authors will investigate the literature for articles of interest to the sub-specialty of pediatric ophthalmology and strabismus for the time period March 2014-February 2015. Ophthalmic journals are stressed but journals from other specialties such as pediatrics, neurology, and comprehensive medicine will be included. The authors will summarize the key findings in the major topics including, but not limited to, vision screening, amblyopia, neuro-ophthalmology, retinopathy of prematurity, strabismus, cataract, glaucoma, genetics, retina, orbit, uveitis and practice management. The presentations in these topic areas will summarize and emphasize second-order analyses of the material. Target Audience: Pediatric and comprehensive ophthalmologists, orthoptists. Current Practice: Pediatric ophthalmology is a rapidly evolving subspecialty. It is difficult to remain current with all of the literature in this field. Best Practice: The authors will summarize, analyze and present the most current and important information from more than 20 medical journals. Expected Outcomes: The audience will understand the most current published information in this subspecialty. Format: Didactic lecture. Summary: More than 20 medical journals will be reviewed for relevant new findings in the subspecialty of pediatric ophthalmology and strabismus from March 2014 to February 2015. The material presented will educate the ophthalmologists and orthoptists in new research.

Journal of AAPOS