MSOA News

2009 Archive

 

DECEMBER 29, 2009

MSOA member Matthew Dobbs, MD's research presented in "Study looking at whether braces offer benefit for curved spines."

The full article


DECEMBER 03, 2009

MSOA member Sonny Bal, M.D., "Rethinking informed consent: Tell your patients of all the treatment choices available to them," in Orthopedics Today

The full article


OCTOBER 30, 2009

MSOA member, Barry Gainor, MD profiled in the Columbia Missourian, "The Other Healing Arts."

The full article


SEPTEMBER 30, 2009

Sonny Bal, MD, JD, in Orthopedics Today, "Causation in medical liability: Determining who is at fault."

Despite good faith and prudent care, some outcomes go bad through unexpected events.

The full article


SEPTEMBER 30, 2009

Patrick Smith, MD, Orthopedics Today Round Table Participant, in "Surgical treatment may be the answer for ACL tears in the aging athlete"

The full article


SEPTEMBER 24, 2009

Missouri Insurance Department to examine health insurers' reimbursements to Doctors

Gov. Jay Nixon issues prompt pay executive order

Gov. Jay Nixon has ordered the state Department of Insurance to determine whether health insurance companies in Missouri are withholding reimbursement payments to health care providers for unreasonable lengths of time.

Doctors, hospitals and other providers have complained to the department that after treating patients and submitting bills for reimbursements, health insurance companies are not paying the bills in a timely manner.

The Governor signed an executive order today calling on the Insurance Department to report on the scope of the problem and make recommendations on the sufficiency of Missouri's "prompt pay" statutes. State law requires health insurers to respond to and pay claims to health care providers within specific time frames, or they face penalties and interest payments.

This year the Department of Insurance has fielded complaints from health care providers involving thousands of unpaid claims. Complaint volume for 2009 is already six times as high as it was for all of 2006. Some examples of complaints submitted:

  • A rural hospital in eastern Missouri has waited more than two years to be reimbursed for $300,000 in claims dating back to 2007.
     
  • A St. Louis-area hospital has filed complaints regarding more than 3,000 unpaid claims.
     
  • A small central Missouri anesthesia practice has filed a complaint regarding almost $120,000 in outstanding claims, dating back to 2007.

MSOA members met with Gov. Nixon in April 2009 about payment delays with major carriers in Missouri. 

"This problem hits small and rural providers hardest, straining their cash flow and requiring them to dedicate staff time to paperwork and collections," said John M. Huff, director of the Missouri Department of Insurance, Financial Institutions and Professional Registration.

According to the executive order, "the lack of timely claims payments may significantly compromise the ability of hospitals and health care providers to continue to provide quality medical care to Missourians."

This fall, the department will be surveying dozens of hospitals and health care providers across the state to determine the extent of the problem. The department will then make a report to the Governor and General Assembly to determine whether new, stricter prompt pay legislation is needed in 2010. The department will give its report to the Governor and legislature by Dec. 31.

Health care providers with complaints about lack of prompt payment from insurance companies should file a complaint with the department's Insurance Consumer Hotline, 1-800-726-7390, or visit insurance.mo.gov.


AUGUST 04, 2009

MSOA member Sonny Bal, MD., In Orthopedics Today

"Physicians giving expert testimony are regulated by law, professional associations." Increasing debate on the possibility of defamation has brought new attention on expert witness programs and ‘qualified privilege.

The full article


June 4, 2009

MSOA members Thomas Aleto, MD, Sonny Bal, MD, JD’s research included in Journal of Arthroplasty, "Heterotopic Ossification After 2-Incision Total Hip Arthroplasty."

The full article


June 4, 2009

MSOA members Thomas Aleto, MD, Sonny Bal, MD, JD’s research included in Journal of Arthroplasty, "Heterotopic Ossification After 2-Incision Total Hip Arthroplasty."

The full article


JUNE 04, 2009

MSOA Member Sonny Bal, M.D.’s article in Orthopedics Today, "Patient care vs. economics: How liable are physicians and facilities in this environment."

Two examples of case law point out that defining the complex relationship between practice and profits can play a role in malpractice legislation.

The full article


MAY 06, 2009

MSOA member Sonny Bal, MD., In Orthopedics Today

"The art of happiness: Communication and empowerment can keep patients content."

The full article


MAY 04, 2009

Research by MSOA members Leesa Galatz, MD, Jay Keener, MD and Ken Yamaguchi, MD, featured in JBJS

"Tendon Integrity and Functional Outcome After Arthroscopic Repair of High-Grade Partial-Thickness Supraspinatus Tears."

The full article


APRIL 09, 2009

MSOA Member Thomas DiStefano recognized for achieving outstanding patient satisfaction ratings

The full article


APRIL 06, 2009

MSOA member Sonny Bal, MD "Surgeons should know the legal liability of consenting to patient-demanded treatment"

Direct to consumer advertising, professional marketing and the Internet make knowing informed consent law more important today.

The full article


APRIL 06, 2009

MSOA member Sonny Bal, MD, "Orthopedic malpractice: Cases in the news"

In a realm that seldom has clearly defined right and wrong answers, beware of the situations that can lead to liability.

The full article


MARCH 30, 2009

Ortho Four State Plan in GalenaGrows

The full article


FEBRUARY 12, 2009

MSOA member Sonny Bal, M.D.'s article in Orthopedics Today, "Prosecutorial power of the federal government: The imbalance of the DOJ"

In Department of Justice investigations and prosecutions, the government has a clear advantage over the defendants.

The full article


FEBRUARY 12, 2009

MSOA member Sonny Bal, M.D.'s article in Orthopedics Today, "Never events: Future threat to physicians"

The government's effort to categorize surgical complications may lead to a perfect storm in U.S. health care.

The full article


JANUARY 28, 2009

Research by MSOA members Leesa M. Galatz, MD, Jay D. Keener, MD and Ken Yamaguchi, MD published in the Journal of Bone and Joint Surgery

"Shoulder Strength in Asymptomatic Individuals with Intact Compared with Torn Rotator Cuffs"

The full article


JANUARY 28, 2009

MSOA welcomes new Director to Board

MSOA welcomes Dr. Santosh George to the MSOA Board of Directors. Dr George will fill Dr. Jason Calhoun's unexpired Board term. Dr. George is a member of Liberty Orthopedics in Liberty, Missouri. Dr. George and Liberty Orthopedics are longtime supporters of MSOA and its Political Action Committee.