The Pennsylvania Employees Benefit Trust Fund announced today that Aetna,Geisinger Health Plan and UPMC Health Plan have been selected to provide healthbenefits for retired state employees, effective January 1, 2010. These changesare being implemented because the plan that currently covers a majority of theMedicare-eligible state retirees will be discontinued by its provider effectiveDecember 31, 2009. "We worked hard to ensure that retirees retain comparable benefits to what theyhave now," ...
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February 13th, 2012 in
Finance
Creating the proper incentives is a critical step toward controlling the nation's high health care costs, and finding a true solution will require more than a piecemeal reform plan.That message was advanced by a group of 10 health policy experts who on Tuesday released a report, "Bending the Curve," and outlined during a conference call what they see as necessary policy steps. Their report was sponsored by the Brookings Institution and the Robert Wood Johnson Foundation.The suggestions include ...
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February 12th, 2012 in
Finance
What is Home Care?
Home Care encompasses a wide range of health and social services. These services are delivered at home to recovering, disabled, chronically or terminally ill persons in need of medical, nursing, social, or therapeutic treatment and/or assistance with the essential activities of daily living.
Orange Grove Home Care provides non-medical home (or companion) care services, which are designed to assist or take over in the activities that elders and disabled people need to be ...
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February 11th, 2012 in
News and Society
The
Correct Coding Initiative (CCI) edits spot pairs of services that should not be billed by the same physician for the same patient on the same day. Needless to say, these edits play a pivotal part in the coding professional's dealings.Centers for Medicare and Medicaid Services (CMS) develops the edits based on instructions found in American Medical Association's CPT manual and other CPT coding materials. These edits are revised quarterly, in January, April, July and October. The latest ...
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February 10th, 2012 in
News and Society
"It's a myth to say our health care system is broken - it is the best in the world." That politically incorrect assertion comes from a man with more than 25 years of experience working for one of the nation's largest health insurance companies. "When the wealthy and powerful from all over the world choose to come to the U.S. for medical procedures and treatment, the message is clear."Jack Whelan, a well-known Catholic philanthropist from Indianapolis, is an active Legatus member and has been ...
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February 9th, 2012 in
Finance
Correct Coding Edit : Correct Coding Initiative (CCI) edits are pairs of CPT or HCPCS Level II codes that are not payable separately except under certain circumstances. The CMS National Correct Coding Initiative aids in promoting national correct coding methodologies and puts a curb on improper coding. The latest CCI edits, Version 15.3, is effective October 1, 2009. It encompasses all previous versions and updates from January 1, 1996, to the present. Each quarter, CMS releases a new edition ...
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February 8th, 2012 in
News and Society
First, permit me to give you the summary after which I will supply the specifics.The average
RETIREMENT AGE in the usa offers declined steadily in recent years through 1950 prior to the modern. The average ages of retirement offers dropped through with regards to age Sixty six or 67 to age 61 roughly, today. BUT Included in the package discover through the same stand that simultaneously, people who are retired work to varying degrees to get more years when they move them selves as retired. We ...
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February 7th, 2012 in
News and Society
A major health-insurance provider that serves Wayne County and Northeastern Pennsylvania is against the federal government becoming a player in the market.Blue Cross of Northeastern Pennsylvania does not support an expansive federal-government health insurance offering, the so-called public option, as proposed by the Obama Administration and Democratic members of Congress, said a company spokesperson. The company does support mandated coverage for all Americans, however, a provision that may be ...
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February 7th, 2012 in
Finance
Also called pain medicine, pain management is the medical discipline concerned with the relief of pain. As because pain management reimbursement policies are carrier-specific, practices need to review local medical review policy for each type of procedure performed. As such, understanding the maze of coding for pain management procedure is an achievement in itself.If you want to rid all the 'pains' from your pain management coding and want to see your career heading in the right direction, ...
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February 6th, 2012 in
News and Society
Evaluation and Management coding is a key part of the hospital's revenue cycle; therefore it's essential that these codes are reported accurately. In order to do well in your evaluation and management coding career, you need to go for a certification pertaining to this specialty.For one, you can go for American Academy of Professionals Coders'
Certified Evaluation and Management Coder (CEMC) examination. If you have enough experience in evaluation and management coding and want to pep up your ...
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February 5th, 2012 in
News and Society