Once again, U.S. has most expensive, least effective health care system in survey

There are painful losing streaks that don’t really matter — say, the Tampa Bay Buccaneers 26-game disaster in 1976 and 1977 — and losing streaks that really mean something. This one means something. A report released Monday by a respected think tank ranks the United States dead last in the quality of its health-care system […]

What can big data do for public health?

Widespread use of advanced comparative effectiveness and large-scale monitoring may still be a bit far off. But they are on the horizon, and headway is being made. For health organizations, especially public sector health agencies, there is first the often complicated task of linking disparate pieces of data across multiple sources. As LexisNexis Risk Solutions […]

Health Care Harnesses Social Media

On a recent August afternoon, Ruthi Moore, director of nursing for the Navy-Marine Corps Relief Society, got an alert in her inbox: One of her patients had just had a message posted to Facebook, and the implications weren’t good. “One of his friends wrote, you know, ‘I know this is the anniversary of so-and-so’s date, […]

VA Audit Finds 100,000 Veterans Facing Long Wait for Health Care

A Veterans Affairs audit of its troubled hospitals and clinics has identified 100,000 veterans facing long waits for health care, and clerks across the system report having been instructed to falsify dates in scheduling records. The findings, reported by the VA on Monday, indicate widespread confusion across the system charged with caring for the nation’s […]

Why Plans Should Focus on Accurate Documentation Capture for Health Risk Assessments (HRA’s), for 2014 Pt. 2

Presents: HCC Coding Corner 2014  Part 2    TARGET:CANCER HCC DOCUMENTATION aCTIVE vs hISTORY   ACTIVE CANCER– •     AN ACTIVE CANCER DX CODE DOES NOT STARTWITHA “V” – •      ACTIVE CANCER IS STILLPRESENT AND/OR UNDER ADJUVANTTHERAPY   TYPES OF ADJUVANT THERAPY:  •      SURGERY, •      IMMUNOTHERAPY •      CHEMOTHERAPY         […]

Why Plans Should Focus on Accurate Documentation Capture for Health Risk Assessments (HRA’s), for 2014

The HAUTE HCC Blog with TMI:  Free HCC Resources and TIPS For 2014 – dedicated to HCC Coding and Risk Adjustment for Medicare Advantage Plans By Holly Cassano, CPC, AAPC ICD 10CM Certified, Director of Coding Education and Compliance for Tactical Management Inc., (TMI) Part 1 In November 2013 The Centers for Medicare and Medicaid […]

Navigating Medicare Policy on Physical Therapy and Other Services

For years, some people on Medicare had difficulty getting insurance coverage approved for physical therapy, occupational therapy and other treatments. The prevailing approach was that if the therapy was not helping to improve a patient’s condition, then it was not eligible for coverage. “They’d get denied because they weren’t improving, or because they had plateaued,” […]

Exclusive: Medicare on drugs: 24,000 tests for 145 patients

(Reuters) – Three Connecticut doctors billed Medicare for nearly 24,000 drug tests in 2012 – on just 145 patients. Despite the extraordinary number, Medicare administrators paid the doctors a total of $1.4 million, according to a Reuters analysis of government payments to health providers. The three physicians stand out in the Medicare data released last […]

Report shows $6.7 billion in improper Medicare payments

WASHINGTON — Medicare paid out $6.7 billion in 2010 for health care visits that were improperly coded or lacked documentation, a report released Thursday found. That’s 21% of Medicare’s total budget for diagnostic and assessment visits, according to the Department of Health and Human Services inspector general. They found that 42% of diagnostic and assessment […]

Despite Enrollment Success, Healthcare Law Still Unpopular

WASHINGTON, D.C. — Although the Obama administration is boasting higher-than-expected enrollment for the Affordable Care Act, Americans’ attitudes toward the healthcare law have changed only marginally since the open enrollment period ended for 2014. A steady 43% of Americans approve of the 2010 Affordable Care Act, also known as “Obamacare,” while a majority continue to […]