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 had the right to decide whether the expense incurred for a given item, not just the item itself, was “reasonable and necessary.” How...
Posted to
The Medical Quack .... by Barbara Duck
on 11-04-2008
Filed under: Medically Related, Insurance, My Commentaries, healthcare, Pharma, Congress, CMS, Medicare contractor, Drug costs, Federal Court
Not too long ago we had the embarrassing situation of “dead doctors” being billed so perhaps this is a step up in this direction to get a handle on what we do and do not pay for from our taxpayer dollars. Unannounced visits are a good thing in this direction as a picture is worth a 1000 words,...
This story about Walgreens illustrates a little bit of both. After the economy and Wall Street news of the last couple of weeks, we should know now about how programmers set algorithms to select, process and deliver data. Need a refresher, you can check here relative to Wall Street out coding...
Posted to
The Medical Quack .... by Barbara Duck
on 10-01-2008
Filed under: Medically Related, Technology, Insurance, My Commentaries, drugs, healthcare, Prescriptions, Medicaid, Medications, Medicare contractor, Whistle Blower, Data, Data Base, Algorithms
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? I am not speaking of wrong side surgeries, but...
33% found a big part of the right answer - software. Business Intelligence software for a hospital is something you almost can't live without, otherwise the audits can do what they just accomplished. The auditors will have the software to come in and audit with, so why not get a step...
Posted to
The Medical Quack .... by Barbara Duck
on 08-18-2008
Filed under: Medically Related, Technology, Insurance, Hospital, Business Intelligence, bankruptcy, Medicare contractor, Auditors
Through the program, all Medicare billing information will be populated in to a Personal Health Record. Where does this leave Google Health and the HealthVault? Can they participate? The key to the whole program is to pre-populate the information so the consumer has very little...
Posted to
The Medical Quack .... by Barbara Duck
on 08-11-2008
Filed under: Medically Related, Technology, Insurance, healthcare, Medical Records, medicare, PHR, Google Health, HealthVault, Medicare contractor