Navigation Links
Medicare and Medicaid CT scan measure is unreliable according to new BWH study
Date:2/23/2012

BOSTON, MAResearchers at Brigham and Women's Hospital (BWH) have published findings that question the reliability of a new Centers for Medicare and Medicaid Services (CMS) quality measure. The study, "Assessment of Medicare's Imaging Efficiency Measure for Emergency Department Patients With Atraumatic Headache" finds that the CMS measurean attempt to reduce computed tomography (CT) scans in emergency departments (ED)does not accurately determine which hospitals are performing CT scans inappropriately.

The study is electronically published in the February 23, 2012 issue of Annals of Emergency Medicine.

With the recent surge of CT use in EDs, comes concern about radiation exposure and cost. CMS developed measure OP-15, "Use of Brain Computed Tomography in the Emergency Department for Atraumatic Headache," to evaluate the use of brain CT in the ED for atraumatic headache in order to improve imaging efficiency. The measure was implemented into the Outpatient Prospective Payment System in January 2012 but was never field-tested.

Jeremiah Schuur, MD, BWH Department of Emergency Medicine, and colleagues at 21 EDs in the United States studied the reliability, validity, and accuracy of measure OP-15. The measure uses Medicare billing records to determine whether a CT was clinically appropriate.

The researchers compared the data reliability of the measure as obtained from CMS administrative data against data from ED medical records. They reviewed 748 patient visits that CMS labeled as having undergone inappropriate brain CTs based on billing data. However, when the patients' medical records were reviewed, they showed that the bills didn't tell the whole story; the researchers discovered that 65 percent of the CT scans actually complied with Medicare's measure and another 18 percent of patients had valid reasons for the CTs documented on their charts. Overall, 83 percent of the patients should not have been labeled as having b
'/>"/>

Contact: Marjorie Montemayor-Quellenberg
mmontemayor-quellenberg@partners.org
617-534-2208
Brigham and Women's Hospital
Source:Eurekalert

Page: 1 2

Related medicine news :

1. Colon Cancer Alliance and American College of Radiology demand Medicare cover virtual colonoscopy
2. Gym benefits help Medicare plans recruit healthy seniors
3. Covering Gym Fees Might Be Money Saver for Medicare
4. Research finds Medicare and private insurance spending similar throughout Texas
5. Congress disarray makes it likely that 27 percent Medicare cut will go in effect
6. Internists applaud Schwartz Proposal to prevent devastating Medicare cuts
7. Seniors Choose Medicare Prescription Plans Wisely: Study
8. Medicare Part B Premium Increase Lower Than Expected
9. Many Medicare Patients Get Surgeries in Last Year of Life: Study
10. Medicare patients at risk of long-term institutionalization after hospital stay
11. Enrollment Period for Medicare Starts Early This Year
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/3/2015)... , ... September 03, 2015 , ... Dr. Robert Winchell ... Trauma, Burns, Critical and Acute Care at NewYork-Presbyterian/Weill Cornell Medical Center, effective July 27. ... is a nationally renowned expert in care for the critically injured and the development, ...
(Date:9/3/2015)... ... 2015 , ... DiabetesSisters Welcomes Carol Wysham to Board of ... Carol Wysham, MD, to their esteemed Board of Directors. Dr. Wysham was elected ... Matt Stella, Tricia Cedotal, Andrea Thomas, Wanda Nicholson and Vicki Norris. As a ...
(Date:9/3/2015)... Ridgewood, NJ (PRWEB) , ... September 03, 2015 , ... A scar is an unavoidable ... is a near-miraculous example of the body's ability to heal itself. The appearance of a ... well as the individual's age, genes, and skin pigmentation. ”Many scars fade to near invisibility ...
(Date:9/3/2015)... ... September 03, 2015 , ... The ... Clinicians Report of Provo, Utah. The Clinicians Report is a leading information source ... dentists located throughout the U.S. Whiter Image's In-Office whitening kits were favorably validated ...
(Date:9/3/2015)... , ... September 03, 2015 , ... James Earl Jones ... workplace wellness. In this episode, James Earl Jones will introduce a segment that discusses ... unhealthy workplace and how workplace wellness can be fostered in any working environment. , ...
Breaking Medicine News(10 mins):Health News:Trauma Expert Joins NewYork-Presbyterian Hospital and Weill Cornell Medical College 2Health News:Trauma Expert Joins NewYork-Presbyterian Hospital and Weill Cornell Medical College 3Health News:Trauma Expert Joins NewYork-Presbyterian Hospital and Weill Cornell Medical College 4Health News:Trauma Expert Joins NewYork-Presbyterian Hospital and Weill Cornell Medical College 5Health News:Carol H. Wysham, MD, Joins DiabetesSisters Board of Directors 2Health News:Do I Have To Live With That Scar? 2Health News:Do I Have To Live With That Scar? 3Health News:Do I Have To Live With That Scar? 4Health News:Whiter Image Products Get Positive Rating From The Clinicians Report 2Health News:James Earl Jones Hosts a New "Voices In America" Piece on Making the Workplace Healthier 2
... Health Care Agency has confirmed that eating some live raw sawagani ... a lung fluke parasite infection that occurred in eight people.// ... or any of them -- ate them on a dare,' Thompson ... confirmed as being infected, but the number has risen to eight ...
... Duma has been named as one of the world's ... ,Technology Review nominated Duma, an associate professor of ... Forest Center for Injury Biomechanics, to the 2006 'TR35' ... of 35. ,The editors of Technology Review, ...
... Recent studies have shown that when one is out in ... 2 hours, else it would be better not using any ... Hanson, a chemist at the University of California at Riverside. ... the lab to UV radiation while they were covered with ...
... hands with Florida-based Roskamp Institute to conduct a study ... use in Alzheimer's disease. // ,The Dublin ... Age Psychiatry from St James’ Hospital, Beaumont Hospital, James ... the Adelaide and Meath Hospital and St Patrick’s Hospital ...
... five will be administered anti-polio drops in the national ... for the second consecutive year. ,Kick-starting the 64th ... Dikshit Saturday said the state would continue to remain ... from neighbouring Uttar Pradesh. ,"Not even a ...
... medical graduates really opting to study this field. This pattern ... to the// occasion to bail out the baby boomers, researchers ... month's issue of the Journal of the American Geriatrics Society, ... have said that the number of certified geriatricians in Canada ...
Cached Medicine News:Health News:A young scientist recognized for biomechanics innovations 2Health News:A young scientist recognized for biomechanics innovations 3Health News:1.8 mn Delhi Children to Receive Anti-polio Drops 2
(Date:9/2/2015)... Sept. 2, 2015 Research and Markets ... the "An Introduction to Medical Device Software: ... 2015)" conference to their offering. ... to the regulations and requirements that apply to ... interactive, using real life examples and state-of- the-art ...
(Date:9/2/2015)...  Research and Markets ( http://www.researchandmarkets.com/research/rf2c5p/an_introduction ) has ... to the Medical Devices Directive (London, UK - ... This seminar provides a detailed ... will explain the Directives and which products are ... choose one and outline what a manufacturer must ...
(Date:9/2/2015)... -- Research and Markets ( http://www.researchandmarkets.com/research/6x789c/new_eu ) has announced ... (London, UK - November 16-17, 2015)" conference to ... modules concerning Pharmacovigilance are a major departure in terms ... Europe . The intention of the course is ... how they overlap and fit together and what Companies ...
Breaking Medicine Technology:An Introduction to Medical Device Software: Regulations and Requirements Course - London, UK - November 2-3, 2015 2
Utrata-like fine angled tips with gently curved shaft for performing capsulorhexis through tunnel incisions. Dull finish. Round handle manufactured in titanium....
Delicate 45 degrees angled shafts and Arruga style tips provide a firm purchase on the lens capsule. Round handle with dull finish....
This cross action forcep has delicate tips for grasping the capsule. The forcep has an iris stop to prevent inadvertent grasping of the iris....
Fine angled 12 mm shafts and iris stop. Round handle for fingertip rotational control. Dull finish....
Medicine Products: