How to Prevent Hospital Re-Admissions?

Posted on December 7, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

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[By Dr. David Edward Marcinko MBA CMP™]

As our physician readers are aware, beginning in 2013, CMS will penalize hospitals for excess readmission rates.

Initial focus will be on readmissions for heart failure, acute myocardial infarction and pneumonia — data that is already reported on the CMS Hospital Compare web site, as previously noted on this ME-P forum.

How to Reduce Hospital Re-Admissions

As private payers follow CMS’s reimbursement and reporting leads, healthcare organizations must take bold steps to reduce avoidable readmissions.

A Call to Action

And so, we invite our medical professional readers to report on their initiatives and tips in this area, and deliver actionable data in order to help hospitals and healthcare organizations reduce avoidable readmissions.

Assessment

Please tell us and your colleagues, what you are doing and plan to do, in the changing future of healthcare.

Re

Conclusion

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Doctors on Drugs?

Posted on December 7, 2011 by Dr. David Edward Marcinko MBA MEd CMP™

Sponsored Medications Increase MDs Bottom Line

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Increasing in costs each year, prescription pills are one of the most profitable and dominating industries in the nation, with annual sales in the hundreds of billions. Prescribed medications constitute a significant bulk of work that medical coders must transcribe.

Shockingly, the prescription pill industry has questionable practices to increase their bottom line, and in turn, increase coding workload through unnecessary prescriptions.

Though pharmaceutical companies have long-earned a reputation for wooing doctors with gifts, bribes, and incentives, it was only revealed in recent years that they’ve also been paying doctors huge sums of money to promote certain products – and doctors are taking up these offers. These pre-selected medications are not only violating a conflict of interest, they can be largely responsible for increases in patient and insurance costs: a doctor may feel obligated to prescribe an expensive “sponsored” medication over a cheaper alternative.

This in turn, is reflected on the overall rising cost of healthcare, which unfortunately, is exactly what the doctor ordered.

Source: Medical Billing and Coding

Conclusion                

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