Heard Around The Blogosphere, 12.15.08
I hope you enjoy this week’s round up of quotable quotes from the medical blogosphere… Scalpel or Sword quotes Taiwanese hospital administrator who ... actually draws a starker picture. Hospitals collectively lose $30 billion on Medicare and Medicaid ... the provider operating deficit created by Medicare and Medicaid. Paul Levy: There are two types [more...]
Date: 2008-12-15 11:51:55
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Reverse Morgage
Yes. I heard about reverse mortgage . It is one of these senior citizen lean on when they are in need for cash ... they will go to other side of life. This website also provides education on medicare which is called medicare supplemental insurance . So once and for all , these website covers mortgage and medicare as well [more...]
Date: 2009-02-27 04:57:00
CMS Announces Course Of Action To Identify Protected Classes Of Prescription Drugs
The Centers for Medicare & Medicaid Services (CMS) announced an interim final rule that makes sure beneficiaries with conditions such as epilepsy, ... of the Medicare Improvements for Patients and Providers Act (MIPPA) with respect ... that Medicare beneficiaries with epilepsy, mental illness, certain cancers, HIV/AIDS, and other [more...]
Date: 2009-01-23 17:51:17
DRA advanced imaging cuts examined by GAO; MIPPA accreditation rules welcomed by industry
Advanced diagnostic imaging reimbursement (i.e., payment for MRI, CT and nuc med) has taken a beating under the DRA (Deficit Reduction Act of 2005) ... out under the accreditation provisions of MIPPA (Medicare Improvements for Patients and Providers Act ... factors. First, the rapid increase in Medicare expenditures in this sector -- at an average annual [more...]
Date: 2008-09-29 04:54:11
A Break for Hospice Providers - Analyst Blog
Highlighted stocks include Odyssey Healthcare Inc. ( ODSY ), Chemed Corp. ( CHE ) and Gentiva Health Services, Inc. ( GTIV ). A Moratorium for Medicare Cuts to Hospice Providers The nation¹s hospice community claimed ... for Medicare & Medicaid Services had proposed a 3-year phase-out of the budget neutrality adjustment [more...]
Date: 2009-02-20 14:44:58
Fraud not the only problem in Medicaid overpayments
New York State needs to shape up its Medicaid claims system, state Comptroller Thomas DiNapoli said ... to providers that incorrectly billed Medicaid for Medicare Part B services. In many cases, the providers ... to inadequate oversight and other problems, the comptroller found in an audit. Medicaid, which provides [more...]
Date: 2008-12-11 00:31:55
Fraud not the only problem in Medicaid overpayments
New York State needs to shape up its Medicaid claims system, state Comptroller Thomas DiNapoli said ... to providers that incorrectly billed Medicaid for Medicare Part B services. In many cases, the providers ... to inadequate oversight and other problems, the comptroller found in an audit. Medicaid, which provides [more...]
Date: 2008-12-11 00:34:39
(ODSY) A Break for Hospice Providers - Analyst Blog
Highlighted stocks include Odyssey Healthcare Inc. ( ODSY ), Chemed Corp. ( CHE ) and Gentiva Health Services, Inc. ( GTIV ). A Moratorium for Medicare Cuts to Hospice Providers The nation¹s hospice community claimed ... for Medicare & Medicaid Services had proposed a 3-year phase-out of the budget neutrality [more...]
Date: 2009-02-20 22:40:06
(ODSY) A Break for Hospice Providers - Analyst Blog
Highlighted stocks include Odyssey Healthcare Inc. ( ODSY ), Chemed Corp. ( CHE ) and Gentiva Health Services, Inc. ( GTIV ). A Moratorium for Medicare Cuts to Hospice Providers The nation¹s hospice community claimed ... for Medicare & Medicaid Services had proposed a 3-year phase-out of the budget neutrality [more...]
Date: 2009-02-23 06:00:16
Busy Chiropractic Office Looking for….
Physical Therapist needed in a busy Chiropractic Clinic starting 1 - 2 days per week. Patients will be scheduled appropriately. Will work closely with the Chiropractor to provide appropriate protocals to patients. Strong emphasis on Rehabilitation. Medicare Provider Preferred. [more...]
Date: 2009-02-28 00:00:00
New RiskAnalyzer Software to Help Medicare Advantage Plans Manage Risk Adjustment
RiskAnalyzer Incorporates Johns Hopkins ACG System for Provider Profiling, Predictive Modeling, Resource Management and Rate Adjustment BIRMINGHAM, Ala., Feb. 19 /-- DST Health Solutions today announced the launch of its new Medicare risk ... provider coding is not capturing disease conditions under the Centers for Medicare ... [more...]
Date: 2009-03-05 22:17:07
New Prohibitions Considered for Physician-Owned Hospitals: 12 Key Concepts
This article discusses 12 key concepts regarding the possible prohibitions on physician-owned hospitals contained in the recent version of the State Children’s Health Insurance Program (SCHIP) bill introduced in and passed by the House ... have a Medicare provider agreement in effect as of such date. This provision provides for essentially [more...]
Date: 2009-03-05 11:29:10
Putting an End to Medicare Fraud
When Medicare was signed in to law by President Johnson in 1965, it was intended to serve as a central funding resource for persons over 65 years, ... medical pool that Medicare is — providing healthcare resources to innumerable people in need ... healthcare practices by healthcare companies and individuals abusing their benefits have contributed greatly [more...]
Date: 2008-08-19 07:50:18
How do I access hospice care in Suffolk, VA?
About a week ago I went to the grocery store and overheard two cashiers having an intense discussion over who was supposed to be working when ... to explain the entire hospice system to me. Hospice care is a Medicare provided service and persons ... . If you are young and terminal, you can access hospice, too, either through being qualified for Medicare or [more...]
Date: 2009-01-12 14:56:42
Inertia in Government and Military Spending
Over a year ago, in Habit’s Impact on Freedom, I discussed ways that habit and custom constrain our freedom, sometimes harmfully, ... of contract to its population: Pay taxes specifically for Social Security and Medicare, during your working ... : support for the elderly, as Social Security payments and Medicare (government-provided health care [more...]
Date: 2009-01-11 19:00:28
HITECH Act: Medicaid Reimbursement Plan
Yesterday’s post and table provided the physician reimbursement schedule under Medicare ... at the State level, which will institute the guidelines provided by HHS. Much of the basic qualifications ... below provides physician payment schedule under Medicaid. For more info, look to Division [more...]
Date: 2009-02-17 21:24:51
Audits For Medicare Providers
Feeling hungry? Head over to InsureBlog, where Hank Stern has put together a great Health Wonk Review , complete with a recipe for every article ... ). The Colorado Health Insurance Insider article about the provision in the stimulus package to help ... to audit primary care physicians to make sure that they aren’t defrauding Medicare. On the surface [more...]
Date: 2009-02-19 22:16:31
Federal Mental Health Parity law outlined by American Psychological Association's Jeff Cook,Direct. Field & State Operations
Just remember: prior to the utilization of the 80/20 fee structure associated with mental health / CPT codes which will begin 1.1.2010, the Behavioral Health Codes e.g., 96152 series, provide practitioners w/ a way to bill for 15 min increments (Medicare NOT Medicaid), providing an interface w/ primary care physicians [more...]
Date: 2008-11-07 05:57:00
Health identifier still privacy minefield
Health ministers from around the country said yesterday that more consultation on privacy protections was necessary before any implementation of ... an individual health identifier for patients and providers with Medicare. The identifiers will ease the flow ... on the recommendations contained in the Australian Law Reform Commission's review on [more...]
Date: 2009-03-06 05:01:01
Medical Homes and care coordination are tested
Older Americans who, understandably, have more chronic conditions of aging, ... coordination of care” and disease management programs provided by Medicare and other health plans (sometimes ... the quality of care and reduces Medicare expenditures, the Balanced Budget Act of 1997 mandated [more...]
Date: 2009-02-16 03:24:00
reverse mortgage can supplement cash flow
With the growing shortcomings of traditional mortgage market, and unavailability of loans to senior citizen, ... of interest on its different products. It also provides detailed info on medicare supplemental insurance which can help one fight the health problems when one reaches old age. The medical insurance [more...]
Date: 2009-02-27 12:42:00
Debating Health-Care
Sally Pipes: Another common argument for more government insurance is that the uninsured shift costs to private payers when they avail ... ("Key Issues in Analyzing Major Health Insurance Proposals, " December 2008) is clear on one issue ... from the government programs Medicare and Medicaid, which reimburse providers at rates roughly 20 [more...]
Date: 2009-03-06 12:34:05
You May Not See the Doctor Now
As lawmakers in DC frantically jockey to impose their plans for socialized medicine upon us, ... their practices would be "unsustainable" if proposed cuts to Medicare reimbursement were made 65% said Medicaid reimbursement is less than their cost of providing care and 36% said Medicare [more...]
Date: 2008-11-21 20:41:27
Prosthetic Parity - What is It?
Parity is a buzzword meaning, ‘on par with’ or ‘equal to’ ... programs, payment rules and regulations. Federal Program could be Medicare, Medicaid, or programs ... provide reimbursement without capitation or exclusions for medically necessary services [more...]
Date: 2008-09-11 01:21:16
CMS Hosts National E-Prescribing Conference
On October 7, 2008, the Centers for Medicare & Medicaid Services (CMS) ... Federal e-prescribing incentive payment program. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) provides for physicians and other eligible professionals, who meet Federal [more...]
Date: 2008-10-08 00:50:08
Bush's Parting Shots to the Old and Sick, Part 1: A Gift to Privatized Medicare
Having spent eight years bypassing the laws of the land via signing statements, executive orders, or just simple denial, ... that want to contract with Medicare to provide health and drug coverage in 2010. Such calls ... Services (CMS) to assure continued leniency in the oversight of private plans for at least another year [more...]
Date: 2009-01-14 20:40:52
The Sleight of Hand Man
Credit where credit is due. I think that President Obama’s move to put funding for the wars in Iraq and Afghanistan on-budget: ... , minimizing the cost of payments to Medicare doctors and assuming that millions more families would pay ... on the wealthy in 2011 and cut Medicare costs to provide health care for the uninsured [more...]
Date: 2009-02-26 14:05:45
That Guy's A Good Speaker, He May Go Far
I hear that Barack Obama read old fireside chats by Franklin Roosevelt before shaping his joint address to Congress. It showed last night ... one: savings from Cold War weapons and no bid military contracts, from billions provided insurance companies to compete with Medicare, from agribusiness (and unspecified education programs that don't [more...]
Date: 2009-02-25 15:32:00
Useful Tools for Your Most Out of Retirement
Till now, there are lots of old people in United State have heard about reverse mortgage ... . For people who want to look for other features for their old day, this site provides you with medicare supplemental insurance . Currently, there are about 12 plans designed for these insurances which each [more...]
Date: 2009-02-28 01:50:02
MedPAC rounds down to 1%
By Bill Peckham Monday I questioned Do MedPAC reimbursement recommendations matter? pointing out that Medicare updates are in HR 6331, the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008 which makes the MedPAC recommendations a formality. Today RenalWEB linked [more...]
Date: 2009-01-15 07:49:41
Medicare Advantage Plans Stand to see some substantial decreases from the Government
Payments to insurers that provide Medicare Advantage plans are determined by a formula or algorithm ... and Whistleblowers This is related to Medicare Advantage plans, which have been a huge source ... - WSJ.com Technorati Tags: Medicare , Medicare Advantage , Heatlhcare , Health Insurance , Obama [more...]
Date: 2009-02-28 02:04:00
HuffPo declares Communism now as "American as Apple Pie"
by Eric Dondero A zinger this morning from the reliably Marxist Huffington Post that's bound to garner some attention amongst those on the Right ... , from billions provided insurance companies to compete with Medicare, from agribusiness (and unspecified ... . If the recent "Chicago Tea Party" demonstrations in major cities across the Nation is any [more...]
Date: 2009-02-26 10:59:00
Trading Earnings: Expanding Your Welfare
LHC Group, Inc. (LHCG) is set to report earnings before the market opens on Wednesday, March 11th. LHC Group, Inc., through its subsidiaries, provides post-acute healthcare services primarily to Medicare ... of Medicare will be a big part of healthcare reform. Perhaps that’s why analysts are projecting 26 [more...]
Date: 2009-03-06 13:48:00
Are You Making the Right Medicare Choice?
Individuals with disabilities who may have pre-existing conditions simply can't afford to make the wrong decision about their ... ) can easily guide you through selecting the best, most affordable Medicare plan to fit your individual ... Medicare coverage, according to Allsup, a leading provider of Social Security disability [more...]
Date: 2008-12-09 22:34:37
Midwives Applaud House Introduction Of Medicare Equity Legislation - medicalnewstoday.com
Read original... The American College of Nurse‐Midwives (ACNM), the nation's oldest women's health organization, applauds Rep. Ed Towns (D‐NY) ... midwives and other licensed health care professionals within the Medicare program. "Providing ... of legislation. The Midwifery Care Access and Reimbursement Act will not only advance women's health [more...]
Date: 2009-02-21 04:01:00
Financial Incentives For E-Prescribing in 2009
I mentioned about electronic prescriptions late last year, since the Centers for Medicare & Medicaid Services (CMS) ... three years. This initiative is part of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Also, starting in 2012, penalties for not using e-prescription systems will begin [more...]
Date: 2009-01-07 15:23:16
O.M.G. - Part 3
Obama Budget Projects $1.75 TRILLION Deficit WASHINGTON - President Barack Obama is sending Congress a budget Thursday that projects the ... official told The Associated Press that Obama's $3 trillion-plus spending blueprint also asks Congress to raise taxes on the wealthy in 2011 and cut Medicare costs to provide health care for the uninsured [more...]
Date: 2009-02-26 14:10:00
UPDATE: Comments Sought on Proposed Delay to DMEPOS Competitive Bidding Final Rule
On February 10, 2009, the Centers for Medicare & Medicaid Services(CMS) ... Background: The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made changes ... Final Ruleaddressing recent changes to the Medicare competitive bidding program for durable medical [more...]
Date: 2009-02-14 01:49:10
What the docs want (and don’t want you to know about)
Last week I linked to the 2009 legislative agenda of the North Carolina Medical Society ... Issues Update 12-11-08 Budget • Medicaid Reimbursement of 95% of Medicare • Provider Inflation ... Repayment Program funding • Medicaid Policy Changes/ Expansions Access to Care • Institute of Medicine [more...]
Date: 2008-12-22 20:06:57
Student Leader Involved in Athletic Training: Passionate About Serving a Greater Need
March is National Athletic Training Month Look on the sidelines of the Fellowship of Christian Athletes All-Star Football games ... trainers to provide services to people covered by Medicare and Medicaid. Emily points ... , and physical medicine." Jones came to HSU about two and a half years ago from Snyder High School [more...]
Date: 2009-03-05 23:19:50
Here we go: Mandated Health-Care for Every American......
Enforced through the tax system.....sweet........ Senator Takes Initiative on Health Care - NY Times Without waiting for President-elect Barack ... on Wednesday to guarantee health insurance for all Americans by facilitating sales of private insurance, expanding Medicaid and Medicare, and requiring most employers to provide or pay for health [more...]
Date: 2008-11-12 18:56:01
Reverse mortgage
No one can tell when time will make a fool of us. Even the most prepared fail to withstand the havoc when time is against them ... mortgage system, the firm also provides medicare supplemental insurance for the elderly couple which [more...]
Date: 2009-02-19 05:54:18
Budget office studies impact of healthcare policies
WASHINGTON (Reuters) - Claiming back some of the rewards given to doctors for improving productivity could save the government Medicare program up ... , which could pressure healthcare providers to find new ways to improve productivity, would produce greater savings than adopting medical information technology, as advocated by President-elect Barack [more...]
Date: 2008-12-19 06:33:19
What Does The Nursing Home Rating Mean?
The Centers for Medicare and Medicaid Services (CMS) have recently created an online tool to help people compare Nursing Homes ... to participate in Medicare or Medicaid and which provide a level of care which is considered "skilled". The ratings are based on health inspections, staffing, and quality measures. read more [more...]
Date: 2008-12-19 21:18:55
Medicare Advantage Benefit Design: What Does It Provide, What Doesn?t It Provide, and Should Standards Apply?
This AARP Public Policy Institute research report by Marsha Gold and Maria Cupples Hudson analyzes recent changes in Medicare Advantage (MA) benefit design. It finds that MA plans have utilized the flexibility afforded them under the law to modify the structure of traditional Medicare benefits in important ways. (38 pages) [more...]
Date: 2009-03-06 21:33:00
Sightline Daily top picks 02/23/2009
photo creditSightline Daily | Northwest News That MattersTop Picks of the Day1 ... Oregon’s ambition of becoming a world leader in alternative energy. Oregonian02/22/20096. Medicare ... to providers have not kept pace. What’s worse is that this area’s payment rates are set lower than [more...]
Date: 2009-02-23 19:34:20
National E-prescribing Conference
The Centers for Medicare & Medicaid Services, along with industry partners from health and technology, ... , pharmacists and beneficiary constituencies on the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) e-prescribing program and help promote the adoption of e-prescribing throughout [more...]
Date: 2008-09-12 03:26:34
But numbers are so boring!
I was browsing the Federal Register yesterday (I know, I know, don't we all?) and couldn't help but note that the 2009 Medicare Professional Fee Schedule had been formally ... to the work RVUs. This year pursuant to the Medicare Improvements for Patients and Providers Act [more...]
Date: 2008-10-31 17:18:00
First time for everything
I just came across this article in which an Australian obstetrician mentions homebirth without being all "omg, danger, danger, dead babies, ... all "Ra, ra, midwives are ace, we'll give them Medicare provider numbers and so give women greater [more...]
Date: 2009-03-02 23:09:24
CMS Releases Issues Paper for Listening Session on Value Based Purchasing
The Centers for Medicare & Medicaid Services (CMS) ... written comments or statements. The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA ... a plan to transition to a VBP program for Medicare payment for certain professional services. MIPPA [more...]
Date: 2008-11-26 15:22:49
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