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Assisted Living facilities are a wildly popular alternative to nursing homes for some Virginia families. Assisted Living Facilities (ALFs) are usually paid for privately and rarely will accept Medicaid or Medicare for payment.
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In short, this is a mess! There were 5 levels of consultations formerly and now they have been crashed in to 3 levels, so in plain English 2 are gone. What does this 
mean in particular for specialists billing, lower payment and hospitals too. With this article we now have conflicting advice from Medicare contractors, so whats a doctor and a hospital to do, send claim and cross fingers? Back in December I posted about the changes and now that there is time for actual billing to occur we seem to be seeing a lack of collaboration along these lines. 99241-99245 (outpatient/office) and 99251-99255 (inpatient) are gone for 2010 for Medicare claims.
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This looks like it can be a fun show and entertaining. Last year I had time to speak with Dr. Erika and we talked about Bioidentical hormones. I learned quite a bit
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The Jupiter study was one that literally shook up healthcare and one of the potential side effects is diabetes and muscles that hurt with the use of statins, but it appears the FDA says its ok for our muscles to hurt as you are going to lower your odds of heart disease, so us as patients need to have this discussion now to figure 
out if this is right for us, an individuals.
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In reading through this article the information that the administration relied upon was that filed with the SEC, but is this a complete story with enough audit trails to have a true picture? Im not saying that carriers didnt file the information by any means, but does the SEC have enough technology and other related 
information to give this a real whack? I say this as the words of Harry Markopoulos still ring through my ears when he declared the information he presented was not understood and they didnt know what to do with it. So the question here is was there adequate enough information supplied and has the SEC upgraded their technology where needed so we are not short changed in the information department.
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I hate to admit it, but even the best hospitals have problems. Patients slip through the cracks, medication errors occur, injuries unrelated to treatment happen.
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Lest we be led into believing that healthcare IT is a tried and true, safe, proven technology:
Read the rest of this entry »
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The story of this 4 hospital chain has had just about a little bit of everything here and of course money woes and the SEC investigation of their financer just adds 
icing to the cake. This is what happened to some of the money:
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All the shenanigans that went on in the course of Merck’s marketing of the now withdrawn Cox-2 inhibitor non-steroidal anti-inflammatory drug Vioxx have provided grist for the Health Care Renewal mill since 2005. For example, see these posts:
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We all remember last year when Remote Area Medical was able to provide free medical care to over 5,000 individuals at the Los Angeles Forum. They are coming back 
for a second helping hand. This time not at the Forum but at the Los Angeles Sports Arena. They are looking for volunteers now and the information is included below. Also I made up the widget you see below that can be copied and added to any website that has their RAMLosAngeles updates as they post them. I also have the widget on this blog for reference, so its a good think I kept it going as we will be getting more updates. Right now RAM is in Haiti and flew in their DC 3 with supplies and personnel to help the earthquake victims.