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Among the issued cited by the federal government were the accusations that the city ignored rules requiring recommendations from doctors, nurses and social workers before patients could be enrolled in the home care programs. On other occasions the doctor recommendations were ignored. When you look...
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This is for care that goes for areas outside of Medicare coverage such as Alzheimer's or stroke victims. The healthy spouse can keep a car and a house and must have a monthly income of less than $2700 a month. If that level is exceed, the the healthy spouse needs to help pay along with...
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Earlier this year the state had to reverse a cutback as the new healthcare reform disallowed states to reduce their eligibility and now basically it looks like they are looking for relief somewhere along the line here to reduce it in another fashion. We are probably all aware of the Medicaid transplant...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Dec 10 2010
Filed under:
Filed under: Medically Related, Insurance, My Commentaries, healthcare, health insurance, Medicaid, Budgets, Transplants, Algorithms, Cost, Arizona, dummies, Health IT illiteracy, Governor Brewer
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Private insurers administrate Medicaid as mentioned in the article below and GAO is recommending that CMS audit and be sure the money is not being over paid. It’s time for CMS to begin their own algorithmic formulas and take on those that audit medical claims for payment to consumers. This...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Aug 5 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, health insurance, Medicaid, Budgets, CMS, General Accounting Office, algorithms fraud, GAO, managed care model
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This is a mess to say the least as the investors from Strategic Turnaround Equity Partners are suing Untied American Healthcare too. Last month United American Healthcare Corporation announced the acquisition of Pulse Systems which provides contract manufacturing services to the medical devices...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Jul 7 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, Investors, Lawsuit, HMO, Medicaid, stock, Strategic Tournaround Equipty Partners, United American Healthcare
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If you are a provider and are not enrolled, the time slot appears to have been pushed up 6 months, so only 60 days to register unless public comments predicate any changes being made. NPI numbers must be included on all claims by providers for durable medical equipment supplied and prescribed for...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, May 6 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, Medicaid, Medical Claims, providers, enrollment, NPI, PECOS, DME
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I was cleaning out the junk folder today with email and ran across this interesting offer here. Anyway, I guess someone is doing some reporting back here, but I wonder for $30.00 and the demands to shop for Medicare Part D plan would really be worth anyone’s time? Looks to me like it takes...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Wed, Feb 3 2010
Filed under:
Filed under: Insurance, Other Items of Interest, drugs, healthcare, medicare, health insurance, Medicaid, Part D. Medicare Advantage, prescription drug plan, Secrety shoppers
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What is interesting here is that one of the states cited receiving more is Arizona at 65%, and I just posted that they are trying to kick 300,000 members in that state off the program. This is basically what is trying to happen here, so are we reforming healthcare? Arizona just had to sell...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Sat, Jan 16 2010
Filed under:
Filed under: Medically Related, Insurance, healthcare, Hospitals, Medicaid, California, Medi-Cal, Politics, Doctors, healthcare reform, shortage
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The CMA is the second largest doctors group in the US, second only to the TMA in Texas. Many other doctor associations in other states have also expressed their opposition. No word yet on how the association stands on the House version. BD The state's largest doctors group is opposing...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Dec 3 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, Medicaid, Politics, Doctors, Patients, healthcare reform, California Medical Association, Senate bill
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This in no way reflects that Mayo is doing anything wrong, they have financial obligations like all the rest of the hospitals in the US. At last check if you are not aware 55% of the hospitals in the country are in the red now, pay attention to this fact. Mayo has had to make some cutbacks...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Oct 12 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, Medicaid, Obama, Mayo Clinic, Patients, Algorithms, healthcare reform, patient focused, results oriented
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That’s right, CPT Codes for Robots in the patient home, so all we need now are patients who have the robots (grin). This is a further expansion of telehealth. These are for use in billing Medicare and Medicaid. We have seen the robots used in hospitals that allow physicians to...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Fri, Aug 28 2009
Filed under:
Filed under: Medically Related, Technology, Insurance, healthcare, medicare, Physicians, medical billing, Telemedicine, Robotics, Medicaid, CPT, Telehealth, robots, GeckoSystems, CareBot, Home Monitoring Devices
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I’m trying to understand what Grassley is really doing here and exactly what is the plan and/or benefits to be derived. Let’s go back a few months and look at his investigation of AARP and the insurance they offer. Senator opens investigation into AARP insurance His investigation lead to...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Mon, Aug 17 2009
Filed under:
Filed under: Medically Related, Insurance, healthcare, medicare, health insurance, AARP, Congress, Medicaid, Patient Advocacy, United HealthCare, healthcare reform
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Nobody likes fraud, and good to see the law catch up with those that make it difficult for others. The one item that is finally mentioned here is not having update computer systems to track some of this or prevent it in the first place. One particular story from last year was the fraud committed...
Posted to
The Medical Quack .... by Barbara Duck
by
The Medical Quack
on
Thu, Jun 25 2009
Filed under:
Filed under: Medically Related, Technology, Insurance, Computers, healthcare, medicare, health insurance, Health IT, Medicaid, Fraud
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What is the solution to the problem or is it a problem, or just part of life? Certainly business intelligence software can be of help to work on the situation to reduce the number of patients re-admitted and hopefully this is addressed with education for both patients and clinicians, but where...
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In southern California, another case of fraud. Not too long ago there were 3 other senior doctors involved in medication fraud in other states. It’s strange to see a rising number of physicians over the age of 65 involved in fraud. He also received 3 years probation. BD ...