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
    of.
    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
    opioid.
    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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