Healthcare ECONOMIST
OCTOBER 5, 2023
The studies were replicated using 3 datasets: (i) Optum Clinformatics claims data, (ii) IBM MarketScan Research Database claims data, Medicare fee-for-service claims data, and (iii) CPRD electronic health records. The authors replicate the findings from n=250 real-world data studies.
HIT Consultant
JANUARY 9, 2023
Driven in part by the growth of Medicare Advantage and oncology, both of which require the data within medical notes rather than just claims and labs data, organizations will start to use their unstructured EMR data in entirely new ways. Tim O’Connell, MD, founder and CEO of emtelligent.
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Home Health Care
MAY 30, 2022
As part of their work, OIG investigators examined medical records for a random sample of 770 Medicare patients discharged from acute care hospitals during October 2018 – a period of relative normalcy long before the COVID-19 crisis. For nearly 25% of those individuals, the “harm events” resulted in additional costs to Medicare.
Medbridge Education
MARCH 8, 2022
The recently launched 2022 Medicare Fee Schedule includes five new CPT codes for remote therapeutic monitoring (RTM). But what is RTM and how can it benefit your practice? In this article, we answer common questions about RTM, how to use the new codes, and strategies for incorporating RTM into clinical practice.
Healthcare It News
OCTOBER 12, 2023
" MEETING THE CHALLENGE UConn Health went live on the platform in early August 2023, and it is in active use by patients and more than 60 MSK surgeons, care team members and clinical practice leaders for spine, arthroplasty, sports and foot/ankle care. Another aspect of this approach is reimbursement.
Health Populi
FEBRUARY 4, 2024
Retail health-meets-Medicare. This work started in 2023 involving Walmart Health clinics serving Medicare members and looking to partner with UnitedHealth plan members and others. Of particular note is the organization’s “promise of health assurance – care that is more proactive, accessible, and affordable to people everywhere.”
Home Health Care
SEPTEMBER 15, 2021
Centers for Medicare & Medicaid Services (CMS) pressed pause on the targeted probe and educate (TPE) program in March 2020. The purpose of the program is to weed out improper payments by focusing on providers with high claims denial rates or unusual billing practices. It’s understanding from a clinical practice perspective.”.
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