BMN Blog

DEC 05

At this point, nearly every American has heard about the opioid crisis. With increasing scrutiny from governing bodies regarding opioids, pain physicians are tested in treating patients in the challenging chronic pain population. While non-opioid medications, therapy and procedures have their place in treating chronic pain, what are physicians to do when patients fail all of these options? One treatment to consider is spinal cord and peripheral nerve stimulation.

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NOV 26
COACHES Program Brings Pediatric Training to Community Hospitals By Chrystal Rutledge, MD, Kristen Waddell, MSN, CRNP, CCRN & Stacy Gaither, MSN, RN Children’s of Alabama Community Healthcare Education Simulation Program in Clinical

Two years ago, the Children’s of Alabama Community Healthcare Education Simulation Program, or COACHES, launched with a mission of improving pediatric care in community hospitals throughout Alabama.

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NOV 19
What is the future of Private Equity in Healthcare? By Jerry Callahan, CPA with Pearce, Bevill, Leesburg and Moore, P C in Business

During my 30 years in healthcare consulting, I have seen several reform initiatives come and go.

 

In many cases, the initiatives have enhanced the ability of consumers to access insurance coverage and ultimately healthcare. In 1993, President Clinton proposed legislation that led to growth in Health Maintenance Organizations (HMOs) and also the HIPAA privacy standards which are still in place today. In the 2000s, President George Bush proposed changes to the Medicare program that led to the implementation of Medicare Part D coverage.

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NOV 05

A look at the calendar tells us that we only have a short time left in 2018. That means many practices will be looking to complete their Security Risk Assessments in order to either qualify for the 2018 Merit-based Incentive Payment System (MIPS) or to simply fulfill their obligations to comply with the HIPAA Security Rule.

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OCT 30

 was created in 2004 by the Department of Homeland Security and the National Cyber Security Alliance to remind us that each we all have the power to make the Internet safer.

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OCT 29
Peripheral Artery Treatment Made Easy By Robert E. Foster, MD, FACC, RPVI Board Certified Interventional Cardiologist Diplomate American Board of Venous & Lymphatic Medicine in Clinical

Peripheral angioplasty is a minimally invasive procedure that can be performed now in an outpatient setting under local anesthesia for the treatment of peripheral artery disease (PAD). Medical technology has played a significant role in furthering this trend. PAD is a common circulatory problem in which the narrowed arteries reduce blood flow in the legs causing leg pain, numbness and/or discoloration.

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SEP 04
Let’s Learn about Venaseal By Alabama Vein Center in Clinical

As the summer months are a time when many people take vacations, it is a good time to get veins treated. So, today, we are decoding the facts about one of the latest minimally invasive technology offerings at the Alabama Vein Center: .

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AUG 30
Fighting Slow PC Performance By Matthew Brannan, Senior Technology Consultant at Keep IT Simple in Technology

One of the most frustrating things PC users can experience is slow performance or freezing while using their normal programs. It can make even the simplest tasks take several times longer and greatly slow down your work day, which impacts patient care as well. While it will sometimes mean there could be hardware issues and your PC needs an upgrade, there are several steps that you and your IT support can take to speed up the performance of your PC through cleanup tools, anti-virus and anti-malware scans, or optimizing settings.

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JUL 25
Growing Embryos in the Vagina By Beth A. Malizia, MD with Alabama Fertility Specialists in Clinical

Dr Beth Malizia and Alabama Fertility Specialists are thrilled to announce the first pregnancy in the state of Alabama from a new technology that allows for the intra-vaginal culture of embryos. This new technique using a device (INVOcell) cultures embryos within a patient’s vagina rather than utilizing the complex incubators of an IVF laboratory.

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JUL 10
How connectivity Powers Rural Care and Telehealth By Theresa Dudley, Healthcare Programs with Spectrum Enterprise in Technology

One of the greatest challenges facing the healthcare industry isn’t a political issue, it’s a geographic issue. What if I told you that approximately 50 million Americans (17 percent of the total population of the US) have limited access to high quality healthcare because they live in rural communities? Rural healthcare has a unique set of challenges including not only geographic but also economic and lifestyle factors.

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JUL 02
Lifelong Limb Preservation: An Update on Peripheral Artery Disease By George Hipp, MD, RPVI with Alabama PVD Center in Clinical

Over 10 million people in the Unites States and over 200 million worldwide have peripheral arterial disease (PAD).1 Critical limb ischemia (CLI), defined as ischemic rest pain or tissue loss resulting from arterial insufficiency, affects approximately 1% of the adult population, or 10% of patients with PAD.2 Further increasing the impact of CLI is the poor prognosis it carries. Major amputation occurs in 33-67% of patients with ischemic tissue loss at 4 years.3,4 Mortality at 2 years in CLI patients is as high as 40%, and appears to be even higher in those with tissue loss. The vast majority of these deaths are due to cardiac events, cardiovascular disease, and cancer, rather than PAD.4,5

 

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JUN 20
Prostate Cancer: Understanding Your Treatment Options By Bryant Poole M.D. & Andrew Strang M.D. with Urology Centers of Alabama, P.C. in Clinical

Other than skin cancer, prostate cancer is the most common cancer in American men. Although it is common, it is still one of the least well-known cancers and a diagnosis can cause confusion about treatment, symptoms, and potential side effects. In search of a minimally-invasive treatment for your prostate cancer? Through our partnership with Vituro Health, Urology Centers of Alabama is the first and only in the state to offer High Intensity Focused Ultrasound, or HIFU treatment.

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JUN 14
Malware Detection and Prevention: the never-ending battle By Ron Prevatte, Director of Sales and Business Development with Integrated Solutions in Technology

Malware are created with the intent to damage or disable our mobile devices, computers or servers. These attempts can include disrupting computing or communication operations, trying to steal sensitive data, accessing our private networks, or hijacking our systems to exploit their resources. With the tremendous growth in email and internet use over the last couple of decades, we have seen a corresponding explosion of growth in malware

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JUN 11
Front Office Transformation – First Impressions Are Everything By Tammie Lunceford, CMPE CPC, Healthcare Consultant with Warren Averett in Business

I recently visited a specialty practice at a major health system. As I approached the registration desk a posted sign directed me to a standing kiosk to sign in. The family member I accompanied to the visit was unable to stand at the kiosk, so I provided the needed information and signed her in.  Although it was a quick and seamless process, I was concerned because if I needed assistance, there were no employees to ask.  Many practices have implemented kiosk sign-ins and have someone to assist a patient with the process if needed.  Practice administrators have made the decision to implement kiosk to assure verification of the current insurance policy and prompt the patient to pay any out of pocket expense before they see the doctor.  Many of the kiosk solutions allow a pre-registration via email to allow the patient to populate data and upload information from their own device at their convenience.  Benefits of Kiosk Sign-ins include: reduction in the staffing at the front desk, decrease in patient wait time, and most impressively is the increase of time of service collections.

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JUN 07
Work-Arounds are Jeopardizing Your Patient Data By Christina Southern with TekLinks in Technology

One of the greatest challenges healthcare organizations face today is clinical application interoperability – the communication between computer systems, applications, or software to allow them to work in conjunction with one another.

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MAY 16
ePHI Safeguards Requirements and Small Practices: What Physicians Need to Know By Hayley Scheer, J.D., LL.M. Health Law Attorney, Cabaniss, Johnston, Gardner, Dumas & O’Neal LLP in Regulatory

It is especially important for smaller practices to be mindful of Electronic Protected Health Information (ePHI) security regulations – a breach of ePHI can lead to costly notification requirements and potential monetary penalties under the HITECH Act.[1]  Managing physicians of small independent practices hold many responsibilities, including the duty to comply with the Security Rule within HIPAA regulations.  This article provides a brief overview of federal ePHI compliance safeguards required in a practice.  While not meant to be a comprehensive discussion of all requirements, it highlights legal considerations and safeguards a practice must implement to comply with HIPAA ePHI regulations.  The federal Security Rule under HIPAA requires a health care provider (typically known as a Covered Entity[2]) to have the minimum ePHI safeguards, listed below.

 

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MAY 15
Mitral Valve Regurgitation By Hosakote Nagaraj M.D. with Heart South in Clinical

 Mitral valve regurgitation has been described as a very common cardiac valvular abnormality which is under recognized and under treated even in industrialized countries

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MAY 10
Annual Wellness Visits By Carrie Gulledge RHIA, Director of Electronic Health Records and Jennifer Woodward, Director of Operations with MediSYS in Business

As today’s healthcare drive pushes practices even further down the path of pay for performance versus the older models of pay for volume, administrators and executives throughout healthcare are researching and implementing ideas to provide an overall better experience for patients.

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APR 16

In 2012, I read this that made me question much of what I thought I knew about my profession of serving clients as a guide for their financial decisions. The designation following my name for which I had worked so hard at obtaining? Good, but not enough. The incredible technology –from complex financial forecasting to automated investment management?  Lacking. 

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APR 03

According to the Ponemon Institute –   - the average cost of a data breach was $3.62 million dollars. This breaks down to $141 dollars per stolen record. International Data Corporation – – estimates that globally data storage will grow ten-fold by 2025 total of 163 zettabytes (a trillion gigabytes) by 2025. Data is stored in a vast range of devices including your smart phone, laptops, notebooks, workstations, tablets and even on your smart TV. Most businesses focus on the technical aspects of how to avoid data breaches (firewalls, anti-virus, security patches, etc.) and often how physical technical assets are destroyed at the end of their life are often overlooked or do not have a set process in place.

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MAR 28
Atrial Fibrillation Awareness and Progression Prevention By Macy C. Smith, Jr., MD, FACC, FHRS with Cardiovascular Associates in Clinical

Almost everyone has seen the ads for the new anticoagulants at this point. However, many Americans still remain in the dark regarding what atrial fibrillation (Afib) is and it’s potentially devastating consequences. Despite increasing efforts to improve the awareness for atrial fibrillation, many still do not know it’s signs and symptoms or that it is a progressive disease. Afib is the most common arrhythmia in the world affecting 3-6 million Americans with projections of up to 16 million by the year 2050.

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MAR 22
Ocular Melanoma: What You Don’t Know CAN Hurt You! By Elizabeth A. Steele, OD, FAAO with UAB Eye Care in Clinical

A rare cancer of the eye known as uveal melanoma has affected a specific demographic, mainly women, who attended Auburn University in the late 1980’s and early 1990’s. Uveal melanoma is the most common cancer in the eye, but overall its incidence is extremely low, known to affect only 4.3 per 1 million people in the US.  While these cancers are uncommon, they can lead to unfortunate outcomes including total removal of the eye, and even aggressive cancers spreading throughout the body, making it crucial to catch them early.

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MAR 19
Patient Satisfaction- What Is It Worth? By Tammie Lunceford, CMPE CPC with Warren Averett in Business

In the past few years, when we discussed patient satisfaction it pertained only to patient surveys and results. Some managers believe surveys are utilized by specialties, such as, plastic surgery who primarily practice on a cash basis.  Consumerism is here to stay! Cost and quality will create a level playing field in healthcare.  When working with a practice, I love to sit in the waiting room to see operations from the patient’s point of view.  I also search the specialty online to review the competition and the effectiveness of the practice’s website; I may also see online reviews.

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MAR 13
It’s Not Just Stress: Removing the Cloak of Anxiety By Minerva Amputch Young, LPC, NCC with West Neuropsychology, LLC in Clinical

In a world of rapidly accelerating technology, our lives have become a 24hr sprint of endless tasks to be completed within a certain timeframe. Doctor offices are inundated with patients many young in age presenting symptoms such as high blood pressure, racing heartbeat, headaches, chest pain, random sweats, insomnia, and gastrointestinal problems. With the increased volume of patients and the demanding time constraints experienced in physician offices, these physical symptoms are often treated individually. The physician may prescribe medication, make recommendations on possible lifestyle changes, yet the symptoms remain. Effective treatment has to go deeper. These patients could be simply suffering from stress or they could be dealing with a more problematic subset of mood disorders: Anxiety Disorders.

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MAR 05
Cryptocurrencies, Blockchain & the Value of Trust By Matt Dennis, National Bank of Commerce in Business

Over the last year or so, cryptocurrencies and blockchain technology have grabbed the attention of global markets and its participants.

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FEB 06
Preparing for your Annual Security Audit By Ron Prevatte Director of Sales and Business Development with Integrated Solutions in Technology

Most companies assume their cyber security is pretty good… until a breach happens and then you find out where the holes were. We often find that apathy and a lack of being proactive may cost you lots of money. An annual security audit is a necessity for all medical practices and companies in todays ever changing world of technology. It is a vital part of protecting your digital assets and cyber security plan for your organization. It’s not just about discovering any vulnerabilities or shortcomings, rather it’s about opportunities to strengthen your network security.

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JAN 22
Optimizing Today’s Technology for Healthcare By Andrew Burke, CDIA+ with Stewart of Alabama in Technology

We all recognize that healthcare is evolving at a rapid pace. With this evolution, the need to share patient information to positively impact quality care, provide a seamless patient experience, plus save time for your staff to coordinate care is of critical importance.  By making the most of new technology, today’s office equipment can easily and securely, help you do just that. 

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DEC 22

Every year, new hearing aid technology is introduced to the market. New technology in hearing aids boasts updates and changes in directional microphones,  sound processing algorithms, noise reduction features, amplitude and frequency compression, and audio data transfer between hearing aids, just to mention a few.  What is often forgotten however, is that the primary objective of a traditional hearing aid fitting is to ensure that the patient is receiving the appropriate amount of amplification for their hearing loss at each frequency.

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NOV 22
“New vascular clinic paves the way in eliminating leg pain” By Katie Reaves, M.S., Vascular Division Manager with Alabama PVD Center in Clinical

Approximately 12 million Americans suffer from peripheral artery disease (PAD), yet general awareness of the disease is at 25%. Patients over the age of 50 with a history of smoking, high cholesterol, diabetes, hypertension, and heart disease are at the greatest risk.  A staggering 50% of PAD patients have unrecognized symptoms that may progress directly to severe disease.

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NOV 01
Robotic Surgery: The How, When, and Why? By Justin B. Gerth M.D., with Eastern Surgical Associates in Clinical

Robotic assisted surgery has seen an explosion since it was first introduced about 20 years ago with over 4 million procedures performed. Although minimally invasive laparoscopic surgery has been around longer, certain limitations existed within this field. Laparoscopic surgical instruments lack wristed movement, essentially forcing surgeons to operate with chop sticks. The effect was difficulty performing certain procedures and working at difficult angles. Robotic surgery allows wristed action of the instruments, better optics (depth perception), surgeon control of the camera, and better ergonomics. While there is not any significant change in long term outcomes, there are studies suggesting decreased pain and shorter hospital stays.

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OCT 24

The state’s first spine procedure using the Mazor Robotic System in conjunction with intraoperative imaging was performed by neurosurgeons with Neurosurgical Associates, PC at St. Vincent’s Birmingham.

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OCT 02

Did you know a single patient health record can earn cybercriminals 10 times the price of a stolen credit card number on the black market?

The Office of Civil Rights is auditing small and large healthcare providers alike, imposing multi-million dollar fines in some cases. Meanwhile, the same electronic storage, mobile devices, and cloud-based applications that patients, doctors, and healthcare staff want to use often compromise a practice’s ability to keep that patient data safe.

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SEP 14
Physician Workflow and Coding Specificity- The Effect on Value By Tammie Lunceford, CMPE CPC at Warren Averett in Business

It has now been two years since the implementation of ICD-10, everyone survived! While denials have been minimal, the goal of implementing ICD 10 to acquire more specificity and a complete picture of health has not been fully achieved.  Physicians and managers have created a new set of shortcuts to assure payment of claims, relying on paper superbills or inappropriate conversions from ICD 9 to ICD 10.

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SEP 01
Children’s orthopedics department expands staff and services By Shawn “Skip” Gilbert, M.D., Chief of Pediatric Orthopedics, Children’s of Alabama in Clinical

Every caregiver strives to expand the services they provide to their patients, while also improving quality of care and safety. These are certainly our goals at the Children’s of Alabama orthopedic clinic.

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AUG 11
To See the World on Two Wheels with Shirley Lazenby, M.D., and Michael Roberts, M.D. By Lori M. Quiller, APR Director of Communications and Social Media Medical Association of the State of Alabama in Business

Albert Einstein once said, “Life is like riding a bicycle. To keep your balance, you must keep moving.” Moving is one thing the City of Opelika is determined to do…even on two wheels.

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AUG 02
New Therapy for Malignant Brain Tumors By Christopher Jahraus M.D. with Shelby Baptist Medical Center and Generations Radiotherapy & Oncology PC in Clinical

Tumor Treating Fields or TTF as it is more commonly known is a recently developed method by which malignant brain tumor cells are prevented from reproducing. Shelby Baptist Medical Center and Generations Radiotherapy & Oncology PC has begun therapy on its first patient using this entirely new approach in the treatment of malignant brain tumors with the Optune TTF system.

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JUL 20
Prostate Cancer and Modern Medicine By Joelle Hamilton M.D., Medical Oncologist with Urology Centers of Alabama in Clinical

Prostate cancer is the second most common cancer diagnosed in American men and the second leading cause of cancer death. While a majority of men will be diagnosed after the age of 65, younger men do need to consider screening for prostate cancer, especially if risk factors are present such as African American heritage or a family history of prostate cancer.

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JUL 18
The Value of the Team Approach By Tammie Lunceford, CPC Healthcare Consultant, Warren Averett in Business

Most all medical practices are preparing a MACRA project this summer. Our healthcare team has had the opportunity to speak to many physicians and managers regarding preparation for the transition from volume to value based medicine and reimbursement.  A large project can be overwhelming for any practice but this is more than a project, it is a culture change!

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JUN 13
The CoolSculpting® Trend Continues to Grow – With Good Reason By Warren B. Seiler III, M.D., Owner and Medical Director at Seiler Skin in Birmingham, Alabama in Clinical

For years now, I have seen patient after patient frustrated with stubborn fat in areas that do not respond well (or quickly) to diet and exercise. Their concerns are very common, and certainly not something of which to be ashamed. Patients also frequently ask me for my recommendations on non-invasive cosmetic treatments designed to address these issues, like CoolSculpting®, Sculpsure®, Vanquish™ or Zerona™.

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APR 04

When choosing an IT company, you’re selecting a partner that will be yoked to your business. As such, it is not always the traditional, technology-related questions that reveal the most helpful insight into a potential partner.

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MAR 27
Adding a Mid-Level Provider? Pitfalls to Avoid By Tammie Lunceford, CPC Healthcare Consultant, Warren Averett in Clinical

In the last 10-15 years, the use of mid-level providers has increased to expand the base of patients in many practices.  The Nurse Practitioner scope of practice is more flexible and there are specialty designations available to foster expertise in certain areas.  The insurance companies have expanded the number of plans covering a mid-level provider’s services.

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MAR 03
Moving a medical practice can be a daunting task By Blake Perry, Chief Technology Officer, Keep IT Simple. in Clinical

Moving a medical practice can be a daunting task. A medical office move can be a result of needing a bigger space, physician retirement, or practice acquisition. While making patients aware of a major change is most certainly a priority, it is equally important to make sure their documents and all office data and service equipment survives the move as well.

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