Browse Blog Posts by Tags

And, Then They Said No!

Posted to News by The Doctor Weighs In on Mon, Nov 12 2012
Filed under: Filed under: Medicare, CMS, Meaningful Use, EMR, EHR, Health IT, Centers for Medicare and Medicaid Services, electronic health records, electronic medical records, Physicians, hospitals, Congress, Medicare Fraud, People in healthcare, Health care professionals, Fraud, New York Times, Technology in healthcare, Payment, Health care & health policy, Politics & public policy, Secretary Sebelius, Change Management, Kevin Fickenscher, Emergency Room, Republicans and health reform, health outcomes, The Fickenscher Files, health care incentives, inefficient delivery of care, reduced costs, Bush administration, American Hospital Association, improve outcomes, Association of American Medical Colleges, audited on performance, abuse, presidential politics

Rock Report: Big Data & Healthcare

Posted to News by The Doctor Weighs In on Fri, Oct 12 2012
Filed under: Filed under: EMR, Health IT, Health information technology, electronic medical records, Information, Smartphone, Social Media, Smart Phones, IBM, health plans, Patient Safety, Pharmacy and pharmaceuticals, Medical research, Practice Fusion, People in healthcare, Doctor-patient relationship, personalized medicine, Health care professionals, Rock Health, Fraud, Medical devices, Technology in healthcare, wireless health, Psychology, funding, Innovation/innovative companies, Payment, waste and abuse, big data, Information overload, Health care & health policy, Politics & public policy, Medicine: wellness & disease, integration, social media and health, Change Management, awareness, Genes & genomics, genomics, insight, IBM's Watson, Startups, PATIENT-CENTERED, health data analytics, Collaboration in health care, government policy, real-time reporting, pharmaceutical companies, inefficient delivery of care, care providers, self-monitoring technology, self-care, data analysis, data sharing, technology adoption, preventative strategies, improved healthcare efficiency, innovation researchers, health cost savings, tablets, computers, health care technology, mobile games, Dr. Bonnie Feldman, pattern recognition, games

Medicare Federal Investigators Getting Algorithms to Analyze And Find Fraud-Good Move as Contractors Efforts Are Weak With Risking Loss Of Transaction Revenue

This is a good deal if in fact it is available for use for the government and not outsourced to contractors as when you read the news , they are not making any waves when handling claims for Medicare in finding fraud as fraudulent claims as well as legitimate claims all add up to transaction fees, the...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Thu, Dec 16 2010
Filed under: Filed under: Medically Related, Technology, Insurance, My Commentaries, EMR, healthcare, medicare, EHR, Claims, Fraud, Non Profit, Algorithms, incentives, Contracts, Ingenix, healthcare reform, shareholders, United Heatlhcare

Grassley Investigating Medicare Contractor Conflicts of Interest–Some Are Owned by Subsidiaries of Health Insurance Companies- Will That Do It? Get An “Algo Man” For Help

Here’s a screenshot below from a prior post that gives one a Wellpoint email address if your have “Congressional concerns” and I don’t know about you, but if I had issues I think I would send my issues direct to Congress as a citizen, right? Again, I come back to the same statement I have made...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Fri, Oct 29 2010
Filed under: Filed under: Medically Related, Technology, Insurance, EMR, healthcare, medicare, EHR, Claims, Fraud, Non Profit, Algorithms, incentives, Wellpoint, Contracts, Ingenix, healthcare reform, Grassley, shareholders, United Heatlhcare

Medicare Data Base–It Is Not Ready for Prime Time To Expose to the Web Due to Errors Factors and Consumer Credibility In It’s Present State Relating to Physician Records

We are all working to make as much data as possible public but sometimes until we are ready for prime time it may not be in our best interests to display data that is riddled with errors until audits are done and a certain amount of credibility can be shown. I have been reading along a bit with...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Tue, Oct 26 2010
Filed under: Filed under: Medically Related, Technology, Insurance, My Commentaries, EMR, healthcare, medicare, EHR, Physicians, Claims, Fraud, Medical Claims, Non Profit, Algorithms, Contracts, Ingenix, healthcare reform, shareholders, United Heatlhcare

Grassley Asking About Fraud and Waste from HHS-Where’s the Incentive for Contractors to Fight Fraud They Lose Transaction Income From Processing Claims-Legit or Fraud Its Income

When it comes to fighting fraud, we are back to the fact that some Medicare contractors are owned by health insurance subsidiaries, who make transaction money from medical claims, the goods one and the ones that are fraudulent, so where’s the incentive here? I don’t feel there’s an overcoming concern...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Tue, Oct 12 2010
Filed under: Filed under: Medically Related, Technology, Insurance, My Commentaries, EMR, healthcare, EHR, Claims, Fraud, Wall Street, Non Profit, Algorithms, Contracts, Ingenix, healthcare reform, HealthNet, shareholders, United Heatlhcare, false positives

California Legislation Bill on Breached Data Should Be Vetoed by the Governor-He Did It Before and Should Do It Again-Legislature Not in Touch With IT and California Still Needs Infrastructure Updates to Be Compliant–Unrealistic Law

I hate to sound like a broken record here but the provisions of what is on this bill are enough to make a CIO commit suicide. Our Governor gets is and is a big user of technology but for those who are not living in the real world today with technology this bill is asking for information that may...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Thu, Aug 26 2010
Filed under: Filed under: Technology, Other Items of Interest, My Commentaries, EMR, healthcare, medicare, EHR, Claims, California, Fraud, Non Profit, Algorithms, Laws, incentives, Contracts, Schwarzenegger, security breaches, healthcare reform, shareholders, algorithms fraud, infrastruture

Medicare Contractor Gets Deal to Monitor Physician Incentive Payments–Same Folks Earlier This Week Admonished For Not Doing Enough for Fraud Prevention?

Ok that was just on Monday I posted about the disappointment with fraud prevention and I guess it has earned this this bit big of business, is this all there is to this? I realize the contractors have the data but like commercial insurance carriers do they run the work to a 3rd party a lot of...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Thu, Aug 12 2010
Filed under: Filed under: Medically Related, Technology, Insurance, My Commentaries, EMR, healthcare, medicare, EHR, Claims, Fraud, Non Profit, Algorithms, incentives, Wellpoint, Contracts, Ingenix, healthcare reform, shareholders, United Heatlhcare

Medicare Fraud Prevention Has Cases Falling Through the Cracks–Looks Who’s Getting the Contracts And Check Out the Algorithms For Their Profitable Business Models

I guess it’s time to revisit a post I made back in January asking the question of how can a for profit company, traded on the stock exchange, be a solution to efficiently help prevent fraud when stockholder profits are the #1 priority? There are a ton of companies providing audit services for medical...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Mon, Aug 9 2010
Filed under: Filed under: Medically Related, Technology, Insurance, EMR, healthcare, EHR, Claims, Fraud, Wall Street, Non Profit, Algorithms, Contracts, Ingenix, healthcare reform, HealthNet, shareholders, United Heatlhcare, false positives

Little Progress on Fighting Healthcare Fraud – Look At Who’s Getting the Anti-Fraud Contracts

Health Insurance and preventing fraud need to work together and you almost need some non profit organizations to have this be successful and truly look out for the consumer interest. What are we doing here, awarding contracts to companies that have created a backlog of legal court cases and potentially...

Posted to The Medical Quack .... by Barbara Duck by The Medical Quack on Fri, Jan 29 2010
Filed under: Filed under: Medically Related, Technology, Insurance, EMR, healthcare, EHR, Claims, Fraud, Wall Street, Non Profit, Algorithms, Contracts, Ingenix, healthcare reform, HealthNet, shareholders, United Heatlhcare, false positives