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:11/22/2014)... 22, 2014 "My friend went in ... by the machine," said an inventor from Cambria Heights, ... go back a second time because the first results ... She developed the patent-pending MAMO EASY to offer a ... design saves the patient from the pain normally involved ...
(Date:11/22/2014)... wide variety and complexity of foods served at holiday ... allergies, an expert warns. "Every person is different ... that it can be really difficult to avoid all ... allergy and clinical immunology at Wake Forest Baptist Medical ... you know you have food allergies, caution should overrule ...
(Date:11/22/2014)... This month has been a historical time ... received many positive reviews from some renowned review websites. Recently, ... by launching a new selection of wonderful sexy wedding dresses ... enjoy free shipping and up to an 80% discount on ... always find the most suitable dress at Angeldress.co.uk, which has ...
(Date:11/22/2014)... Forbes Living TV and featured ... that Ashley Lombardo and friend Candy Sherman are the ... Lombardo entered friend Candy Sherman to receive a generous ... her friend is courageously battling lung cancer and raising ... medical bills piling up and the constant struggle to ...
(Date:11/22/2014)... JOSE, Calif. (PRWEB) November 22, 2014 ... security applications was announced today which safely detects ... using high frequency radio waves. Developed by RHT ... images and hosts broad applications in other areas ... addition to security. , Using high frequency radio ...
Breaking Medicine News(10 mins):Health News:'Tis the Season of Challenges for Those With Food Allergies 2Health News:Sexy Wedding Dresses with Special Discounts Launched by Angeldress.co.uk 2Health News:Forbes Living TV Announces Winner of Thanksgiving #PayItForward Contest 2Health News:RHT SpectraSafe announces a Radical New Airport Security Technology that Is More Effective, Less Invasive 2
... may be losing a part of their brain along with ... 12, 2006, issue of Neurology, the scientific journal of the ... looked at 120 people over the age of 60, found ... normal performance on memory tests had reduced gray matter density ...
... Health, the first case of bird flu has been reported in ... ,The fatal virus was confirmed on Sept.6 and was ... on Bird Flu Sam Okware. ,He said, "I have ... the South Sudan region to strengthen their task forces on bird ...
... A medicine to cure stammering could be developed from ... ,Stuttering afflicts an estimated 3 million Americans. ... a child, is supporting the Indevus Pharmaceuticals in the ... of a drug for stuttering gave hopeful results, according ...
... PLoS Medicine online says that the life expectancy of those ... woman may live// two decades longer than an African-American male ... really quite clear that most of the gap across these ... middle-aged adult men and women and most of that is ...
... with moderate to severe memory loss improved their ... a study//. ,Researchers, who examined 134 ... 19 centers across the United States, found attention ... severely impaired patients who took rivastigmine for 12 ...
... poultry products following an outbreak of bird flu in ... processed chicken from the country. ,A processing ... from where the processed meat would be imported. Livestock ... the innards removed and neatly packed. ...
Cached Medicine News:Health News:Forgetful? You May Be Losing More Than Just Your Memory 2Health News:Drug Improves Memory Loss for Traumatic Brain Injury Patients 2Health News:India to Revive Exporting of Processed Chicken to Bhutan 2
(Date:11/22/2014)... , Nov. 22, 2014  New data demonstrates that ... most common form of female sexual dysfunction, Hypoactive Sexual ... or driving performance in premenopausal women when taken at ... Society of North America,s (SMSNA) ... . SMSNA accepted this study ...
(Date:11/22/2014)... , Nov. 21, 2014 MEDITE Group acquired ... nine months and the 3 rd quarter sales ended ... income was $448,000 for the nine months ended September 2014 ... "Even though our 3 rd quarter is usually a ... extends from July into September for many countries worldwide, we ...
(Date:11/21/2014)... Md. , Nov. 21, 2014  The University ... will host the ceremonial groundbreaking of the new A. ... Park. The new building will cultivate transformative new engineering ... Taking place at 10:00 a.m. on November ... the Paint Branch Parking Lot, adjacent to the Jeong ...
Breaking Medicine Technology:Study on Efficacy and Sedation-Related Safety of Flibanserin in Premenopausal Women Released Today at Sexual Medicine Society of North America Meeting 2Study on Efficacy and Sedation-Related Safety of Flibanserin in Premenopausal Women Released Today at Sexual Medicine Society of North America Meeting 3CytoCore Inc. / MEDITE Cancer Diagnostics, Inc. Reports Record YTD and 3rd Quarter Sales 2CytoCore Inc. / MEDITE Cancer Diagnostics, Inc. Reports Record YTD and 3rd Quarter Sales 3University of Maryland Breaks Ground for A. James Clark Hall 2University of Maryland Breaks Ground for A. James Clark Hall 3University of Maryland Breaks Ground for A. James Clark Hall 4
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
... Laboratories is a national reference laboratory and ... and development. ARUP offers an extensive test ... tests in clinical and anatomic pathology. Owned ... clients include more than half of the ...
... is a national reference laboratory and a ... development. ARUP offers an extensive test menu ... in clinical and anatomic pathology. Owned by ... include more than half of the nation's ...
Medicine Products: