Risk Management
The High Cost of Refused Care
A patient calls to report symptoms suggestive of endophthalmitis but refuses to drive to a satellite office where the ophthalmologist is working that day. A patient who recently had cataract surgery calls the surgeon to complain of headaches unrelated to the surgery but won’t go see her primary care physician. A glaucoma patient refuses to come in for a follow-up visit to perform visual fields and check the optic nerve but wants the ophthalmologist to keep refilling her prescription. A comprehensive ophthalmologist refers a patient to a glaucoma expert for surgery but the patient won’t...
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CASE STUDY:
Abandonment or Noncompliance?
Ryan Bucsi, OMIC Senior Litigation Analyst Allegation Failure to follow up with patient after a negligent injection of Kenalog. Disposition Defense verdict. Case summary A 56-year-old male patient with type II diabetes began to complain of decreased vision OD one month following uncomplicated cataract surgery OD. He was referred to an OMIC-insured retinal specialist, who diagnosed diabetic macular edema and...
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Risk Management Hotline:
(800) 562-6642 (Press 4)
Course and Discount Information:
(800) 562-6642 (ext. 652)
Risk Management Hotline:
(800) 562-6642 (Press 4)
Course and Discount Information:
(800) 562-6642 (ext. 652)
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When Patients Won’t Pay for Care
Anne M. Menke, RN, PhD, OMIC Risk Manager Some patients who opt for high-deductible health insurance plans or go without insurance altogether decide to postpone or refuse recommended care. Some of these patients are perfectly willing to receive the care, but not to pay for it. When patients base their healthcare decisions primarily on financial considerations, they put their physicians in a difficult position. OMIC’s risk management team has received a number of calls from policyholders trying to balance their professional liability risk with their practice’s financial well-being. The following...
