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Medicare Suspends Penalty-for-PSA-Testing Proposal

The Centers for Medicare & Medicaid Services has officially backed away from a proposal, but continues to look at the issue of 'appropriate use.'  
medscape.com
over 4 years ago
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Medicare Poised to Fund First Prevention Program, for Diabetes

The federal government seeks to expand a Medicare diabetes prevention program.  
medscape.com
over 4 years ago
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Oncologists Incensed Over CMS Proposal for Part B Drugs

A new two-phase model designed to reduce Medicare expenditures and improve value has the oncology community up in arms, in that it will do more damage than good.  
medscape.com
over 4 years ago
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Medicare Penalties for 5477 Groups Fund Bonuses for 128

'The average physician will look at this and think the game is rigged against them,' a lobbyist for group practices said about the lopsided numbers in Medicare's Valued-Based Payment Modifier program.  
medscape.com
over 4 years ago
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Medicare Proposes New Payment Plan for Part B Drugs

Physicians administering drugs in their office would receive the sale price and a handling and administration percentage of 2.5%, not the current 6%, plus an additional flat fee, regardless of the drug.  
medscape.com
over 4 years ago
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Cooler Heads Prevail: Medicare Rethinks PSA Testing Penalty

Medicare appears to be backing away from the controversial proposal to penalize clinicians who do prostate-specific antigen (PSA) tests outside of very specific parameters.  
medscape.com
over 4 years ago
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Meaningful Use Hardship Exception Deadline Extended

CMS sets July 1 as the new cutoff date, giving physicians and hospitals extra time to apply for exceptions that could affect Medicare payments in 2017.  
medscape.com
over 4 years ago
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Patient Perspective in Limelight at Orthopedics Conference

The Medicare payment program that comes into effect April 1 will be a hot topic at the American Academy of Orthopaedic Surgeons meeting, as specialists debate the growing role of patient feedback.  
medscape.com
over 4 years ago
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Wide Variation Seen in Medicare Inpatient Cholecystectomy Outcomes

Outcomes of inpatient laparoscopic cholecystectomy in Medicare patients vary widely among hospitals, and most adverse outcomes occur well after patients have been discharged, new findings show.  
medscape.com
over 4 years ago
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Military Health System Allows Telemedicine at Home

Following loosening of restrictions on nonvisit care, this latest move places the military system far ahead of Medicare in promoting virtual visits.  
medscape.com
over 4 years ago
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CMS Will Now Cover Watchman LAA Closure Device

The decision means the vast population of Medicare beneficiaries can be covered for the percutaneously delivered implant, indicated for stroke prevention in nonvalvular atrial fibrillation.  
medscape.com
over 4 years ago
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CMS: Physicians Obliged to Look for Medicare Overpayments

Physicians risk False Claims Act charges if they do not return Medicare overpayments they have spotted within 60 days. They have a 'clear duty' to proactively look for overpayments, according to CMS.  
medscape.com
over 4 years ago
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Single-Payer 'Medicare for All' Gets Boost From New Study

The coauthors argue that the US government already covers nearly two thirds of health costs, so why not go all the way and cover everyone?  
medscape.com
over 4 years ago
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Senate Bill Would Expand Medicare's Telehealth Coverage

The measure is framed as way to help physicians achieve goals of new Medicare reimbursement policies.  
medscape.com
over 4 years ago
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Does Medicaid Pay Enough for Common Surgeries?

Medicaid, the U.S. health program for the poor, pays far less for common surgical procedures in many states than does Medicare, the federal insurance plan for the elderly, according to a new study.  
medscape.com
over 4 years ago
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Medicare Proposal to Penalize PSA Testing Is Rebuked

The national agency is considering a penalty for clinicians who provide prostate-specific antigen (PSA) testing that is not recommended; the idea got a thumbs down from a surprising source last week.  
medscape.com
almost 5 years ago
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Medicare's NTAP for Blinatumomab Should Be Questioned

The NTAP program was designed to help hospitals offset costs associated with innovative interventions, but a new expensive drug does not meet the criteria, say two experts.  
medscape.com
almost 5 years ago
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GAO Report Points to Need for Medicare Payment Leveling

The rapid increase in hospitals' practice acquisitions is causing Medicare to pay more than it should for evaluation and management services, according to a report.  
medscape.com
almost 5 years ago
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How Medicare Reimbursement Cuts Are Reshaping Ophthalmology

Medicare reimbursement for common ophthalmology procedures will be cut 19%-68% in 2016 and 2017, in addition to many cuts in 2015. Here's the rationale and how ophthalmologists are likely to respond.  
medscape.com
almost 5 years ago
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CMS' Qualified Entities Program Disseminates More Doctor Data

'Qualified entities' combine Medicare data and other data and can publish performance reports on individual physicians.  
medscape.com
almost 5 years ago