Navigation Links
Problems Plague Medicare's Method for Measuring Payment Errors
Date:6/8/2012

ency's approach to reimbursement claims and cited recent changes to payment guidelines.  In the report, the agency demonstrated how unreasonable they have made some of the guidelines. The Mobility Matters article details some of the arbitrary guidelines, such as prohibiting claim reviewers from considering all available information if physician medical records were incomplete or missing, insisting that a physician's handwriting be completely legible, and not allowing claim histories to be used as a basis for a new claim on behalf of patients.   

While claim reviewers are denying claims based on these and other irrational guidelines, they are frequently overturned in appeals. To make the error rate more accurate and not provide Congress with erroneous information, the OIG has recommended that CMS adjust its methodology to include denials overturned on appeal.

But Wilson said the home medical equipment sector is looking for more substantial change, saying CMS must address the factors creating the unjustified claim denials.  Wilson, for instance, noted that CMS is considering an electronic template that would vastly improve the documentation process for power wheelchairs.  And he said that if CMS designs an adequate process for prior authorization, it would also strengthen the integrity of the Medicare program.

"What's clear is the underlying problems contributing to the error rate must be addressed," Wilson said.  "It's absurd for the private sector to have to pay such a steep price because the government can't implement reasonable reimbursement guidelines."

The American Association for Homecare represents durable medical equipment providers and manufacturers who serve the medical needs of millions of Americans who require oxygen equipment and therapy, mobility devices, medical supplies, inhalation drug therapy, and other medical equipment and services in their homes. Members operate more than
'/>"/>

SOURCE American Association for Homecare
Copyright©2012 PR Newswire.
All rights reserved

Page: 1 2 3 4

Related medicine technology :

1. WAISMANN METHOD® Director Encourages Public to Participate in National Take-Back Day
2. Zenobia Therapeutics, Inc. And BioBlocks, Inc. Announce Sale Of A Joint Fragment Library Ideal For Screening By All Popular Methods
3. WAISMANN METHOD® Medical Director Voices Support for Fibromyalgia Awareness Day
4. Avaxia Biologics is Awarded U.S. Patent for Method to Treat Radiation Damage to the Digestive Tract and Mucositis Caused by Radiation
5. Ventana licenses Gen-Probe IP for measuring ERG protein in prostate cancer patients
6. Particle Measuring Systems® Celebrates 40 Years of Leadership
7. Depomed Announces Receipt of $1 million Milestone Payment From Ironwood Pharmaceuticals, Inc.
8. First sales of DIFICLIR™ by Astellas Pharma Europe triggers 10 Million Euro Milestone Payment to Optimer Pharmaceuticals
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/27/2014)... , Aug. 27, 2014 By now, if you ... not living on this planet. The awareness campaign has brought ... has helped to raise over $88.5 Million (and counting) for ... and some companies are starting to as well. ... Orlando, Florida , who actually works with ALS sufferers ...
(Date:8/27/2014)... CHICAGO , Aug. 27, 2014  Hill-Rom Holdings, ... listen to a management presentation at the Morgan Stanley ... p.m. EDT. You are invited to listen ... http://ir.hill-rom.com/events.cfm or access it directly at ... be available one hour after conclusion of the live ...
(Date:8/27/2014)... North American lighting leader OSRAM SYLVANIA ... the new OSRAM ITOS ® PHASER ® 3000, ... microscopy, endoscopy and surgical head lamps that delivers the same ... lamp life. "We,re honored to be recognized by ... new technologies of the past year," said Andreas Osten ...
Breaking Medicine Technology:Acorn Stairlifts Gives a Lift to the ALS Ice Bucket Challenge 2OSRAM ITOS PHASER 3000 Laser and LED Light Module Recognized With Prestigious R&D 100 Award 2OSRAM ITOS PHASER 3000 Laser and LED Light Module Recognized With Prestigious R&D 100 Award 3
(Date:8/27/2014)... in health care spending for commercially insured individuals is ... rather than increased use, according to a new study ... Policy & Clinical Practice, published in the August issue ... , There is increasing concern that consolidation in the ... by payers and, ultimately, consumers," said Carrie Colla, PhD, ...
(Date:8/27/2014)... 27, 2014 Scientists at The Scripps Research Institute ... signaling pathway can be associated with alcohol dependence. ... called neurofibromatosis type 1 (Nf1), which TSRI scientists found ... research shows Nf1 regulates gamma-aminobutyric acid (GABA), a neurotransmitter ... , "This novel and seminal study provides insights into ...
(Date:8/27/2014)... Dr. Winifred S. Hayes, President and CEO ... better health outcomes through the use of evidence, is ... to the executive team effective August 25, 2014. As ... responsible for providing innovation, leadership, and direction in the ... all markets. , “Maura is a highly respected ...
(Date:8/27/2014)... and dad, especially when your infant looks at you ... prattling, but by listening and responding, they let their ... forming complex sounds and using language more quickly. , ... of Iowa and Indiana University that found how parents ... way infants communicate and use vocalizations. , The findings ...
(Date:8/27/2014)... 2014 Will Holbrook, CP LP, has ... has over 15 years of experience in the prosthetics ... Georgia with a Bachelor of Science degree with a ... He received his graduate degree in prosthetics at Northwestern ... have Will join us at Fourroux,” says Keith Watson, ...
Breaking Medicine News(10 mins):Health News:Tracking spending among the commercially insured 2Health News:Scripps Research Institute scientists link alcohol-dependence gene to neurotransmitter 2Health News:Maura Connor Joins Hayes, Inc. as Vice President, Digital Publishing, Editor-in-Chief 2Health News:Parents, listen next time your baby babbles 2Health News:Parents, listen next time your baby babbles 3
... inadequate resources provided by the government to help the ... of treatment has left many stroke victims invalid. According ... with timely treatment and quality care. ,The ... victims with immediate brain scans, appropriate medication to dissolve ...
... a grant of $6 million for the Florida State ... for dyslexia in children.// The schedule involves understanding, ... grant will fund the creation of a National Institutes ... The center, which will be one of only four ...
... breast cancer who have been receiving the 30-year-old tamoxifen ... with the drug, Arimidex// under a new European licence ... AstraZeneca has stated that Arimidex, an aromatase inhibitor, will ... a partial course of tamoxifen.The license for this switch ...
... pass a law that would protect HIV/AIDS patient's rights to ... right// for a woman with the right to seek an ... ,India is supposedly the country with the highest number of ... this bill is being proposed to control this problem at ...
... the leading developmental disability. Statistics show that about 1.5 million ... a 10-17% increase in the disease ratio every year//. ... symptoms known to everyone the cause of the disease still ... brain developed by Dr. Stephen Grossberg, professor and chairman of ...
... taking part in an initiative to gauge if any ... who have suffered a stroke recently//. The MíTICO study ... Ictus. ,The study included patients from different Autonomous ... three months previously. By means of periodical controls, a ...
Cached Medicine News:Health News:Research Fund for FSU to Eradicate Dyslexia 2Health News:New Law On HIV/AIDS To Be Implemented At The Monsoon Session Of Parliament 2Health News:iSTART Brain Model Reveals the possible Cause of Autism 2Health News:iSTART Brain Model Reveals the possible Cause of Autism 3
Patent Pending lateral flow assay platform that contributes to increased sensitivty...
Iso-Electric Determination Kit; contains 1 bottle of 40 nm Naked Gold Iso-Electric Determination Kit to optimize gold conjugation of antibodies...
Gold Labeling kit for antibodies, the Coat-Block-Run Conjugation Kit pH 5-8; contains 1 bottle each of 20 nm and 40 nm Naked Gold...
Colloidal Gold Conjugated, Goat anti-rabbit IgG (H&L) - 50 OD...
Medicine Products: