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Poor Understanding Of Medicare Leads To Worse Healthcare Access

When you look at the system, even folks like me who are not in the senior category have issues at times as the system, along with those in place by the insurers get more complicated every day, so what, who, and where still continue to be on the horizon...

Published Wed, Nov 11 2008 1:48 PM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, medicare, Education, Personal Health Records, CMS, Seniors, commission, audits, PHR Pilot program

CMS spending more time on Guidelines For Medicare Sales Agents

This brings about a good question when it comes to paying commissions on selling health insurance, why do we need to pay this and not have some additional revenues paid here go towards claims? The reason I say this is so many of the health insurance...

Published Wed, Nov 11 2008 7:46 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, medicare, health insurance, CMS, commission, audits

CMS names four PHR vendors for Medicare pilot program and includes Google Health

Well so much for certification, it sounds like CMS doesn’t care whether or not PHRs get certified (grin). It is almost an impossible task as well with all the areas of integration to cover, so certification could theoretically be done in perhaps...

Published Tue, Nov 11 2008 4:33 PM by The Medical Quack

Filed under: Medically Related, Technology, healthcare, medicare, Education, PHR, Personal Health Records, CMS, CCHIT

ICD-10 Coding, is this a reality or a myth at present?

I am sure we are all in agreement that the new codes will allow for a better reporting system, but let’s first take a look at today and what is needed for a successful roll out, first off, money, something everyone seems to be running short of today....

Published Tue, Nov 11 2008 11:19 AM by The Medical Quack

Filed under: Medically Related, Insurance, healthcare, medicare, medical billing, Heatlh IT, CMS, ICD9, ICD10, Medical codes

Medical Quack on the Wall Street Journal – November 2008

Two featured posts this week. Court Blocks White House Push on Medicare Expenses This particular statement really bothers me, is CMS now going to take on the role of “doctor here? “The Bush administration argued that Medicare officials...

Published Thu, Nov 11 2008 10:09 AM by The Medical Quack

Filed under: Medically Related, Insurance, Other Items of Interest, healthcare, medicare, health insurance, AARP, CMS, Medical Quack, Bush Administration, Risk Management, WSJ

Medicare's No-Pay Rule Is Small Potatoes for Hospitals' Bottom Line

Small potatoes maybe in the overall picture, but where I go for health care as far as a hospital may be one of the 50% in this country that are bordering on insolvency, so add on a legal suit to one of the “never-never” rules and then what happens? ...

Published Tue, Sep 09 2008 7:54 PM by The Medical Quack

Filed under: Medically Related, Insurance, medicare, Hospitals, CMS, Medicare contractor, Never-Never

Medicare rules ban cold-calling by insurers and will use “secret shoppers”

There is a potential fine for violators and they cannot initiate the call, the consumer has to initiate, but once that is done then it is pretty much up to the consumer once more to make that bone crushing decision, as it’s not getting any easier or simpler...

Published Wed, Sep 09 2008 10:40 PM by The Medical Quack

Filed under: Medically Related, Insurance, medicare, health insurance, CMS, part D, Sales and Marketing, Secret shoppers

Hospice Group Sues Bush Administration to Stop Cut in Medicare Payment

Hospice is not an issue anyone really wants to take a full look at, that is unless you or a family member are impacted. Budget cuts are already making things difficult in this area, so sad we have to resort to continued legal actions to allow the...

Published Sun, Sep 09 2008 1:33 PM by The Medical Quack

Filed under: Medically Related, Insurance, My Commentaries, medicare, Medicaid, CMS, Law Suit, Hospice, Bush Administration

Catheter-Related Bloodstream Infections - Interview

Recently with all the discussion on catheters and hospital acquired infections, I had the opportunity to conduct an interview with Thomas Cherry from Cook Medical to find out a little bit more on the topic. As mentioned in the interview, CMS is...

Published Wed, Aug 08 2008 12:39 PM by The Medical Quack

Filed under: Medically Related, Technology, Pharma/FDA News, Other Items of Interest, medicare, Cook Medical, Medicaid, CMS, HAI, Catheters, hospital acquired infection, imprenated catheters, CRBSI

Owe Taxes? IRS Could Dock Medicare Reimbursement

Now that data bases are connected and talking with each other, this is another area where Business Intelligence is making a connection. Starting in October , CMS will subject 60% of Medicare fee for service payments to an IRS cross check, so get...

Published Fri, Jun 06 2008 1:02 PM by The Medical Quack

Filed under: Medically Related, Other Items of Interest, My Commentaries, medicare, CMS, IRS

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