NY has made the stand and won, however... if you read the articles at the links referenced below you will not see any settlement for the "Insured" if it has been determined that the carriers must repay for their re-pricing practices why aren't the consumers being offered claims re-processing and refunds for deemed over payments? Am I missing something? Comments, feedback - get your voice heard and especially if you are one of the consumers that more than likely will face premium increases to offset the settlement payments!
Congrats to the AAPC and their members, posted with special permission from Sheri Bernard, Vice President - AAPC ICD-10 Date of Oct. 1, 2013 Announced January 16th, 2009 The AAPC’s efforts to push back the proposed ICD-10-CM implementation date of October 1, 2011 proved successful when the Department of Health and Human Services (HHS) moved the date back to October 1, 2013.
DOCTOR HELD LIABLE FOR FAILING TO PROVIDE INTERPRETIVE SERVICES TO DEAF PATIENT A jury recently awarded $400,000 to a deaf patient who had been repeatedly denied a sign language interpreter by her rheumatologist while undergoing treatment for lupus. The attorney who represented the patient labeled this "the largest award of its kind in the United States" and said "The only
The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the scheduled release of modifications to the Healthcare Common Procedure Coding System (HCPCS) code set. These changes have been posted to the HCPCS website at http://www.cms.hhs.gov/HCPCSReleaseCodeSets/02_HCPCS_Quarterly_Update.asp in the Downloads section under “Other Codes, April 2009.” Changes are effective on the date indicated on the update.
Healthcare Organizations Launch Collaborative Initiative to Test HIPAA Transactions Against Proposed 5010 Standards CAQH, HIMSS, IHE, and BCBSA Target April 2009 Interoperability Showcase at HIMSS09 Conference for Live 5010 Testing Project Demonstration
Humana Inc. will grow its Greater Cincinnati work force by 60 percent by the end of 2010, adding as many as 700 professional-level positions, the health benefits company said Wednesday. See this story here: http://www.bizjournals.com/louisville/stories/2008/12/08/daily28.html Another Humana story: Humana Inc. is increasing its expansion at a distribution facility in West Chester with another 300 employees.
By VANESSA FUHRMANS Cigna Corp. is cutting 1,100 jobs, or 4% of its work force, by mid-2009 in the wake of investment losses last year and the slumping economy that is causing employers and consumers to reduce health coverage. Cigna's announcement comes less than three weeks after another big health insurer, Aetna Inc., said it would cut 3% of its work force, or 1,000 jobs. See the rest of the article here: http://online.wsj.com/article/SB123119459871655305.html?mod=googlenews_wsj
American Medical News - Gov't
- Obama administration awards $55 million to boost health-care workforce
- Hospital M&A Volume Up, Value Down in 3Q
- Telehealth Improves Patient Care in ICUs
- Feds penalize CNY hospitals nearly $3 million for not measuring up on quality
- Doctors, hospitals and clinics reluctant to embrace data sharing, study says
OIG Criminal & Civil Enforcement
- Cenla Community Action Committee's Financial Management Practices and Systems Did Not Always Meet Federal Requirements
- Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements
- Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements
- Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs
- The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect