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must also place a notice in newspapers and notify the Board of Medicine 30 days before you move. n And do not forget to complete your hospital charts if leaving the area! [Rule 64B8-10.002, F.A.C.] Do Not Pre-Sign Prescriptions n Board of Medicine Guidelines provide a maximum penalty of: q Reprimand q $5,000 fine q 2 years probation [section 458.331.1(aa), F.S.] Internet Prescribing n Prescribing without a history and physical is both a standard of care violation and a violation of board rule n Physicians have been disciplined for this with penalties ranging from revocation to suspension, reprimands and fines. n DO NOT JEOPARDIZE YOUR LICENSE-DON’T PRESCRIBE ON THE INTERNET! [Rule 64B8-9.014, FAC] Telehealth n Physician treating a patient within the state of Florida is allowed to use telehealth technology Pre-Approve Any Advertisement of Your Services Why? n Because your competitors read them. n They check for: q accuracy q board specialty credentials q statutory disclaimers n There are limitations in advertising yourself as a “specialist.” n Not every specialty recognizing agency is recognized by the Board of Medicine. (ABMS) n If you offer free or discounted fees, there is special language you must include in the ads n The details are at [Rule 64B8-11, F.A.C., and section 456.062, F.S.] Advertisement Case Study n Physician placed advertisement in paper: q “Present this ad and receive $50 off Laser Hair Removal” n Without including the required statement required by s. 456.062, Florida Statutes: q The patient and any other person responsible for payment has a right to refuse to pay, cancel payment, or be reimbursed for payment for any other service, examination, or treatment that is performed as a result of and within 72 hours of responding to the advertisement for the free, discounted fee, or reduced fee service, examination, or treatment. Action Taken: n Letter of Concern n $500 Fine n $2,795.35 costs n Laws and Rules Course You Must Keep Charts On The Family, Employees And Friends You Treat n A prescription creates a physician/patient relationship. n Records are required. n Good employees can and have forged/altered scripts. n Spouses may become adverse parties. n OK to treat family, including yourself n You cannot self-prescribe controlled substances [sections 458.331(1)(r), and 458.331(1)(m), F.S.) Fees For Copying Patient Records n You cannot condition release of patient records on payment of fees owed for services, however, n You may condition release of copies of patient records on the reasonable costs of reproducing the records. n Reasonable costs of reproducing copies of written or typed documents or reports shall not be more than the following: q for the first 25 pages, $1.00 per page. q for each page in excess of 25 pages, 25 cents. n Reasonable costs of reproducing x-rays, and such other special kinds of records shall be the actual costs. [Rule 64B8-10.003, F.A.C.] Medical Records Case n Failed to provide medical records to the patient in a timely manner; q Given a citation (first offense is not discipline) q Failed to comply with the citation Action taken: n Letter of Concern n $1,000 fine n Medical Record Keeping Course Patient Boundaries n Board of Medicine has a Zero Tolerance policy on Physician/Patient Sexual Contact. n Zero Tolerance = Suspend/Revoke. n Remember: A prescription creates a physician patient relationship. [sections 458.329 and 458.331(1)(j), F.S.] Patient Boundaries Case Study n Physician saw patient in his office as a patient. Then he started calling her, multiple times, to offer a job. Later he called back and was “breathing heavily and his tone of voice had changed”. He proceed to stated inappropriate things to the patient regarding her body and how he wanted to touch her. Action taken: n Revocation Wrong Site Surgery If you make a mistake: n Document it n Disclose to patient n Do not bill for incorrect procedure n Apologize [section 458.331(1)(t), F.S.] Wrong Site Case n Patient appeared for a right hip replacement and signed the