Search results for "Medicare"
Follow the changes to Medicare coding edits for early 2009
CMS will publish some previously unreleased medically unlikely edits, which had made it nearly impossible for physicians to know whether the billed number of services resulted in denied charges without a specific reason.
https://immattersacp.org/archives/2009/02/coding.htm
1 Feb 2009
Handling the hassle of administrative hurdles
CMS released a proposed rule to address the administrative hassles of prior authorizations in Medicare Advantage plans, calling for automated processes, shorter decision-making time frames, and more transparency about the services subject to prior authorizations.
https://immattersacp.org/archives/2023/11/handling-the-hassle-of-administrative-hurdles.htm
1 Nov 2023
ACP offers resources to help with transition to new payment systems
ACP resources include a Top 10 list of actions to take this year, perspective pieces summarizing the changes, and a recorded briefing about the Medicare Access & CHIP Reauthorization Act.
https://immattersacp.org/weekly/archives/2016/06/21/6.htm
21 Jun 2016
Hospital at home plus transition care reduced readmissions, improved patient satisfaction in a case-control study
The study included 295 patients treated under this hospital-at-home (HaH) model and a control group of 212 patients who met HaH eligibility but declined participation or were seen in the ED when an HaH admission could not be initiated.
https://immattersacp.org/weekly/archives/2018/06/26/5.htm
26 Jun 2018
Know your home oxygen options
Physicians, nurses, and respiratory therapists may be unfamiliar with home oxygen equipment that differs from hospital equipment. Six questions can help clinicians choose the best options for a patient.
https://immattersacp.org/archives/2020/10/know-your-home-oxygen-options.htm
1 Oct 2020
Racism in the record?
Two authors discuss their recent study finding that Black patients were twice as likely as White patients to be described with negative words in their history and physical notes, particularly in inpatient records.
https://immattersacp.org/archives/2022/04/racism-in-the-record.htm
1 Apr 2022
Statin uptake suboptimal in PAD, industry-funded study finds
Patients with peripheral artery disease (PAD) were less likely to be taking statins than those with cerebrovascular disease or coronary heart disease, despite a high risk for atherosclerotic events.
https://immattersacp.org/weekly/archives/2020/07/14/4.htm
14 Jul 2020
PQRS and Meaningful Use deadline approaching: Act now to avoid financial penalties
Practices have until 5 p.m. ET on Feb. 28 to enter their 2016 Physician Quality Reporting System (PQRS) data and avoid penalties on their 2018 Medicare payments.
https://immattersacp.org/weekly/archives/2017/02/07/6.htm
7 Feb 2017
Big changes made to E/M codes in 2021
Beginning in January, physicians billing for Medicare patients no longer have to use a patient's history or physical exam to determine the appropriate level of E/M coding.
https://immattersacp.org/archives/2021/01/big-changes-made-to-e-m-codes-in-2021.htm
1 Jan 2021
Cardiovascular medications underused in Hispanic/Latino patients with PAD
Efforts to improve peripheral artery disease (PAD) treatment in Hispanic/Latino populations are needed, including improved access to health care and more guideline-adherent treatment, according to the authors of a recent study.
https://immattersacp.org/weekly/archives/2020/08/11/5.htm
11 Aug 2020