Medicare Overutilization of Diabetic Supplies

By , June 9, 2014 11:31 pm

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Medicare Overutilization of Diabetic Supplies

overuse of supply-sensitive care – Dartmouth Atlas of Health Care
medical theory, much less by scientific evidence. supply-sensitive services
include … associated physician services among medicare patients. more than 50

DME CERT Task Force Webinar Q & A Document – CGS
medical equipment Medicare administrative contractor (DME MAC) and the
CERT … Answer: Suppliers are encouraged to work with their Medicare
contractor for …… Can you provide an example of medical notes for an over-
utilization diabetic …

Doing Better by Doing Less: Approaches to Tackle Overuse of …
the provision of medical services and the …. geographic areas where Medicare
beneficiaries were 2.3 times … affect demand and supply, and we consider why …

Medicare's Durable Medical Equipment Competitive … – Peter Cramton
Sep 11, 2012 … Medicare to award contracts for durable medical equipment to suppliers with …
accuracy of Medicare's payments, reducing over utilization and …

Variation in Use of Medicare Services Among Regions and Selected …
Figure 1 Percent of diabetic Medicare enrollees receiving eye exam …. The third
category of care—supply-sensitive care, in which the supply of resources
governs the frequency of their use—is overused, particularly in the management
California Fraud Awareness Panel – Department of Health Care …
Sep 27, 2011 … Combined oversight of Medicare Parts A, B, DME, Home. Health and Hospice ….
–Overutilization of diabetic supplies, catheters. –Double billing …
Medicare Plus Blue PPO manual – Blue Cross Blue Shield of Michigan
DME/P&O, medical suppliers and pharmacists . … Medicare Advantage member
cost–share for hospice services . …. Opioid overutilization .
Durable Medical Equipment – Kansas Department of Health …
Jan 21, 2009 … Program Review of Durable Medical Equipment—January 2009 … from the
Centers for Medicare and Medicaid Services (CMS). ….. propriate codes for DME
items, and decrease the over-utilization of the Miscellaneous code.
Federal Health Reform Provisions Related to Diabetes – National …
two decades, and researchers expect diabetes to become even more ….
Medicare.10 “This is expected to help curb the increase in type 2 … management
training, supplies and equipment (such as …. The models attempt to reduce
overuse and.
New VBID Paper – VBIDHealth
Policymakers are now considering Medicare reform proposals that seek to
reduce … To efficiently reallocate medical spending and optimize population …
According to the literature, these overused or misused services account for at …
how we pay for care (supply side initiatives) and how we engage consumers to
seek care.
Statement to the vvvyvvv States House of Representatives Committee …
Sep 11, 2012 … Hearing on Medicare's Durable Medical Equipment Competitive Bidding …
beneficiary access to needed diabetic testing supplies (DTS) and other ….. that
the Round 1 Rebid resulted in a decrease in overutilization of DTS.
Compass Newsletter November 2013 – Town of Swampscott
Nov 5, 2013 … bending over. Use short strokes pulling the rake with your arms towards … To
have Medicare pay for diabetic testing supplies deliv- ered to your …
Comment letter: CMS's end-stage renal disease proposed rule
Aug 30, 2013 … on the Centers for Medicare and Medicaid Services (CMS) … Durable Medical
Equipment, Prosthetics, Orthotics, and Supplies,” published in the Federal ….. 0
Under the PPS, facilities no longer have an incentive to overuse …
Spring 2013 – Blue Cross and Blue Shield of North Carolina
newsletter was exclusive to Medicare Advantage providers, Blue Link has ….
nutritional counseling, a deductible waiver for diabetic supplies, and a
copayment ….. Organization (GAO) report described “egregious overutilization” of
Challenge of overuse – Faculty of Medicine, Nursing and Health …
processes, equipment. • Protocols and checklists … Frequent monitoring of
HbA1c levels in adults with stable diabetes. • Routine daily chest X-rays … CTCA
approved for MBS listing in Australia in 2011 and for Medicare reimbursement in
US …
An Overview of Zone Program Integrity Contractors – The American …
Sep 27, 2010 … Potentially will combine oversight of Medicare Parts C and D. • CMS will award …
Overutilization of diabetic supplies, catheters. – Double billing …
Preferred Drug List – NYS Medicaid Pharmacy Prior Authorization …
New York State Medicaid Fee-For-Service Pharmacy Programs … concerns, the
potential for fraud and abuse, or the potential for significant overuse and misuse.
… This program uses professional medical protocols and computer technology
and ….. For opiod naïve patients – limited to a 15 days supply for all initial opioid.
Medicare and User Fees: Unsafe at any Price? – Atlantic Institute for …
John N., of course, isn't the only one to find that many medical services require
some … ernment has worked feverishly to control and regulate the supply of
health care, … safe with a free health care system; people may overuse some
basic …
June 2013: Implementing V-BID in Medicare Advantage
Jun 1, 2013 … Implementing Value-Based Insurance Design in Medicare Advantage.
Introduction … recognizes that: 1) medical services differ in the clinical benefit
provided … system requires a change in both how we pay for care (supply side
initiatives) … clinical benefit may lead to overuse or misuse of services that are.
AMCP Summary of CMS 2015 Medicare Part D Proposed Rule
Jan 6, 2014 … Transition supplies and notices for new enrollees at the beginning of a plan year;
for … Medical Officer for the Center for Medicare to identify the current 6 protected
… or classes causes increased drug prices and overutilization.

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