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2 May 2016, 9:46 am
Essentially, the CDC is deriving its numbers from the medical coding system, which was designed to maximize billing for physician services. [read post]
16 Oct 2018, 3:55 pm
Health plans, their employer and other sponsors and fiduciaries, health insurers, health care providers, health care clearinghouses and their business associates should study and learn from the just announced, record-setting $16 million resolution agreement between health insurance giant, Anthem, Inc., to resolve Department of Health & Human Services Office of Civil Rights (OCR) charges that Anthem, Inc. [read post]
14 Feb 2011, 9:40 am
Images taken in a hospital or a physician’s office are compressed for secure network transfer then sent to the appropriate portable wireless device via Mobile MIM, which allows the physician to measure distance on the image and image intensity values and display measurement lines, annotations and regions of interest. [read post]
14 Feb 2013, 6:53 am
Pass out your business card and network, network, network. [read post]
27 May 2009, 3:50 pm
The program developers believed that their medical information network would have the greatest impact on the county’s poorer citizens and those without health insurance. [read post]
23 May 2016, 7:40 am
They have a network of over 30 clinical programs, coordinating doctors and hospitals at 30 different locations so as to provide mental health care throughout the State of Maine. [read post]
30 Dec 2014, 9:49 am
A new safe harbor protecting clinically integrated networks’ entry into contracts with commercial third party payors for value-based payments, including pay-for-performance bonuses and shared savings awards for high quality and cost-effective health care – The OIG believes the issues raised in the proposal require further study. [read post]
5 Dec 2018, 6:00 am
We've got quite a few safety net hospitals in our networks, for example, who are spending 70%+ of their bed/days on Medicaid/Medicare. [read post]
15 Jul 2013, 9:20 am
(1) We will use the first 45 minutes to facilitate networking. [read post]
27 Jun 2024, 12:58 pm
The defendants caused medically unnecessary and expensive amniotic grafts to be applied to these vulnerable patients’ wounds indiscriminately, without coordination with the patients’ treating physicians and without proper treatment for infection, to superficial wounds that did not need this treatment, and in sizes that far exceeded the size of the wound. [read post]
20 Oct 2022, 7:05 pm
The law further protects consumers from inaccurate identification of an in-network provider or facility in its directory by furnishing the items or services as if they were furnished by an in-network provider and by applying the deductible or out of pocket maximums in a similar manner. [read post]
8 Jun 2020, 9:05 pm
In Washington State, officials predict that the public option plan could lower premiums by about 10 percent by capping the aggregate reimbursement rate for hospitals and physicians at 160 percent of the rate paid by Medicare. [read post]
8 Jul 2022, 11:10 am
“Health care decisions should be based on patients’ medical needs, not physicians’ financial interests,” said Principal Deputy Assistant Attorney General Brian M. [read post]
27 Jan 2015, 8:32 am
The Secretary also announced creation of a Health Care Payment Learning and Action Network through which HHS will work with private payers, employers, consumers, providers, and states to develop and expand alternative payment models. [read post]
13 Apr 2018, 6:45 am
Patients are too often slapped with “surprise” bills, or charges that are not covered by insurance because the emergency physician at the facility is not in-network. [read post]
26 Nov 2018, 12:25 pm
After explaining that health insurance and narrow networks are obvious two-sided markets, the AMA and OSM expressed concern with “anti-referral provisions that are imposed upon physicians by dominant entities. [read post]
16 Mar 2011, 10:19 am
Setting a floor of 500 patients dovetails with current breach notification reporting requirements and also avoids burdening physicians who want to access the health information of a small number of individuals on, for example, a smart phone. [read post]
24 Jan 2008, 8:13 am
The thing is, one's primary care physician is free to recommend any qualified specialist (although it's to the insured's benefit that the specialist is "in-network").Not so in Merry Old England: The CAB system's "commissar" requires physicians to send "a page and a half of instructions, to the patient. [read post]
17 Apr 2014, 1:29 pm
“Medicare has found a lot of fraud in home health. [read post]
18 Jun 2020, 1:24 pm
Implicit in the arguments made by many Medicare Advantage Organizations (MAOs), health plans, hospital networks and other defendants in response to whistleblower and government False Claims Act complaints is that the alleged misconduct—falsifying diagnosis data so that CMS overpays for patients enrolled in an MA plan—involves just a technical record-keeping or administrative dispute with CMS and no actual victims. [read post]
