Posts Tagged ‘American Medical Association’

POLITICO: Medicare Eyes Hospital Readmissions

January 23, 2013

By Joanne Kenen, POLITICO

Want to save Medicare money without making Congress agree to a plan?

Start by keeping patients out of the hospital.

Especially if they really don’t need to be there.

About one in five Medicare patients who are hospitalized end up bouncing right back within 30 days, so reducing unnecessary hospital readmissions has become a bit of a holy grail. (more…)

Turn Journalists Loose Against Medicare Fraud

January 16, 2013

By Charles Lane, The Washington Post

Now costing more than $500 billion per year, Medicare is central to the United States’ fiscal predicament. For this complicated problem, there are many complicated proposed solutions.

But what if we try something simple, like journalism?

In essence, that is the argument that Dow Jones, publisher of the Wall Street Journal, is pressing in a federal court in Jacksonville. Dow Jones is asking District Judge Marcia Morales Howard to lift a 1979 court order that exempted from the Freedom of Information Act all provider-specific data on Medicare payments. Arguments ended in August, and a ruling could come at any time.

Thanks to the 33-year-old injunction, the press and the public cannot examine the treatments individual physicians billed to Medicare or — most important — how much Medicare paid for them. Yet this is a matter of obvious public concern, given that Medicare made $28.8 billion in improper payments in 2011, according to a Government Accountability Office report last February. (more…)

HCAF Makes Capitol Hill Visits to Discuss Potential Medicare Cuts, Copays

December 7, 2012
HCAF representatives with Senator Nelson

HCAF staff with Sen. Nelson

HCAF representatives met yesterday with key lawmakers in Congress – including U.S. Senator Bill Nelson – to discuss the so-called “fiscal cliff,” which has implications for the home health care industry. As HCAF discussed at the recent district meeting series, Congress is faced with a two-percent cut to all federal programs, including Medicare home health provider payments, the end of the Bush-era tax cuts as well as having to address the federal debt ceiling – all by the end of the year. Congress is considering multiple ways to address the fiscal cliff, including additional cuts to home care and the imposition of a Medicare home health copayment. Copay figures have ranged from $100 to $600 per 60-day episode. (more…)

AMA Hoping to Stop ICD-10 Use in Billing

December 2, 2011

From American Medical News by Charles Feigl

Citing significant burdens to physicians, the American Medical Association approved policy that vigorously opposes the nationwide transition to the new diagnosis coding set known as ICD-10. (more…)