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  • Study assesses cost of the overuse of medical tests and procedures

    The Department of Health and Human Services Office of Inspector General (OIG) has issued a proposed rule that would amend the safe harbors to the anti-kickback statute and the civil monetary penalty (CMP) rules to protect certain payment practices and business arrangements from criminal prosecution or civil sanction.
  • Botched cataract surgery yields $1.5M verdict

    The patient, an adult man, was scheduled for a standard cataract surgery in 2008 on his left eye. During the procedure, the ophthalmologist ordered a dye named VisionBlue that is used to stain the cataract in the eye so that it can be more easily visualized and removed during the surgery. However, although the ophthalmologist ordered the correct dye, the nurse who fulfilled the request instead brought methylene blue rather than the correct VisionBlue.
  • All aboard for a new face in QI

    They speak a different language, and the lore in society is they are completely otherworldly, but engineers may be the missing tool in you quality toolbox, the thing that makes you see a problem in a novel way, approach its solution differently.
  • Hospitals can track, compare needlesticks

    A hundred hospitals have joined a new system to track needlesticks and other healthcare injuries, the first such national surveillance since 2007.
  • Update on CMS offer on appeals

    When the Centers for Medicare & Medicaid Services announced that it would offer 68% payment for organizations that would drop their appeals with a deadline of acceptance of November 2, many wondered who might accept the terms.
  • ECRI lauds health system for untethering patients

    Monitoring patients’ hearts with telemetry seems innocuous enough. It’s not invasive, and it’s an extra pair of eyes keeping track of a key vital function.
  • Refocusing your readmissions reduction strategies

    when you thought you were getting a handle on reducing readmissions for your Medicare population, the Agency for Healthcare Research and Quality (AHRQ) has another task for you: Look at your Medicaid readmissions, because you may find that those patients are bouncing back in at least the same quantity as your older patients.
  • Stand-alone obs unit success

    Observation status has been under the radar for a while, and with the two-midnight rule in full force, getting patients to the right place on a ward or discharged appropriately has taken on new urgency.
  • How many procedures makes competency?

    It’s an intuitive truth that makes sense to just about anyone who hears it: If you are having a procedure done, you want to go to someone who has a lot of experience doing that procedure.
  • Make it less likely payer will request peer-to-peer — Closer working relationship with docs is needed

    Even if patient access employees follow all the necessary steps to obtain an authorization for a procedure, the payer might still want to talk to another person before granting the authorization: the patient’s physician.