Search results for "Medicare"
Medicare updates affect audits, modifiers and version 5010
This month's column covers three timely yet disparate topics: a new CPT modifier, readiness for Version 5010 electronic claims transactions, and the looming expansion of the recovery audit contractors.
https://immattersacp.org/archives/2011/05/coding.htm
1 May 2011
Closing the gap on osteoporosis
A new clinical guideline from ACP focuses on pharmacologic treatment of primary osteoporosis or low bone mass to prevent fractures in adults.
https://immattersacp.org/archives/2023/05/closing-the-gap-on-osteoporosis.htm
1 May 2023
Handling the hassle of administrative hurdles
CMS released a proposed rule to address the administrative hassles of prior authorizations in Medicare Advantage plans, calling for automated processes, shorter decision-making time frames, and more transparency about the services subject to prior authorizations.
https://immattersacp.org/archives/2023/11/handling-the-hassle-of-administrative-hurdles.htm
1 Nov 2023
Help ACP determine Medicare's physician service payments
ACP will invite random members to provide feedback that could influence Medicare reimbursement on services common to internal medicine.
https://immattersacp.org/archives/2010/07/practice.htm
1 Jul 2010
Rethinking advance care planning
While more physicians are reporting having conversations about advance care planning with their patients, it's still far from common.
https://immattersacp.org/archives/2022/05/rethinking-advance-care-planning.htm
1 May 2022
Naloxone coprescribing appears uncommon in patients taking long-term opioids
A retrospective cross-sectional study of U.S. retail pharmacy claims found that 2.3% of long-term opioid therapy episodes included naloxone coprescribing, despite recommendations supporting this practice.
https://immattersacp.org/weekly/archives/2021/02/23/5.htm
23 Feb 2021
Mammography may not benefit healthy women older than age 75
Researchers used Medicare data to examine eight-year follow-up of two screening strategies: continuing annual mammography after a certain age or ceasing to screen.
https://immattersacp.org/weekly/archives/2020/02/25/1.htm
25 Feb 2020
Lessen the burdens of Medicare's home health requirements
Home health care now requires face-to-face certification of eligibility based on the patient's current condition, a burden that doesn't have to be one. A few simple tips can ensure that the patient's needs and Medicare's paperwork are both satisfied.
https://immattersacp.org/archives/2012/02/face.htm
1 Feb 2012
Updated resources on women's health now available from the Women's Preventive Services Initiative
Resources include the 2021 Well-Woman Chart, a comprehensive tool for clinicians providing well-woman care that summarizes preventive services recommendations based on age, health status, and risk factors.
https://immattersacp.org/weekly/archives/2021/04/06/6.htm
6 Apr 2021
Annual face time between patients and physicians rose since 1979 due to longer visits
A racial/ethnic gap in time spent with physicians widened over the three studied decades, with White patients getting 22.9 and 14.7 minutes more per year than Black and Hispanic patients, respectively, by 2018.
https://immattersacp.org/weekly/archives/2022/06/14/1.htm
14 Jun 2022