MLMIC’s Cardiology Claims Data Snapshot

By Tammie Smeltz, Content Marketing Manager

MLMIC Insurance Company, in collaboration with MedPro Group and Candello, is pleased to introduce our Cardiology Claims Data Snapshot.

This publication provides insights into the clinical and financial severity of cases in which cardiology and interventional cardiology are identified as the primary responsible services. Data for the analysis was collected from cases initiated between 2012 and 2021.

This analysis examines allegations and contributing factors, including human factors and healthcare system flaws that result in patient harm. While there are several contributing factors in cardiology claims, the most common factors include:

• clinical judgment relating to patient assessment, selection and management of therapy, patient monitoring, failure/delay in obtaining a consult, failure to ensure patient safety, choice of practice setting, failure to question/follow an order and practicing beyond your scope of practice;

• communication among providers, between patient/family and providers, via electronic communication such as texting or email and telehealth/tele-radiology; and

• documentation including content, insufficiency and mechanics of documentation.

This study provides comparisons in contributing factors nationally and throughout New York State, as well as an analysis of the most common drivers of clinical and financial severity. It also contains stories reflecting allegations and contributing risk factors driving cases brought against cardiologists and includes risk mitigation strategies to address these issues.

The complete Cardiology Claims Data Snapshot can be found here.

MLMIC is dedicated to helping our insureds stay aware of risk trends by specialty and across a variety of practice settings. Claims Data Snapshots for other specialties, such as internal medicine, anesthesiology and orthopedics will be available soon!

MLMIC policyholders can submit a question regarding the Cardiology Claims Data Snapshot by sending an email request here. For risk management questions, MLMIC policyholders can reach our 24/7 emergency support services by calling (844) 667-5291.

This document is for general purposes only and should not be construed as medical or legal advice. This document is not comprehensive and does not cover all possible factual circumstances. Because the facts applicable to your situation may vary, or the laws applicable in your jurisdiction may differ, please contact your attorney or other professional advisors for any questions related to legal, medical or professional obligations, the applicable state or federal laws or other professional questions.