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      Specialty Focus   
                                                                                    
Volume VII | Issue 7                                                                              
Feb. 13, 2018   
 
        Practice specific news, analysis and commentary
      for Florida's Medical Specialists
                            From the publisher of FHIweekly & FloridaHealthIndustry.com

2nd FCA Whistleblower Case Dismissed - What's a Lawyer to Do? 
For the second time in the last few weeks, a Florida district court judge has dismissed a whistleblower lawsuit filed against a healthcare company alleging fraud. The most recent dismissal, which took place on February 6, was of a lawsuit against electronic software company Epic that alleged it had overbilled for anesthesia procedures. In dismissing the suit, Judge James Moody Jr. of the Middle District of Florida in Tampa, found that the Relator, Geraldine Petrowski, "failed to meet the heightened pleading requirement for claims alleging fraud." Petrowski worked at WakeMed Health in North Carolina as supervisor of physician's coding. She filed the complaint in 2015 alleging that the company's billing software...
Health Care Industry Conference April 19-20  
CASTLE-AF (Ablation) Trial Delivers Benefits - Was I Critical Enough? 
Dr John M

Doctors like me have performed AF ablation for more than a decade without knowing whether the major procedure improves outcomes. That sounds crazy but it's true. Until now, the only evidence we had that doing all these burns or freezes in the heart helped people was that it made people feel better than they did taking AF drugs. Better quality of life is important but it seems like a procedure this invasive and expensive should do more than make people feel better. Well, now, we have evidence that AF ablation improves hard outcomes.
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FloridaHealthIndustry.com 
Complicated Communication: Discussing Unexpected Outcomes with Patients 
Marshaleen King, MD | Mutual Matters

Case Scenario
 
A 32-year-old woman underwent emergency cesarean section due to fetal bradycardia. Her C-section was complicated by an injury to her bladder which was repaired immediately by her obstetrician. Post-operatively, the patient was not informed of this complication as the obstetrician reasoned that this was included as a possible complication on the consent form. In addition, the obstetrician was of the opinion that the bladder repair was successful thus the patient was unlikely to experience any future problems related to this complication.
 
Ten days following delivery the patient presented to her primary care physician complaining that an increasing amount of fluid was draining continuously from her vagina. The patient's primary care physician examined her and reviewed the records that had been faxed over by the obstetrician following her delivery.
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Analysis: Trump budget tries to address drug prices, but leaves list prices untouched 
Ike Swetlitz | STAT

President Trump's plan to bring down the price of prescription drugs, released as part of his administration's budget proposal Monday < 2.12.18>, made no mention of what his health secretary said is the "most important thing": lowering the actual list prices drug makers set for their products. Instead, the proposals are a hodgepodge of relatively narrow policies that take aim at various parts of the Medicare and Medicaid programs. One would reduce the amount of money doctors and hospitals are reimbursed for hospital-administered drugs under Medicare Part B; another would let some states engage in more aggressive negotiation for drugs in their Medicaid programs.
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