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.
1 May 2011
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.
1 Jul 2010
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.
6 Apr 2021
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.
1 Feb 2012
Medicare, many insurers announce coding rules for H1N1
The federal government will pay for H1N1 vaccine, and most large insurers are planning to pay only for its administration. Find out which codes to use and with which insurers.
1 Nov 2009
Factoring drug costs into diabetes decisions
A sizable number of patients with diabetes do not consistently fill their prescriptions or take less than the prescribed amount due to costs, but there are ways to make it easier on a patient's pocketbook.
1 May 2022
Total knee replacement cost-effective for end-stage osteoarthritis even in severe obesity
A modeling study analyzed the long-term effects and costs of total knee replacement for patients who were ages 50 years or older and had end-stage knee osteoarthritis and a body mass index of 40 kg/m2 or greater.
23 Mar 2021
Medicare pays for annual depression screening
One in six seniors suffers from depression. That rises to one in four with comorbidities. Tools and screens are available to help internists integrate this new focus of care into a practice routine.
1 Mar 2012
Release of Medicare pay data raises questions
The release of a massive amount of data about how much physicians had received from Medicare in 2012 was a sign of price transparency to some and an unwelcome intrusion to others. The raw data didn't tell the entire tale, critics said.
1 Oct 2014
Screening based on breast density at age 40 may reduce breast cancer mortality
A study supported screening all women at age 40 years to measure breast density, then assigning women with denser breasts to continued annual screening and other women to biennial screening starting at age 50 years, but an accompanying editorial raised concerns about this strategy.
9 Feb 2021