Emergency Medicine Claims Case Study: Missed Myocardial Infarctions

A closer look two physicians’ failure to recognize impending myocardial infarctions, and key takeaways on how to avoid this error.

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November 8th, 2018


Claims Case Study: The Wrongful Death of an Endoscopy Patient

A look into one physician’s deviation from pre- and post-anesthesia care, and advice to help other physicians avoid similar situations.

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Claims Case Study: The Biopsy Specimen Mix-Up That Led to an Unnecessary Prostatectomy

A look into one urology practice’s deviation from standard specimen-collection procedure—and advice to help other practices avoid similar situations.

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December 11th, 2017


Claims Case Study: The Patient Discharged From the Emergency Department With an Abdominal Mass

A look into how an ED failed to follow up with a patient, and tips on how to avoid a similar situation.

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Claims Case Study: How to Handle Threats and Violence in Health Care Settings

Case studies and resources for practices on dealing with difficult and potentially violent patients.

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September 14th, 2017


2016 Closed Claims Summary

Details about the 50 cases that were closed with verdict or payment last year.

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November 3rd, 2016


Bankruptcy Court Sanctions Hospital for Proof of Claim Snafu

Learn more about a recent decision from a federal Bankruptcy Court in North Carolina emphasizing the need for proper training for people—including healthcare providers—filing proofs of claim on behalf of anyone providing consumer credit.

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November 3rd, 2016


Claims Case Review: Make sure your practice has a policy for documentation of code situations

The patient, a 68-year-old male with a history of hypertension, GERD, ETOH abuse, and colon polyps, underwent a colectomy and exploratory laparotomy for a sessile tubulovillous colon polyp and multiple polyps in the colon.

Read the full story for key takeaways and the outcome of this case.

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July 19th, 2016


Claims Case Review: ED Docs Prevail in a Challenging Trial and Difficult Venue

The following case involved multiple defendants (two of our insured emergency medicine physicians, the LLC with whom the hospital contracted in order for our insureds to provide service to the ED, an outpatient pediatrician, and the local hospital) who all treated a 3-month-old infant who was ultimately diagnosed with a rapidly progressing form of meningitis (Neisseria).

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January 7th, 2016


Claims Case Review: Pre-Op Order Follow-Up

The patient, a 65-year-old male who was a retired high school math teacher, presented to the co-defendant orthopedic surgeon for a consultation for an elective left total knee replacement. The orthopedic surgeon sent the patient to our insured internal medicine physician for pre-operative clearance which was to include multiple laboratory studies and a chest X-ray. The insured saw the patient as requested and gave him operative clearance pending a chest X-ray.

Read the full story for key takeaways and the outcome of this case…

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November 11th, 2015


Claims Case Review: Thorough Documentation Prevails in the Courtroom

The patient, a then 45-year-old female, was first seen by our insured family practice physician in 1995. She had a longstanding history of depression, chronic back pain, chronic headache pain, ETOH abuse, tobacco abuse, poorly controlled diabetes, and a prior CVA with residuals of speech difficulties and vision problems. The patient had been on SSDI since her CVA in the early 1990s.

Read the full story for key takeaways and the outcome of this case…

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October 1st, 2015


Claims Case Review: Failure to Review X-rays

The patient, a 48-year-old male, presented to the ED with complaints of right shoulder and right knee pain after falling at home. Films of both his shoulder and knee were taken and interpreted by the ED Physician Assistant (PA). Per the PA’s interpretation of the films, the patient’s right shoulder was dislocated. She saw no evidence of fracture in the films of the right elbow or right knee. The insured ED physician did not review the patient’s knee films.

Read the full article for a complete overview and the outcome of this case.

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September 3rd, 2015


Claims Case Review: Carefully weigh risks when administering IV contrast for scans

The patient, a 44-year-old female, presented to her local ED with complaints of weakness, nausea, vomiting, abdominal pain, and diarrhea. She had been treated for a UTI 2 days prior at an urgent care office.

Read the full article for a complete overview and the outcome of this case.

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July 31st, 2015


Claims Case Review: No Deviation in Standard of Care and Proximate Cause

The patient, a married 39-year-old police officer with two young children, had a history of several weeks of worsening headaches with some nausea and vomiting. He presented to the ED of a local hospital for evaluation and a CT scan indicated a probable colloid cyst with hydrocephalus of the lateral ventricles and mild diffuse periventricular edema.

Read the full article for a complete overview and the outcome of this case, as well as key takeaways.

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June 30th, 2015


Claims Case Review: Cardiology

At 10:00 a.m., the patient, a 74-year-old retired painter and Air Force veteran, was taken by EMS to his local hospital after experiencing an episode of sharp, substernal, non-radiating chest pain that worsened with activity. He noted diaphoresis, but denied nausea, vomiting, or shortness of breath. During transport, the patient was treated with nitroglycerin, aspirin, and oxygen. A 12 lead EKG was done by EMS and showed no ST segment changes.

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