Category: CMS
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Medicare readmission rate falls, but cause unclear, study says
A new study finds that U.S. hospitals recorded about 70,000 fewer cases than expected of Medicare patients being readmitted for inpatient care last year. …read more Source: http://www.modernhealthcare.com/article/20130530/NEWS/305309947
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WEDI guide offers insight on Medicare claims payment rules
The Workgroup for Electronic Data Interchange has released a free 29-page guide on Medicare rules covering the enrollment process for electronic funds transfers (EFT) and electronic remittance advices (ERA) to help hospitals, office-based providers,… …read more Source: http://www.modernhealthcare.com/article/20130530/NEWS/305309953
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Inaccurate Medicare databases ripe for fraud
Provider information stored on a pair of Medicare databases was determined to be both incomplete and inaccurate, according to a new report by the U.S. Department of Health & Human Services Office of Inspector General. read more …read more Source: http://www.fiercehealthit.com/story/inaccurate-medicare-databases-ripe-fraud/2013-05-30?utm_source=rss&utm_medium=rss
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First Edition: May 30, 2013
Today’s early morning highlights from the major news organizations include stories about a new study on immigrants’ financial impact on the Medicare program and a new federal regulation on wellness programs. …read more Source: http://www.news-medical.net/news/20130530/First-Edition-May-30-2013.aspx
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Thousands of veterans affected by states’ rejection of Medicaid expansion
An estimated quarter-million former service members would have been eligible for health coverage under the joint state-federal program but their states have opted not to participate in the expansion envisioned by the federal health law. Meanwhile in Iowa, hospitals were helpful in forging a compromise on the issue. …read more Source: http://www.news-medical.net/news/20130530/Thousands-of-veterans-affected-by-states-rejection-of-Medicaid-expansion.aspx
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Viewpoints: Medical professionals and near misses; Two tea partiers diverge on Medicaid expansion; Obamacare’s ‘death by a thousand cuts’
A near miss, like any error, is an opportunity to examine how mistakes are made and what changes might prevent them. Yet we have no idea how many near misses there are. Many experts feel that near-miss errors dwarf the number of known errors, a number that is already too high for comfort. (According to…
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Disabled Medicare patients with CRN more likely to have at least one ER visit, study finds
Disabled Medicare patients under the age of 65 who don’t take their prescription medications because of cost concerns are more likely to have at least one emergency department visit during a one-year period. …read more Source: http://www.news-medical.net/news/20130530/Disabled-Medicare-patients-with-CRN-more-likely-to-have-at-least-one-ER-visit-study-finds.aspx
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Study details Medicare spending variations
The analysis finds health differences explain as much as 85 percent of cost variations around the country. …read more Source: http://www.news-medical.net/news/20130530/Study-details-Medicare-spending-variations.aspx
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Study: Immigrants give more to Medicare than they get
Dr. Steffie Woolhandler, a professor of public health at the City University of New York, remembers a 48-year-old Hispanic immigrant and father of three who died of a heart attack several years ago at… …read more Source: http://www.modernhealthcare.com/article/20130529/NEWS/305299947
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Reform Update: Medicare managed care linked to overall savings, study finds
Hospital visits are shorter and less costly for all patients in markets with more of them enrolled in Medicare managed care, according to new research. The results suggest hospitals make far-reaching changes to delivery as incentives to better… …read more Source: http://www.modernhealthcare.com/article/20130529/NEWS/305299966