reimbursement

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Latest blogosphere posts tagged “reimbursement”

 

• Useless noise from CMS

  
  The Doctor Weighs In — Authority: 145
  By Paul Levy First Posted at Not Running a Hospital on 5/8/2013 What on earth did CMS have in mind when it released the FY2011 chargemasters for America’s hospitals?  Well, according to one report: The public release of the data is part of an effort by Medicare to increase transparency in the health system.  ...
  1 week ago

• QD: News Every Day--Primary care outperformed subspecialties for generating hospital revenue

  
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  Primary care doctors outperformed subspecialists in generating hospital revenue for the first time, a survey found. Primary care doctors in family practice, internal medicine and pediatrics generated a combined average of more than $1.5 million per doctor last year, compared to 15 other subspecialists, who generated ...
  1 week ago

• My Controversial 340B Op-Ed

  
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  Last week, congressional news site The Hill published my editorial on the 340B drug discount program. Read it here: Hospitals twist prescription assistance program for their own benefit . (The full text is also pasted below). Some of you will agree with my perspective. Others of you will violently disagree. ...
  2 weeks ago

• Into The Fray: A Medical Practice Manager Shops for Health Insurance

  
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  I have been on the management side of the healthcare industry for more than twenty-five years, so I know how heath insurance works and how it is sold. Many times in my career I have been the administrator entrusted with evaluating health insurance for the entire practice. So when my husband and I recently found [...] ...
  2 weeks ago

• Health care collaboratives would undergo Dallas-area test under bill tentatively approved by Texas House

  
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  … State Rep. John Zerwas, R-Richmond The Texas House on Friday tentatively approved a bill that would require a Dallas-area test of doctor-hospital partnerships and outcome-based health care reimbursements. Over the next two years, the Health and Human Services Commission would have to create at least ...
  2 weeks ago

• PCORI Fees Lowered for FSAs and HRAs in Some Instances

  
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  Recent guidance helped clarify some of the confusion about Patient-Centered Outcomes Research Institute (PCORI) fees applicable to Health Reimbursement Arrangements (HRAs) and Flexible Spending Accounts (FSAs). It was originally thought that the fee would be applicable to all covered lives … Continue reading →
  2 weeks ago

• Blue Cross postpones payment policy amid criticism

  
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  After being criticized that its new payment policy would push small, rural hospitals "into deep, deep red ink," Blue Cross Blue Shield of Minnesota has postponed its implementation of the new reimbursement plan. read more
  2 weeks ago

• Start PQRS Now! It’s Not As Hard As You Think

  
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  NOTE: CMS has just added additional presentations of the webinar below – please check the end of the article for added dates. MPW What is PQRS?       The Physician Quality Reporting System (Physician Quality Reporting or PQRS) is a CMS reporting program that uses a combination of incentive payments (carrots) and ...
  2 weeks ago

• Guidance on a Compliant Query: Internal Escalation Policy

  
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  The AHIMA-developed Internal Escalation Policy includes sample policies that require a CDI specialist or coder to escalate issues regarding clinical documentation validity. .
  3 weeks ago

• EHR Documentation Compliance: Preventing Fraud (Slide Deck)

  
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  Our recent webinar on EHR Compliance was a big hit and we’ve had lots of requests for the slides, so we decided to make them available to everyone. EHR Compliance: What You Need to Know from ManageMyPractice   The post EHR Documentation Compliance: Preventing Fraud (Slide Deck) appeared first on Manage My ...
  3 weeks ago

• QD: News Every Day--Internal medicine sees increased mean earnings over last year

  
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  Internal medicine specialists earned a mean of $185,000 last year, a 9% increase created by the shortage of primary care practitioners and the results of health care reform boosting payments for Medicare patients, a report said. Medscapes Physician Compensation Report: 2013 , represents data from nearly 22,000 ...
  3 weeks ago

• Specialty Pharmacies Offer Solutions — Also For Investors: PMC, BIOS, APHY

  
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  By Dutch Trader In 2012, Americans filled more than 4 billion prescriptions at 62,000 retail, mail, and specialty pharmacies. The largest U.S. pharmacies ranked by total prescription you will find in the table below, some of these companies offer also specialty pharmacy services (CVS Caremark and Express Scripts). I ...
  3 weeks ago

• URGENT! Attest Now to Get Paid Medicare Rates for Medicaid Patients

  
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  On November 1, 2012, the Centers for Medicare & Medicaid Services (CMS) released the final regulation implementing Section 1202 of the Affordable Care Act, which increases Medicaid payments for specified primary care services to 100% of Medicare levels in 2013 and 2014. (Medicaid.gov) What primary care services ...
  3 weeks ago

• When It Comes to Nurse Care Managers in Primary Care Settings, It’s Not “Build or Buy,” It’s INVENT or Buy

  
  The Doctor Weighs In — Authority: 145
  By Dr. Jaan Sidorov First Posted at Disease Management Care Blog on 4/21/2013 The Passenger Pigeon. The Dodo bird.  The primary care clinic nurse.  All are extinct, driven out existence by a changing habitat, competition and over-hunting. Ask the average person when they’ve last seen these species and you’re ...
  3 weeks ago

• T 1131/12 – Late & Too Late

  
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  This appeal was against the decision of the Examining Division (ED) to refuse the European application under consideration. In a first communication dated August 27, 2002, the ED inter alia raised an objection of lack of inventive step over documents D1 and D2. In a second communication dated June ...
  4 weeks ago

• Alternative to Medicaid expansion sputters forward

  
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  … Rep. John Zerwas, R-Richmond A divided and wary House panel on Tuesday advanced a bill that would order Gov. Rick Perry’s administration to see if it can negotiate a way to tap billions of federal Medicaid dollars that are available so Texas could expand health coverage to low-income adults, using ...
  4 weeks ago

• DreamIt Health Startup Medlio Has a Virtual Insurance Card: An Interview With David Brooks

  
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  We first met David Brooks last year when we interviewed him about his work at the start-up qliqsoft. David contacted us recently to tell us about a new company he started called Medlio. Disclosure: Based on our belief in this product (you’ll see why!) we are proud to be advisors to Medlio. Mary Pat: Medlio [...] ...
  4 weeks ago

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