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Management: Medicare
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Total 238 results found since Jan 2013.
SGR cuts pay by 21%; CMS to hold checks for 2 weeks
Medicare physician pay was cut by approximately 21% effective April 1, due to the expiration of the last temporary fix to the Sustainable Growth Rate formula.
Because legislation to repeal the SGR has passed the House and awaits action in the Senate, the Centers for Medicare & Medicaid...
Source: Skin and Allergy News - April 2, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Medicare is stingy in first year of doctor bonuses
Dr. Michael Kitchell initially welcomed the federal government’s new quality incentives for doctors. His medical group in Iowa has always scored better than most in the quality reports that Medicare has provided doctors in recent years, he said.
But when the government launched a new payment...
Source: Skin and Allergy News - April 6, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Doctors support malpractice provision in SGR bill
A little-noticed provision in legislation to repeal the Medicare Sustainable Growth Rate formula would protect doctors from lawsuits based on their performance on federal quality measures.
Language contained in H.R. 2, the <a...
Source: Skin and Allergy News - April 8, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Medicare at 50: High-price therapeutics put Medicare at a crossroad
High-cost advances in diagnosis and treatment are entering medicine each and every month. As Medicare turns 50 this year, how can the program – with its growing number of beneficiaries and their advancing age – cope with the onslaught?
Source: Skin and Allergy News - April 8, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
CMS: SGR repeal equals less pay in long-term
Despite being billed as a permanent solution to the annual threat of Medicare payment cuts to physicians, a bill repealing the Sustainable Growth Rate formula will not ensure adequate physician payments in the long term, according to actuaries at the Centers for Medicare & Medicaid Services....
Source: Skin and Allergy News - April 10, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Analysts predict swift passage of SGR repeal
Despite some lingering objections, observers in Washington expect the Senate will move quickly to pass legislation that repeals the Medicare Sustainable Growth Rate formula.
Some tense moments could happen early in the process as it is expected the Senate will allow amendments to H.R. 2, the <a...
Source: Skin and Allergy News - April 13, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
CMS formally proposes changes to EHR reporting period for 2015
Physicians and other health care professionals would need to attest to meeting criteria for the meaningful use of electronic health records for 90 days in 2015, under a proposed change announced by the Centers for Medicare & Medicaid Services April 10.
The agency included a number of other...
Source: Skin and Allergy News - April 13, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics RHEUM Practice Economics Source Type: news
Senate passes SGR repeal
The Senate passed H.R. 2, the Medicare Access and CHIP Reauthorization Act, April 14 by a vote of 92-8.
The bill matches the language that the House passed by an overwhelming majority on...
Source: Skin and Allergy News - April 15, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
CMS: A few claims were processed at 21% SGR cut level
A small volume of Medicare claims were processed at the 21% pay cut level mandated by the Sustainable Growth Rate formula, according to a provider advisory issued April 15 by the Centers for Medicare & Medicaid Services.
Claims were processed April 15 by Medicare Administrative Contractors as...
Source: Skin and Allergy News - April 15, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Tennessee, Kansas also warned: Expand Medicaid or risk hospital funds
Add Tennessee and Kansas to the list of states that have been warned by the Obama administration that failing to expand Medicaid under the Affordable Care Act could jeopardize special funding to pay hospitals and doctors for treating the poor.
The Centers for Medicare & Medicaid Services...
Source: Skin and Allergy News - April 22, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
What does Medicare pay rhinologists? An analysis of Medicare payment data
ConclusionThe wide availability of Medicare payment information makes it important for physicians to understand how their individual data compares to that of their colleagues. Medicare payments to rhinologists were comparable to otolaryngologists as a whole. Charges for services commonly performed by rhinologists vary widely. Academic rhinologists submitted fewer claims than their private colleagues, but overall charges and payments were comparable between the 2 groups.
Source: International Forum of Allergy and Rhinology - April 1, 2015 Category: Allergy & Immunology Authors: Brandon Clair, Parul Goyal Tags: ORIGINAL ARTICLE Source Type: research
Medicare at 50: Physicians struggle with antifraud regulations
For Dr. Carla L. Kakutani, it has become increasingly challenging to obtain durable medical equipment (DME) for her Medicare patients.
In addition to proving equipment is medically necessary, a <a...
Source: Skin and Allergy News - May 1, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
VIDEO: Compliance plans, education can help physicians prevent Medicare fraud involvement
Medicare fraud and strategies to combat the crimes have become more intense as the program has grown in size and complexity, experts say.
As Medicare turns 50, Dr. Julie Taitsman, chief...
Source: Skin and Allergy News - May 1, 2015 Category: Dermatology Tags: CARD Practice Economics CHEST Practice Economics CEN Practice Economics CNN Practice Economics CPN Practice Economics EM Practice Economics FPN Practice Economics HOSP Practice Economics IMN Practice Economics OBGYN Practice Economics Source Type: news
Risk of hospitalised infection in rheumatoid arthritis patients receiving biologics following a previous infection while on treatment with anti-TNF therapy
Conclusions
Among RA patients who experienced a hospitalised infection while on anti-TNF therapy, abatacept and etanercept were associated with the lowest risk of subsequent infection compared to other biologic therapies.
Source: Annals of the Rheumatic Diseases - May 8, 2015 Category: Rheumatology Authors: Yun, H., Xie, F., Delzell, E., Chen, L., Levitan, E. B., Lewis, J. D., Saag, K. G., Beukelman, T., Winthrop, K., Baddley, J. W., Curtis, J. R. Tags: Immunology (including allergy), Connective tissue disease, Degenerative joint disease, Musculoskeletal syndromes, Rheumatoid arthritis Clinical and epidemiological research Source Type: research
Socioeconomic determinants of overnight and weekend emergency department use for acute rhinosinusitis
ConclusionsARS patients with Medicaid or self‐pay status, previously shown to preferentially use EDs for uncomplicated ARS, were more likely to present for overnight ED care compared to patients with private insurance or Medicare. These findings suggest a potential lack of access to extended‐hours primary care during evenings and nights for Medicaid patients.
Level of Evidence4 Laryngoscope, 2015
Source: The Laryngoscope - May 27, 2015 Category: ENT & OMF Authors: Regan W. Bergmark, Stacey L. Ishman, George A. Scangas, Michael J. Cunningham, Ahmad R. Sedaghat Tags: Allergy/Rhinology Source Type: research
