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Garbage in Ratings Out Commentary 

Garbage in Ratings Out

As CMS continues to evolve quality reporting requirements for hospitals and nursing homes, the law of unintended consequences can come into play as administrators struggle to raise their ratings. In a recent article on Bloomberg News titled New CMS Nursing Home Ratings Don’t Solve Accuracy Issues, Senator Michael Williamson reports the following: “Increasing the number of measures on which nursing homes must... Read More
Medical Necessity in the ER Commentary 

Medical Necessity in the ER

Of all the criteria for a receiving a payment by Medicare, MACRA requirement to establish medical necessity seems to generate the most questions and discussion. With the introduction of ICD10 and the added complexity of coding for medical conditions, the debate over what constitutes medical necessity and how it should be documented runs high. Discussions with ER physicians indicate that... Read More
Meaningful Use Has Cost Taxpayers 34.7 Billion Dollars, Was it Worth it? Commentary 

Meaningful Use Has Cost Taxpayers 34.7 Billion Dollars, Was it Worth it?

According to a recent article by John Lynn, founder of HealthCareScene, “CMS has put out the latest data on meaningful use participation and payments. They broke the Medicare dollars out by meaningful use Stage 1 and Stage 2. Meaningful use Stage 1 cost nearly $20 billion. Meaningful use Stage 2 cost $3.4 billion. The amounts were less for Stage 2, but... Read More