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Here we go again with money owed to physicians and the big job of calculating the differences on claims already paid. Again, I hope some folks soon come out of denial and come to understand he money and time involved here. Certainly I would like to see the process work for the doctors, but...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Dec 13 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, My Commentaries, medicare, AMA, CMS, Doctors, Algorithms, healthcare reform, data systems, reimbursements, expenses
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The average layman is normally not aware of all the processes and transaction charges that are coupled with processing a medical claim. This is a huge profit area with algorithmic formulas that are sold to companies in the business of processing claims in healthcare. As we all have read,...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Dec 8 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, My Commentaries, healthcare, health insurance, EHR, HHS, Algorithms, Mergers and Acquisitions, Ingenix, transactions, UnitedHealthGroup, Executive Heatlh Resources
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As we have read this last year, health insurance companies though subsidiaries they have purchased are seeing this as a viable area to do business. With grants comes the next phase of finding a vendor to set up and provide such services and not all HIE vendors are owned by insurance companies by any...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Dec 7 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, Other Items of Interest, Medical Records, health insurance, EHR, PHR, Grants, Aetna, Heatlh IT, HIE, Mergers and Acquisitions, Contracts, ONC, United
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We have here one more effort with health insurance companies seeing the technology end of healthcare as being a profitable move. Again I look and see the tremendous amount of money being spent in this area and wonder eventually how it will all be affordable at some point in time. Other carriers...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Dec 7 2010
Filed under:
Filed under: Technology, Insurance, healthcare, Medical Records, health insurance, EHR, Aetna, Heatlh IT, Mergers and Acquisitions, Medcity
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Picis before the acquisition by Ingenix already had many hospital installations so it appears this is to be one more area of revenue generation for Ingenix, a wholly owned subsidiary of United Healthcare. During the last year Ingenix purchases several additional technology companies and Picis was...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Dec 3 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, Medical Records, VA, Hospitals, software, Government, Algorithms, Contracts, Ingenix, ICU, monitoring, anthesia
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Cloud computing is certainly the way of the future and stands to save money as well as energy and here’s the latest effort between IBM and a subsidiary of Aetna insurance, those are the folks with all the data. California is busy implementing their cloud services too with Microsoft, but what did...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Nov 18 2010
Filed under:
Filed under: Technology, Insurance, My Commentaries, healthcare, health insurance, EHR, Health IT, Aetna, Senate, IBM, cloud services, Puerto Rico, recored sharing, Active Health Management
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As we all know or should know by now the claims are all pretty much electronically processed whether one is going direct or if using a clearinghouse. Even if an office is still all paper, chances are they are using a billing service who submits either direct or via a clearinghouse. If the physicians...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Nov 1 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, My Commentaries, medicare, Coding, Nursing Home, CMS 1500, chronic condition, courts, condition
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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
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Every week I read in the news “we need more innovation” and for goodness sakes in Health IT we have innovation running out our ears! Everyone is so busy building the better mouse trap that we have forgotten how to collaborate and work together. We are seeing some signs of this and it usually...
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, microsoft, Medical Records, EHR, Common User Interface, HHS, User Interface, Medical Software, Templates, Bill Crounse, Medical Group Management Association
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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
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We have been reading about acquisitions and now it appears Ingenix (a wholly owned subsidiary of United Healthcare) is selling one arm of their software/analysis resources to a company that has business in the same area. This business would be related to settling medical claims as a result of auto...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Oct 25 2010
Filed under:
Filed under: Technology, Insurance, Other Items of Interest, healthcare, Lawsuit, data bases, Mergers and Acquisitions, Ingenix, Chiropractor, breach of contract, corrupt data base, class action, Mitchell
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I have seen a lot of press of late so today I decided to take a run at this with some sample searches and compared 3 hospitals, all very different, one owned by Tenet, one recently take over by Memorial Care and one owned by Prime. Not as a patient but otherwise have been inside the doors of all...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sun, Oct 24 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, Other Items of Interest, My Commentaries, Surgery, medicare, Heart Attack, Diabetes, HHS, ER, illness, charges, Healthcare.gov, statitiscs, Hospitals compare
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We still keep hearing stories like this and some folks continue to carry medical information around on flash drives and when they get lost, well there goes protecting any privacy. Insurers bill themselves as the data experts today and yet where are the breaches coming from in the news of late,...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Oct 21 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, health insurance, HIPAA, Medicaid, Data Breach, Data, healthcare reform, Independence Blue Cross, Keystone Mercy Health Plan, AmeriHealth Mercy Health Plan
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This is what Ingenix, the wholly owned subsidiary of United Healthcare does, algorithms and business intelligence. Kind of keep in mind that it was their algorithms too that amounted in a 15 year underpayment to physicians and patients who were paid short and the AMA is just now I believe finishing...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Tue, Oct 19 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, drugs, Medical Devices, FDA, Heatlhcare, China, UnitedHealthcare, Fraud, United HealthCare, Ingenix, Kentucky, i3, ChinaGate
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If you have not visited the Medicare.Gov site recently, it’s worth a look and again like Healthcare.Gov it looks nothing like a traditional government website, which is a good thing in this case as it is very easy to navigate. If you are looking for information about Medicare Advantage plans you...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Oct 13 2010
Filed under:
Filed under: Medically Related, Technology, Insurance, healthcare, medicare, Health IT, PHR, VA, Personal Health Records, HHS, Excel, Blue Button, Medicare.Gov, MyMedicare.Gov, download