Billing
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S.C. imaging center taps Zotec for billing services
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Health IT company Zotec Partners has entered into a billing services contract with West Columbia, S.C.-based Lexington Radiology Associates, an imaging provider to the patients of Lexington Medical Center. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - November 19, 2009 Category: Information Technology Tags: Latest News Source Type: news
S.C. imaging center taps Zotec for billing services
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Health IT company Zotec Partners has entered into a billing services contract with West Columbia, S.C.-based Lexington Radiology Associates, an imaging provider to the patients of Lexington Medical Center. (Source: Health Imaging News)
Source: Health Imaging News - November 19, 2009 Category: Radiology Tags: Latest News Source Type: news
Library of Medicine publishes SNOMED draft
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The National Library of Medicine has published a draft map linking content from SNOMED Clinical Terms to ICD-9-CM billing codes, as a precursor to the development of similar maps.
The map aims to support administrative reporting and reimbursement functions where SNOMED CT is the terminology for clinical descriptive purposes, said Betsy Humphreys, NLM deputy director.
The draft consists of about 5,000 mappings of the SNOMED CT terms most commonly used by Kaiser Permanente and the University of Nebraska. (Source: Healthcare IT News)
Source: Healthcare IT News - November 18, 2009 Category: Information Technology Authors: Mary Mosquera Tags: Online Only Industry News Mary Mosquera National Library SNOMED Source Type: news
Medical billing company employs Imagine's rad suite
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Medical billing company Dexios has chosen Technology Partners’ IMAGINEradiology practice management system for its billing and collection needs. (Source: Health Imaging News)
Source: Health Imaging News - November 18, 2009 Category: Radiology Tags: Latest News Source Type: news
Survey: Healthcare isn't ready for HITECH's security breach notification rules
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Business associates who handle private patient information for healthcare organizations are largely unprepared to meet the new data breach related obligations included in the HITECH Act, according to a new survey.
Those affected include billing operations, credit bureaus, benefits management, legal services, claims processing, insurance brokers, data processing firms, pharmacy chains, accounting firms, temporary office personnel and offshore transcription vendors. (Source: Healthcare IT News)
Source: Healthcare IT News - November 17, 2009 Category: Information Technology Authors: Bernie Monegain Tags: Online Only Chicago ID Experts Industry News Hospitals & IDNs Source Type: news
Business associates unprepared for data breaches
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Many medical business associates—third parties that include billing companies, credit bureaus, insurance brokers, data processing firms, pharmacy chains, accounting firms and offshore transcription vendors—are unprepared to meet new data breach regulations in the Health Information Technology for Economic and Clinical Health (HITECH) Act. (Source: CMIO.net: The News Weekly for Health IT Executives)
Source: CMIO.net: The News Weekly for Health IT Executives - November 17, 2009 Category: Information Technology Tags: Latest News Source Type: news
Business associates unprepared for data breaches
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Many medical business associates—third parties that include billing companies, credit bureaus, insurance brokers, data processing firms, pharmacy chains, accounting firms and offshore transcription vendors—are unprepared to meet new data breach regulations in the Health Information Technology for Economic and Clinical Health (HITECH) Act. (Source: Health Imaging News)
Source: Health Imaging News - November 17, 2009 Category: Radiology Tags: Latest News Source Type: news
athenahealth's rules engine scores a patent
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athenahealth, which provides Internet-based business services to physician practices, has received a patent for its practice management and billing system.
The U.S. Patent and Trademark Office issued the patent on Nov. 10 for the Watertown, Mass.-based comnpany's athenaNet rules engine, which is part of the company's athenaCollector revenue cycle management service. (Source: Healthcare IT News)
Source: Healthcare IT News - November 13, 2009 Category: Information Technology Authors: Bernie Monegain Tags: Online Only Jonathan Bush Massachusetts Watertown Physician Practices & Ambulatory Care Vendors Source Type: news
Missing paperwork costs Kaiser $1.8M
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Kaiser Permanente Northwest has agreed to pay $1.8 million for allegedly skipping paperwork requirements when billing Medicare for hospice services, the U.S. Department of Justice announced Thursday. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 12, 2009 Category: American Health Source Type: journals
Missing paperwork costs Kaiser $1.8M
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Kaiser Permanente Northwest has agreed to pay $1.8 million for allegedly skipping paperwork requirements when billing Medicare for hospice services, the U.S. Department of Justice announced Thursday. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 12, 2009 Category: Biotechnology Source Type: journals
Sandra Murman joins Accelify board of advisors
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Former Florida House Speaker Pro-Tem Sandra Murman will join the national board of advisors for Medicaid billing agent Accelify. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - November 11, 2009 Category: American Health Source Type: journals
Sandra Murman joins Accelify board of advisors
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Former Florida House Speaker Pro-Tem Sandra Murman will join the national board of advisors for Medicaid billing agent Accelify. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 11, 2009 Category: Biotechnology Source Type: journals
Group Visits and the Medical Home- Build it and they will come (Konrad Nau MD)
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Group visits promise to inovate and invigorate the medical home. This presentation explores barriers to getting your group visit program established, and outlines how to overcome them. Diabetes,exercise as medicine, chronic pain, and prenatal group visits are detailed. GV billing and coding keys to success and tools for evaluating resident competencies, patient satisfaction and patient centeredness are included. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - November 11, 2009 Category: Primary Care Source Type: organizations
Explore Nurse Practitioner Careers
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Nurse practitioners (NPs) are advanced practice nurses who, in some states, can practice independently, seeing patients and billing for their time and services almost as a physician would.
Some healthcare analysts and experts see nurse practitioners and physician assistants (PAs) as the answer to the growing physician shortage, particularly in primary care, while others feel that nurse practitioners do not possess enough extensive training and education to fill physicians' shoes.
November 5-12 is Nurse Practitioner recognition week, so this is a great time to learn more about the role of nurse practitioners in the medica...
Source: About.com Health Careers - November 8, 2009 Category: Universities & Medical Training Source Type: consumer
Who is in Your neighborhood? The Patient-centered Medical Community (David C Willis MD)
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PI 2009 Conference Presentation: identifying the need of a PCMH to address its interconnectedness to the medical community within which it operates. Interoperability is often glossed over in preparing the transformation, but remaining electronically isolated disrupted nearly 75% of a PCMH's ability to perform at maximum capacity. Many of the core elements of a PCMH require the export and import of information; if interfaces and exchanges are not set up, the EHR becomes a very expensive word processor that only generates billing documents. This presentation elaborates on these points and offers education and tips on plannin...
Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded - November 7, 2009 Category: Primary Care Source Type: organizations
A Preliminary Report of Knowledge Translation: Lessons From Taking Screening and Brief Intervention Techniques From the Research Setting Into Regional Systems of Care
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This article describes a limited statewide dissemination of an evidence-based technology, screening, brief intervention, and referral to treatment (SBIRT), and evaluation of the effects on emergency department (ED) systems of care, utilizing the knowledge translation framework of reach, effectiveness, adoption, implementation, and maintenance (RE-AIM), using both quantitative and qualitative data sources. Screening and brief intervention (SBI) can detect high-risk and dependent alcohol and drug use in the medical setting, provide early intervention, facilitate access to specialty treatment when appropriate, and improve qua...
Source: Academic Emergency Medicine - November 4, 2009 Category: Emergency Medicine Authors: Edward Bernstein, Deric Topp, Emily Shaw, Carol Girard, Karen Pressman, Ebonie Woolcock, Judith Bernstein Tags: Original Contributions Source Type: journals
'Incident to' billing rules open to interpretation
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The issues are too complex for a simple answer when it comes to 'incident to' billing. (Source: Modern Medicine)
Source: Modern Medicine - November 1, 2009 Category: Journals (General) Source Type: info
Concordance of survey and billing data in a study of outpatient healthcare cost and utilization among epilepsy patients
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Summary: We assessed the concordance between healthcare utilization and cost measured with patient survey and billing data among 226 epilepsy patients in a large multi-specialty group practice. Does survey information on utilization combined with prices, provide a cost of care that is approximately equal to the cost of care derived from billing data, utilizing the same price structure? Do measures of cost from survey and billing data yield the same correlates of cost among epilepsy patients? If so, survey data may be utilized to estimate correlates and cost of epilepsy care in cases where complete billing information is no...
Source: Epilepsy Research - November 1, 2009 Category: Neurology Authors: David R. Lairson, Rituparna Basu, Charles E. Begley, Thomas Reynolds Tags: Research Papers Source Type: journals
Holiday Algorithmics
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I doubt anyone can argue that EMS medical procedures are more complex today than they used to be. We no longer lump all our patient care into the one simple (but fun) formula of driving all those we encounter on scene to the hospital in an insanely fast manner. EMS care has also become more sophisticated in its patient billing collection process. No, wait … I mean, it's become more of a scientific art form. (Source: JEMS: Journal of Emergency Medical Services)
Source: JEMS: Journal of Emergency Medical Services - November 1, 2009 Category: Emergency Medicine Authors: Steve Berry Tags: The Lighter Side Source Type: journals
Update on Consultation Billing
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Many questions have come in lately regarding nurse practitioner (NP) consultations. Here are some of the questions, and brief answers: (Source: The Journal for Nurse Practitioners)
Source: The Journal for Nurse Practitioners - November 1, 2009 Category: Nursing Authors: Carolyn Buppert Tags: Legal Limits Source Type: journals
Population-Based Study of Risk and Predictors of Stroke in the First Few Hours after a TIA: Chandratheva A, Mehta Z, Geraghty OC, et al. Neurology 2009;72:1941–7
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Although it is known that the risk of stroke in the week after a transient ischemic attack (TIA) is approximately 10%, this prospective study tracked the incidence of stroke in the first 24 h after TIA. In addition, the authors sought to determine the efficacy of the ABCD2 risk score in predicting stroke recurrence. Over nearly a 5-year period, the Oxford Vascular Study comprising 91,105 individuals was used to track patients presenting with TIA or stroke to Oxford area hospitals, urgent open-access TIA clinics, and accident and emergency departments. Local hospital and private general practitioner office record searches w...
Source: The Journal of Emergency Medicine - November 1, 2009 Category: Emergency Medicine Authors: Margaret Sande Tags: Abstracts Source Type: journals
Revealed: How primary care is losing millions through hospital bill errors
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A GP has exposed huge problems in the system for billing PCTs and practices for hospital activity, with vast sums being wrongly claimed from primary care. (Source: Pulse)
Source: Pulse - October 27, 2009 Category: Primary Care Tags: Picture stories Source Type: news
Profit Driven Swine Flu Propaganda - Pump Up the Volume - Part Four
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This article is part four in a six-part series. Be sure to read part three at http://www.naturalnews.com/027310_swine_flu_health_Tamiflu.htmlThose in control of the mainstream media have joined together with public health officials to provide the pharmaceutical industry with the best swine flu promotional campaign that money can buy.In an October 7, 2009, OpEd News article titled, "The Centers for Disease Control: The Best Vaccination PR Firm Taxes Can Buy," the makers of the documentaries, "Vaccine Nation," and "Autism: Made in the USA," Richard Gale and Dr Gary Null wrote: "If the flu season goes according to schedule, t...
Source: NaturalNews.com - October 27, 2009 Category: Consumer Health Advice Source Type: news
Capture Medical Billing Videos Help Physicians Code For H1N1 Swine Flu Vaccine
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Capture Billing and Consulting, Inc., a medical billing and coding company, would like to help keep healthcare professionals informed and up to date on the latest coding and billing specifications and regulations. With its release of the "Medical Billing Minute" video, Capture Billing hopes to educate physicians on how to code for the H1N1 Swine Flu Vaccine. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 26, 2009 Category: Consumer Health News Tags: Swine Flu Source Type: news
Clinical Labs Make Money by Using Revenue Cycle Management
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Management Tool Contributes to More Collected Revenue, Higher Sales Prices
Revenue Cycle Management (RCM) is hitting the radar screen at the nation’s best-managed clinical laboratories. That’s because shrinking reimbursement makes it imperative for clinical labs and pathology groups to collect every dollar legally due for the lab testing services they provide. RCM is a proven management [...] (Source: Dark Daily)
Source: Dark Daily - October 23, 2009 Category: Laboratory Medicine Authors: Justin Clark Tags: Laboratory Management and Operations Laboratory News ceo valuation ceo’s guide to increasing laboratory valuation Clinical Laboratory billing clinical laboratory manager clinical white paper Dark Daily elements driving lab valuation he Source Type: info
H1N1 Vaccine Administration Billing Questions and Answers
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The purpose of this Q&A is to provide guidance about the circumstances under which providers may bill insurance or charge patients when federal funds for H1N1 vaccination are being used. (Source: PandemicFlu.gov RSS Feed for News Releases)
Source: PandemicFlu.gov RSS Feed for News Releases - October 20, 2009 Category: American Health Source Type: news
H1N1 Vaccine Administration Billing Questions and Answers
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Questions and answers related to billing practices for H1N1 vaccine administration, including guidance about the circumstances under which providers may bill insurance or charge patients when federal funds for H1N1 vaccination are used. (Source: CDC Swine Flu Updates)
Source: CDC Swine Flu Updates - October 19, 2009 Category: Infectious Diseases Source Type: organizations
H1N1 Flu Vaccine Requires Pediatricians To Change EMR Software System Requirements
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With initial shipments of the much anticipated H1N1 vaccine arriving in doctors' offices last week, Connexin Software announced it is delivering an expedited update of its Office Practicum™ pediatric EMR with features to support the special forecasting, administration, and billing requirements of the new vaccine. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 15, 2009 Category: Consumer Health News Tags: IT / Internet / E-mail Source Type: news
Clinicient raises $2.3 million
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A Portland maker of health-industry billing software has raised $2.3 million from venture investors, according to documents recently filed with the U.S. Securities and Exchange Commission. (Source: bizjournals.com Health Care:Health Insurance headlines)
Source: bizjournals.com Health Care:Health Insurance headlines - October 13, 2009 Category: American Health Source Type: journals
Clinicient raises $2.3 million
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A Portland maker of health-industry billing software has raised $2.3 million from venture investors, according to documents recently filed with the U.S. Securities and Exchange Commission. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - October 13, 2009 Category: Biotechnology Source Type: journals
Medicare Q & A: Can an emergency department visit be billed if a Medicare patient is triaged by
a nurse but leaves before seeing a physician?
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In a physician clinic, billing is fee-for-service, but rural health clinics are paid from Medicare
Part A on an encounter basis and the encounter has to be performed by a physician, physician assistant, or nurse
practitioner. (Source: Modern Medicine)
Source: Modern Medicine - October 13, 2009 Category: Journals (General) Source Type: info
Medicare Q & A: Can an emergency department visit be billed if a Medicare patient is triaged by
a nurse but leaves before seeing a physician?
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In a physician clinic, billing is fee-for-service, but rural health clinics are paid from Medicare
Part A on an encounter basis and the encounter has to be performed by a physician, physician assistant, or nurse
practitioner. (Source: Geriatrics Magazine)
Source: Geriatrics Magazine - October 13, 2009 Category: Geriatrics Source Type: journals
Medical care costs of patients with rheumatoid arthritis during the prebiologics period in Japan: a large prospective observational cohort study
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Abstract Our objective was to describe outpatient medical care costs of patients with rheumatoid arthritis (RA) in the prebiologics
period in Japan. The outpatient costs of 6,771 RA patients (17,666 patient years) who were enrolled in an observational cohort
study at the Institute of Rheumatology, Rheumatoid Arthritis (IORRA), in Tokyo, Japan, were calculated from the billing records
dated from 2000 to 2004. Associations between outpatient costs and variables such as age, RA duration, RA disease activities,
and disability levels were assessed. The average outpatient cost gradually increased (+7.7% in 4 ...
Source: Modern Rheumatology - October 12, 2009 Category: Rheumatology Tags: Modern Rheumatology Source Type: journals
'Facility Fees' Are A Surprise Cost For Many Patients
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This Kaiser Health News and Washington Post story reported by Sandra Boodman, explores the idea of provider-based billing. This approach "allows hospitals that own physician practices and outpatient clinics that meet certain federal requirements to bill separately for the facility as well as for physician services. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 7, 2009 Category: Consumer Health News Tags: Primary Care / General Practice Source Type: news
CMS reissues FDG-PET guidelines
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The U.S. Centers for Medicare and Medicaid Services (CMS) has reissued its guidance and billing instructions for the April 2009 changes to the National Coverage Determination on FDG-PET. (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - October 6, 2009 Category: Radiology Source Type: info
Billing for Palliative Consultations a Prerequisite for the Field's Maturation
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Journal of Palliative Medicine Oct 2009, Vol. 12, No. 10: 871-874. (Source: Journal of Palliative Medicine)
Source: Journal of Palliative Medicine - October 6, 2009 Category: Palliative Care Tags: article Source Type: journals
Baptist Healthcare System First to Go-live with Full McKesson Enterprise Revenue 10-05-2009
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Groundbreaking system to help Baptist streamline billing cycle (Source: McKesson News)
Source: McKesson News - October 5, 2009 Category: Information Technology Source Type: organizations
System reform bill revisited by House panel that OK'd it
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The Energy and Commerce Committee rejects physician balance billing, but adds hospital and health plan disclosure requirements. (Source: American Medical News - GOVERNMENT)
Source: American Medical News - GOVERNMENT - October 5, 2009 Category: American Health Source Type: news
FDG-PET billing changes due this month
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The Centers for Medicare & Medicaid Services (CMS) has reissued guidance and billing instructions to Medicare Administrative Contractors on its April adjustments to the National Coverage Determination for FDG-PET, set to take place later this month. (Source: Health Imaging News)
Source: Health Imaging News - October 2, 2009 Category: Radiology Tags: Latest News Source Type: news
Medical records and issues in negligence
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Thomas JosephIndian Journal of Urology 2009 25(3):384-388It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important re...
Source: Indian Journal of Urology - October 1, 2009 Category: Urology & Nephrology Authors: Thomas Joseph Source Type: journals
Medicare Covers H1N1 Vaccine Administration
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Medicare will cover administration of both the seasonal influenza vaccine and the vaccine against 2009 pandemic influenza A(H1N1) virus. In a notice to physicians and other health care providers, officials at the Centers for Medicare and Medicaid Services said that the same billing rules will apply to the pandemic H1N1 vaccine and the seasonal vaccine. However, because the pandemic H1N1 vaccine will be provided at no cost by the government, Medicare will pay providers only for administration. (Source: Internal Medicine News)
Source: Internal Medicine News - September 30, 2009 Category: Internal Medicine Authors: Mary Ellen Schneider Tags: Infectious Diseases Source Type: journals
Medicare to Cover H1N1 Vaccine Administration
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Medicare will cover both the seasonal influenza vaccine and a vaccine against the pandemic influenza A(H1N1) virus, once one becomes available this fall. In a notice to physicians and other health care providers, officials at the Centers for Medicare and Medicaid Services said that the same billing rules will apply to the pandemic H1N1 vaccine and the seasonal vaccine. However, because the pandemic H1N1 vaccine will be provided at no cost by the government, Medicare will pay providers only for its administration. (Source: Rheumatology News)
Source: Rheumatology News - September 30, 2009 Category: Rheumatology Authors: MARY ELLEN SCHNEIDER Source Type: journals
Beware of Inappropriately Billing Clinic Visits/Evaluation and Managements with Procedures
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No abstract available (Source: Advances in Skin & Wound Care)
Source: Advances in Skin & Wound Care - September 30, 2009 Category: Dermatology Tags: Departments: Payment Strategies Source Type: journals
New Billing Codes Issued for H1N1 Vaccinations
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Even as the the first batch of H1N1 vaccine was hitting the shelves, the American Medical Association revised one CPT code and issued another specifically for use when billing for H1N1 immunizations. (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - September 30, 2009 Category: American Health Source Type: news
Are surgical patients at risk of venous thromboembolism currently meeting the Surgical Care Improvement Project performance measure for appropriate and timely prophylaxis?
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This study assesses the current rate of achievement of SCIP-VTE-2 criteria using a retrospective
data set of real-world surgical patients. The Premier Perspective™ database, which contains real-world data from >400 US hospitals,
was queried (January 2004–December 2006) for in-patient hospital transactional billing records of surgical patients aged ≥18 years.
The primary outcome was the proportion of patients achieving SCIP-VTE-2 requirements for appropriate and timely prophylaxis
as per the SCIP-VTE-2 algorithm. Of the 149,785 patients included, 56.2% received appropriate prophylaxis and 52.7% achieved
t...
Source: Journal of Thrombosis and Thrombolysis - September 30, 2009 Category: Hematology Tags: Journal of Thrombosis and Thrombolysis Source Type: journals
