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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
Medicare: Predictive analytics working to fight fraud

The Obama administration announced Wednesday that a new anti-fraud program in Medicare doubled the improper payments it identified or prevented this year. The Fraud Prevention System at the Centers for Medicare and Medicaid Services (CMS) recovered or prevented more than $210 million of improper payments in its second year, the agency told Congress in a […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
3 Myths About Medicare Audits

Ralph Wuebker, MD, chief medical officer for Executive Health Resources, shared three myths on Medicare audits during a presentation at the Healthcare Financial Management Association’s Annual National Institute in Las Vegas earlier this week. Myth #1: There’s no audits right now. In January, the Office of Medicare Hearings and Appeals suspended the assignment of audit […]

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Uncategorized Published - 17 July, 2014    By - Dr. Clemens
Computer Detects Fake Expressions of Pain Better Than People

Is the patient cringing with neck pain telling the truth despite no evidence of trauma, or is he just looking to collect some insurance money? Thanks to a fully automated facial expression recognition system that operates in real time, the answer can now be discerned with a little more confidence. A joint study from researchers […]

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Uncategorized Published - 14 July, 2014    By - Dr. Clemens
The Traumatic Bleeding Severity Score Predicts Need for Massive Transfusion

Authors: Ogura T et al., J Trauma Acute Care Surg 2014 May 76:1243 The score is simple to calculate and can be done on most smart phones, but needs validation. Massive-transfusion protocols are designed to avoid coagulopathy by providing guidance for the ratio of blood products used, yet criteria for instituting these protocols are varied […]

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Uncategorized Published - 14 July, 2014    By - Dr. Clemens
Should providers get financial incentives for moving to ICD-10?

One of the major arguments against the ICD-10 transition are the financial costs to medical practices. Sure, there are accusations of bureaucratic overreach and preventing physicians from spending time treating patients, but the anti-ICD-10 argument is primarily financial. So why not offer providers an incentive? Take the example of Meaningful Use. If the same physicians […]

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