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Total 238 results found since Jan 2013.
Medicare audits: What leads to an exclusion?
WASHINGTON – While the line between an inadvertent billing mistake and intentional coding deception might be blurry, federal investigators are crystal clear about what drives them to exclude health providers from government health programs.
Rejection from Medicaid and Medicare comes down to...
Source: Skin and Allergy News - December 10, 2015 Category: Dermatology Source Type: news
Physician Compare: Expanded data cause concern
Potentially inaccurate data posted on the federal Physician Compare website could misinform patients and lead to incorrect assumptions about the quality of care individual doctors provide.
With the most recent update of Physician Compare, the Centers for Medicare & Medicaid Services for the...
Source: Skin and Allergy News - December 17, 2015 Category: Dermatology Source Type: news
Docs to CMS: Delay Meaningful Use Stage 3
The American Medical Association is asking the Centers for Medicare & Medicaid Services to revise the meaningful use program to better align with requirements of last year’s Medicare Access and CHIP Reauthorization Act...
Source: Skin and Allergy News - December 17, 2015 Category: Dermatology Source Type: news
ACA marketplace sees late surge in new enrollees
Individuals new to the federal insurance marketplace made up nearly half of the last-minute enrollees, according to data released by the Centers for Medicare & Medicaid Services.
CMS officials said that of the 1.8 million people who purchased insurance coverage in the last 5 days of open...
Source: Skin and Allergy News - December 18, 2015 Category: Dermatology Source Type: news
Blanket hardship exemption for 2015 meaningful use authorized by Congress
For doctors unable to meet meaningful use requirements for 2015, Congress has approved a blanket process for those applying for a hardship exemption to avoid having a penalty applied to their Medicare payments in 2017.
By voice vote in the House on Dec. 18 and a unanimous consent vote later that...
Source: Skin and Allergy News - December 21, 2015 Category: Dermatology Source Type: news
CMS: IT changes are coming, but not here yet
Don’t walk away from meaningful use quite yet. That’s the message from CMS leaders Andy Slavitt and Dr. Karen DeSalvo.
Mr. Slavitt, acting administrator of the Centers for Medicare & Medicaid Services, announced on Jan. 11 that change would be coming to health care IT. “The meaningful use...
Source: Skin and Allergy News - January 19, 2016 Category: Dermatology Source Type: news
DME: New prior authorization requirements could up the ‘hassle factor’
Starting next month, Medicare won’t pay for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) without prior authorization. The regulation could mean headaches for doctors in the form of extra paperwork and frustrated patients.
“Our initial reaction is one of...
Source: Skin and Allergy News - January 19, 2016 Category: Dermatology Source Type: news
Alternative payment models: MedPAC says keep it simple
WASHINGTON – A federal advisory panel has straightforward advice for the government as it shifts towards value-based health care: Keep it simple.
At the Jan. 15 meeting of the Medicare Payment Advisory Commission (MedPAC), Commissioner Warner Thomas said, “I think one of our first principles...
Source: Skin and Allergy News - January 19, 2016 Category: Dermatology Source Type: news
Elective colectomy for severe ulcerative colitis may reduce mortality more than medical therapy
This study aims to assess whether patients with severe UC have improved survival after elective colectomy compared to those being treated with certain immunosuppressive therapies. Methods A retrospective matched cohort study was conducted by searching the Medicare/Medicaid database in all 50 states from 2000 to 2011 for...
Source: Evidence-Based Medicine - January 22, 2016 Category: Internal Medicine Authors: Naidu, H., Farraye, F. A., Noronha, A. Tags: Inflammatory bowel disease, Health policy, Clinical trials (epidemiology), Epidemiologic studies, Immunology (including allergy), Other anaesthesia, Health economics, Health service research Therapeutics/Prevention Source Type: research
CMS releases applications, instructions for 2015 meaningful use hardship exemptions
The Centers for Medicare & Medicaid Services has released the applications for meaningful use hardship exemptions for 2015.
Physicians who qualify for a hardship exemption must apply by March 15; hospitals must apply by April 1 to avoid being penalized in 2017. Exemptions may be granted for...
Source: Skin and Allergy News - January 22, 2016 Category: Dermatology Source Type: news
CMS proposal would allow sharing, selling of claims data
Physicians may soon be able to purchase reports that combine their Medicare and private payer claims data, according to the details of a new government proposal.
The proposed rule, released on Jan. 29,...
Source: Skin and Allergy News - January 29, 2016 Category: Dermatology Source Type: news
House panel says Medicare biosimilar payment plan will stifle innovation
Questions linger as to whether federal health care payment policies will encourage – or stifle – the entry of more biosimilars into the marketplace.
Getting the biosimilar approval process right “doesn’t matter unless we get the charging/reimbursement process right,” Rep. Joe Barton (R-Tex.),...
Source: Skin and Allergy News - February 10, 2016 Category: Dermatology Source Type: news
CMS clarifies how to report Medicare overpayments
There is finally some clarity about how to report and return Medicare overpayments, under a final rule released by the Centers for Medicare & Medicaid Services Feb. 11.
The final regulation clarifies...
Source: Skin and Allergy News - February 12, 2016 Category: Dermatology Source Type: news
Doctors, payers collaborate to simplify and align quality measures
The Centers for Medicare & Medicaid Services and America’s Health Insurance Plans on Feb 16 announced a set of core quality measures across seven areas that will serve as the foundation for a more uniform set of quality metrics that will be used by both public and private payers.
The CMS and...
Source: Skin and Allergy News - February 17, 2016 Category: Dermatology Source Type: news
Determinants of racial differences in survival for sinonasal cancer
ConclusionThis study confirms the difference in racial survival in sinonasal cancer. In opposition to popular theories of access to care and education level‐ and poverty level‐determining outcomes, those factors were not significant on multivariate analysis, whereas stage and receiving standard of care, determined by unimodality versus multimodality treatment appropriate to stage, were the two most important prognostic factors.
Level of Evidence2c. Laryngoscope, 2016
Source: The Laryngoscope - February 25, 2016 Category: ENT & OMF Authors: Zara M. Patel, Juan Li, Amy Y. Chen, Kevin C. Ward Tags: Allergy/Rhinology Source Type: research
