Texas Providers See Increased Interest in Birth Control Since Near-Total Abortion Ban

Posted by & filed under Healthcare.

In September, when Texas’ near-total abortion ban took effect, Planned Parenthood clinics in the Lone Star State started offering every patient who walked in information on Senate Bill 8, as well as emergency contraception, condoms and two pregnancy tests. The plan is to distribute 22,000 “empowerment kits” this year. “We felt it was very important…

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Public Opinion Is Unified on Lowering Drug Prices. Why Are Leaders Settling for Less?

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Democrats and Republicans are crystal clear in polls that they want government to be allowed to negotiate down high drug prices. Americans pay nearly three times as much for drugs as patients in dozens of other countries. In the past two years, numerous Democratic candidates — including President Joe Biden — have campaigned on enacting such legislation. This year, the polling group…

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US to Canada & Back: A Vaccination Story

Posted by & filed under Commentary.

Vaccinate me. Vaccinate me, my friend. How many COVID tests does a person need in a 72 hours period?  Well, I suppose it depends on where you are going, what you are doing and who requires it. Under the current laws, surveillance testing is not necessarily reimbursable by insurance or through the HRSA program for…

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Role & Responsibility of a Medical Coding Auditor

Posted by & filed under Advize News, Medical Record Auditing.

Don’t Stop Believing: Journey. Sweet Caroline: Neil Diamond. Piano Man: Billy Joel. These are the three top requested dueling piano songs.  What does that have to do with us?  I, Jeanmarie Loria and Eric Rubenstein, presented earlier this week at the exact same time. I would like to report that I had about 100 hundred more attendees than Eric. …

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Medicare Enrollment Blitz Doesn’t Include Options to Move Into Medigap

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Medicare’s annual open-enrollment season is here and millions of beneficiaries — prompted by a massive advertising campaign and aided by a detailed federal website — will choose a private Medicare Advantage plan. But those who have instead opted for traditional Medicare face a critical decision about private insurance. Too often the import of that choice…

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Few Acute Care Hospitals Escaped Readmissions Penalties

Posted by & filed under Compliance.

Preventable rehospitalization of the nation’s older adults has proved a persistent health and financial challenge for the U.S., costing Medicare hundreds of millions of dollars each year. Various analyses have found many readmissions within a month of discharge might have been avoided through better care and more attention paid to the patients after they left…

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Straight Outa Hellthcare

Posted by & filed under Commentary, Healthcare.

Former Pittsburgh-area Doctor Pleads Guilty to Unlawfully Prescribing Opioids in Exchange for Sex Unfortunately, this provider capitalized on his ability to prescribe controlled medications in other ways. By obtaining sexual favors from his patients, he was able to take advantage of his patients insatiable need for the drugs, and that the patient was willing to…

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Medicare Punishes 2,499 Hospitals for High Readmissions

Posted by & filed under Compliance.

The federal government’s effort to penalize hospitals for excessive patient readmissions is ending its first decade with Medicare cutting payments to nearly half the nation’s hospitals. In its 10th annual round of penalties, Medicare is reducing its payments to 2,499 hospitals, or 47% of all facilities. The average penalty is a 0.64% reduction in payment…

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Hygienists Brace for Pitched Battles With Dentists in Fights Over Practice Laws

Posted by & filed under Dental.

This year, the Illinois legislature was considering measures to expand oral health treatment in a state where millions of people live in dental care deserts. But when the Illinois State Dental Society met with key lawmakers virtually for its annual lobbying day in the spring, the proposals to allow dental hygienists to clean the teeth of…

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