August 12, 2009
Florida Medicaid Clients Dropped in Computer Failure |

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Roughly 1 million of Florida's 2.6 million Medicaid patients were mistakenly deleted from eligibility rolls due to a computer glitch. A spokeswoman for the state Agency for Health Care Administration said that the problem has been fixed, although a reason for the computer failure has yet to be determined (Miami Herald, August 5, 2009).
The Miami Herald |
UK News: NHS Refuses to Pay for Painkilling Injections |

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Tens of thousands with chronic back pain will be forced to live in agony after a decision to slash the number of painkilling injections issued on the NHS, doctors have warned (Donnelly, Telegraph, August 2, 2009).
The Government's drug rationing watchdog says "therapeutic" injections of steroids, such as cortisone, which are used to reduce inflammation, should no longer be offered to patients suffering from persistent lower back pain when the cause is not known. Instead the National Institute of Health and Clinical Excellence (NICE) is ordering doctors to offer patients remedies like acupuncture and osteopathy
More on the subject...British Pain Society president ousted after row over NICE guidelines
Telegraph.co.uk |
Health Reform Bill Awaiting House Return |

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The House left for its summer break without voting on a health system reform bill. But Democratic leaders did move the legislation past a crucial final committee after making numerous revisions to quell an uprising among more conservative members of the party (Glendinning, American Medical News, August 10, 2009).
The House Energy and Commerce Committee on July 31 voted 31-28 to pass America's Affordable Health Choices Act, clearing the legislation for consideration by the full House after the August break. Versions of the bill had passed two other committees soon after it was unveiled. But Democratic conservatives' concerns raised in the final committee over long-term spending and other issues ensured that the House would miss its deadline and threatened the survival of the reform package itself.
amednews.com |
Voluntary Refunds Don't Protect Against RACs |

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For many providers, self-auditing has become an important RAC preparation tool. Certainly, internal audit results can show where additional education is necessary to ensure appropriate coding, billing, and documentation practices. And this will result in fewer RAC denials, because if practices are correct, the RACs will find fewer errors to deny (Kraynak, HealthLeaders Media, July 30, 2009).
But many providers also assume that reporting errors (and refunding identified overpayments) discovered while self-auditing will protect those claims from RAC review - CMS says "no."
HealthLeaders Media |
RAC Audits Begin in South Carolina |

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The Centers for Medicare and Medicaid Services (CMS) announced Tuesday it will begin automatic audits of providers in South Carolina for certain Medicare billing codes. This is just the beginning of nationwide audits under Medicare's Recvovery Audit Contractor (RAC) program (Healthcare Finance News, August 6, 2009).
The audit contractors, Connolly Consulting, will first target physicians and hospitals in South Carolina, then include other states and territories in its designated region, which consists of Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, North Carolina, New Mexico, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico and the U.S. Virgin Islands. Other areas of the country will fall under the jurisdiction of three other contracted auditors.
Healthcare Finance News |
Healthcare Employment Continued to Grow in July |

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Employment in the U.S. healthcare sector increased by 20,000 jobs in July, although the national unemployment rate was little changed at 9.4 percent, according to recent data from the federal Bureau of Labor Statistics (Healthcare Finance, August 6, 2009)
Healthcare Finance |
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American Society of Interventional Pain Physicians ®
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