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Medicare Update - http://www.medicareupdate.typepad.com/

Medicare Update: Region A Recovery Audit Contractor Posts Audit ...
20 Jan 2010 by Michael Apolskis  
... the Medicare recovery audit contractor (RAC) for Region A, recently posted 3 new CMS approved audit issues for RAC review on its website. Specifically, DCS posted the following issues pertaining to inpatient hospitals and DRG ...
Medicare Update - http://medicareupdate.typepad.com/ - References
[ More results from Medicare Update ]

Medicare Update: Region C Recovery Audit Contractor Posts ...
3 Jan 2010 by Michael Apolskis  
Specifically, Connolly Healthcare recently posted at least 21 new CMS approved audit issues on its website for inpatient hospitals pertaining to DRG validation. The issues affect providers in the states of Alabama, Arkansas, Colorado, ...
Medicare Update - http://medicareupdate.typepad.com/medicare_update/
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NCCI: Comp Medicare Rate Link Can Cause Overpayment - Commercial ...
19 Jan 2010 by CustomerService@sbmedia.com (NU ONLINE...  
To maintain the effectiveness of medical fee schedules, workers' comp might consider using Medicare billing approaches for hospital stays (DRG) and ambulatory services (APC), but in doing so should adapt Medicare models to workers' comp ...
National Underwriter Property & Casualty - http://www.property-casualty.com/ - References

Top Ten Medicare Update Blog Posts in January 2010 | Free-Medicare ...
1 Feb 2010 by admin  
Region B Recovery Audit Contractor Posts New Audit Issues for DRG Validation. CGI , the Medicare recovery audit contractor (RAC) for Region B , recently added new CMS approved audit issues for RAC review. Specifically, it appears that ...
Free-Medicare-Advice.com - http://free-medicare-advice.com/
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MyHealthMatters: Containing Medicare Healthcare Costs: Bundled ...
19 Jan 2010 by Dr D Quek  
Because Medicare already bundles hospital payments through the DRG system, hospital-only bundling would save only 0.1% over 10 years. But bundling payments to all payers for treating chronic diseases could save the system more than 5% ...
MyHealthMatters - http://myhealth-matters.blogspot.com/

Medicare Update: Region B Recovery Audit Contractor Posts New ...
24 Jan 2010 by Michael Apolskis  
Specifically, it appears that CGI added a number of new CMS approved audit issues pertaining to inpatient claims and MS-DRG validation for all states within Region B. In brief, those issues appear to include: Acute Respiratory Failure: ...
Medicare Update - http://www.medicareupdate.typepad.com/
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dotCommonweal » Blog Archive » The continuing health care rigamarole
25 Jan 2010 by Margaret O'Brien Steinfels  
I know that some of you will point out that many hospitals are on “DRG” (Diagnostic Related Group) methodology payments. This is how Medicare pays. The idea is that hospitals are paid a flat rate for inpatient services for the whole ...
dotCommonweal - http://www.commonwealmagazine.org/blog/ - References
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DataGen: Clearing the Decks
31 Aug 2009 by Gloria Kupferman  
Next on our list is our DRG Product Line reports, which will show hospitals how their Medicare case-mix will change with the new 2010 DRG weights. It's always interesting to see how the impacts vary by service area (e.g. medical vs. ...
DataGen - http://datagenblog.blogspot.com/

Obamacare: The Solution is Wrong but the Problem is Real ...
1 Feb 2010 by Wesley J. Smith  
That's what your HMO is all about. Medicare's DRG system for hospitalization is a capitated approach. But the kind of system Samuelson suggests can work. My mother has a Medicare Advantage plan with Kaiser. (Let's not get into horror ...
Secondhand Smoke - http://www.firstthings.com/blogs/secondhandsmoke/ - References
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Medicare to Stop Paying for Some Hospital Errors - Washington Wire ...
20 Aug 2007
Restrictions on paying for preventable costs from Medicare isn't that new. For example, if a medicare patient contracts pneumonia or other “nosocomial” ie hospital acquired illnesses unrelated to the original DRG on admittance, ...
WSJ.com: Washington Wire - http://blogs.wsj.com/washwire/

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