Over the years, we’ve written many a blog post on risk adjustment compliance, advising our readers on ways to work successfully with this payment paradigm. And yet, almost every week, the Office of Inspector General (OIG) publishes notices regarding false claims liability for medical practices working with Medicare Advantage plans. Sadly, we’re not surprised. The most recent press release...
Having witnesses or recording devices during procedures requiring anesthesia could help prevent opportunities for sexual assault. Science Photo Library/Getty Images ~~~~~~~~~~ Some patients can have vivid and detailed sexual hallucinations during anesthesia with sedative-hypnotic drugs like propofol, midazolam, diazepam and nitrous oxide. Some make suggestive or sexual comments or act out, such...
ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox. A key congressional committee asked insurance giant Cigna on Tuesday to provide corporate documents so that lawmakers can examine the company’s practice of denying health care claims without ever opening a patient file. The House Committee on Energy...
More than $50 billion in settlement funds is being delivered to thousands of state and local governments from companies accused of flooding their communities with opioid painkillers that have left millions addicted or dead. That’s an enormous amount of money — double NASA’s budget and five times the revenue of an NBA season. But how that massive windfall is being deployed and how future dollars...
I have a friend, a very smart fellow, who early in the pandemic began masking. At the time, masks were not being recommended by health authorities, let alone mandated. I didn’t think much about his decision. It didn’t affect me. I was what you might call a mask agnostic. Perhaps masks were beneficial, perhaps not. As the pandemic continued, however, I found myself more and more in the “anti-mask...
It takes around 17 years for medical research to translate into clinical practice. shapecharge/E+ via Getty Images ~~~~~~~~~~ Scientific knowledge, as measured by numbers of papers published, has been estimated to double every 17.3 years. However, it takes an average of about 17 years for health and medical research – going from basic lab studies on cell cultures and animals to clinical trials...
