Search Results for "Medicare"

October 01, 2013
As Congress has failed to pass legislation to continue funding the federal government, the Department of Health and Human Services has furloughed more than half of its employees. Medicare and Medicaid funding will survive, at least in the short term.
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September 30, 2013
Medicare officials will delay until 2014 enforcement of controversial new rules that define when hospital patients should receive observation care, rather than being admitted, a distinction that makes beneficiaries ineligible for follow-up nursing home coverage.
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September 27, 2013
Harvard Pilgrim Health Care topped the list of the National Committee for Quality Assurance annual rankings of health insurance plans in 2013, followed by the Kaiser Foundation Health Plan of the Northwest.
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September 26, 2013
Someone in your medical practice needs to take charge of the ICD-10 transition. Why can't that someone be you?
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September 24, 2013
CMS has announced a follow-up Special Open Door Forum conference call on Sept. 26 on the "two midnights" benchmark. It's intended to allow hospitals and other providers to ask questions on the FY14 physician order and physician certification, inpatient hospital admission and medical review criteria in the IPPS/LTCH final rule.
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September 24, 2013
A federal court judge dismissed a lawsuit Monday intended to eliminate the observation classification, or require hospitals to tell patients when they are under observation and then create a clear appeals process to challenge Medicare’s coverage decisions.
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September 23, 2013
Perhaps the most front and center challenge facing healthcare providers today in preparing for the impact of the Affordable Care Act is in the area of reducing costs.
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September 20, 2013
The Centers for Medicare & Medicaid Services issued a final rule on Medicaid payments to disproportionate share hospitals last week, cutting approximately $1.1 billion from the program over the next two fiscal years.
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September 19, 2013
A recently unsealed lawsuit alleges that Vanderbilt Medical Center has been systematically billing Medicare fraudulent charges for at least a decade.
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September 19, 2013
National health spending will accelerate in 2014, as more individuals will be able to access health insurance under the Affordable Care Act.
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September 17, 2013
With all of the energy around meaningful use, ICD-10, HIE, accountable care, Medicare reimbursements, and other changes and trends within healthcare, it is likely that you are busier than ever.
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September 17, 2013
The federal Commission on Long-Term Care released its policy recommendations last week but did not reach a consensus on how to pay for these often expensive services.
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September 17, 2013
The Medicare Payment Advisory Commission is looking into ways that Medicare can strengthen accountable care organizations and the shared savings program to make them more effective for providers and patients, including improving benchmarks, adding more risk and getting beneficiaries more involved.
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September 16, 2013
As we get closer to 2014, consumers are being surrounded by news coverage, ads and opinions about the health law. And many of them are turning to their doctors for advice. The American Medical Association wants to help doctors with answers.
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September 16, 2013
Hospital administrators are saying recent recommendations from the Office of Inspector General regarding critical access hospital certification will result in hospital closures.
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September 16, 2013
Being surveyed to participate in the Medicare program is usually seen as an onerous task by most healthcare facilities, but the hospice community wants to be surveyed more frequently, even if the cost of those surveys comes out of its own pocket.
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September 12, 2013
Two-thirds of U.S. hospitals will receive payment reductions tied to Medicare readmission penalties to see that improving the level of care will be the foundation for building operational sustainability in the future.
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September 12, 2013
Given the uneven financial performance of the Pioneer ACOs, C-suite executives are no doubt wondering: What secret sauce allows some ACOs to succeed while others fall short of their financial goals?
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September 10, 2013
It's no secret: The U.S. healthcare environment is changing swiftly and dramatically. Healthcare organizations are steadily moving away from longstanding, traditional fee-for-service models to value-based care and reimbursement models.
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September 09, 2013
States should adopt the Medicare competitive bidding payment amounts to purchase medical equipment instead of the higher Medicaid fee schedule amounts, according to a report from the HHS Office of Inspector General.
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