Uncompensated Care: Medical services for which no payment is received. Uncompensated care includes charity care and bad debts.Medical Indigency: The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.Hospitals, Proprietary: Hospitals owned and operated by a corporation or an individual that operate on a for-profit basis, also referred to as investor-owned hospitals.Patient Credit and Collection: Accounting procedures for determining credit status and methods of obtaining payment.Financial Management, Hospital: The obtaining and management of funds for hospital needs and responsibility for fiscal affairs.Hospitals, Voluntary: Private, not-for-profit hospitals that are autonomous, self-established, and self-supported.Hospital Restructuring: Reorganization of the hospital corporate structure.Economics, Hospital: Economic aspects related to the management and operation of a hospital.Reimbursement, Disproportionate Share: Payments that include adjustments to reflect the costs of uncompensated care and higher costs for inpatient care for certain populations receiving mandated services. MEDICARE and MEDICAID include provisions for this type of reimbursement.Tax Exemption: Status not subject to taxation; as the income of a philanthropic organization. Tax-exempt organizations may also qualify to receive tax-deductible donations if they are considered to be nonprofit corporations under Section 501(c)3 of the United States Internal Revenue Code.Charities: Social welfare organizations with programs designed to assist individuals in need.American Hospital Association: A professional society in the United States whose membership is composed of hospitals.Hospitals, County: Hospitals controlled by the county government.Ownership: The legal relation between an entity (individual, group, corporation, or-profit, secular, government) and an object. The object may be corporeal, such as equipment, or completely a creature of law, such as a patent; it may be movable, such as an animal, or immovable, such as a building.New JerseySocial Welfare: Organized institutions which provide services to ameliorate conditions of need or social pathology in the community.FloridaHospital Costs: The expenses incurred by a hospital in providing care. The hospital costs attributed to a particular patient care episode include the direct costs plus an appropriate proportion of the overhead for administration, personnel, building maintenance, equipment, etc. Hospital costs are one of the factors which determine HOSPITAL CHARGES (the price the hospital sets for its services).Medically Uninsured: Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured.Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Forecasting: The prediction or projection of the nature of future problems or existing conditions based upon the extrapolation or interpretation of existing scientific data or by the application of scientific methodology.CaliforniaUnited StatesHealth Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.

*  AHA News: Study: ACA repeal would increase uncompensated care by $1.1 trillion over 10 years
A partial repeal of the Affordable Care Act could increase the number of uninsured Americans by 29.8 million over 10 years, ... Study: ACA repeal would increase uncompensated care by $1.1 trillion over 10 years. AHA News Now. Jan 6, 2017. A partial repeal ... The resulting increase in uncompensated care could total $1.1 trillion between 2019 and 2028, including $296.1 billion in ... Study: ACA repeal would increase uncompensated care by $1.1 trillion over 10 years ...
  http://news.aha.org/article/170106-study-aca-repeal-would-increase-uncompensated-care-by-11-trillion-over-10-years
*  FY 2016 H 1 - Outside Sections
70 million of additional payments for uncompensated care beyond the $30 million authorization specified in the section.. ... SECTION 14 - Commonwealth Care Trust Fund Spending. Summary:. This section codifies the ability of the Commonwealth Care Trust ... SECTION 34 - Commonwealth Care Trust Fund Transfer. Summary:. This section would require the Comptroller to transfer $ ... SECTION 40 - Nursing and Resident Care Facility Base Year. Summary:. This section establishes 2007, or any subsequent year the ...
  http://www.mass.gov/bb/h1/fy16h1/os_16/houtexponly.htm
*  Kool Smiles Surpasses $111 Million in Uncompensated Care for Uninsured Children and Adults
111 Million in Uncompensated Care for Uninsured Children and Adults. ... 111 million in uncompensated dental care to uninsured children and adults since 2005. The uncompensated dental care program has ... We believe it's our moral and professional duty to provide uncompensated care in those situations so that all patients receive ... Kool Smiles Surpasses $111 Million in Uncompensated Care for Uninsured Children and Adults. News provided by ...
  https://www.prnewswire.com/news-releases/kool-smiles-surpasses-111-million-in-uncompensated-care-for-uninsured-children-and-adults-300420507.html
*  Hospitals pay big for uncompensated care - Connecticut Post
The sweeping health care reform legislation known as the Affordable Care Act (referred to in some circles as Obamacare) ... payments scheduled under the Affordable Care Act that have previously cushioned the impact of providing uncompensated care.' ... Federal law requires hospitals to provide emergency care, regardless of a patient's ability to pay or immigration status. ... In extreme cases, undocumented immigrants travel thousands of miles from their native country, intent on seeking medical care ...
  https://www.ctpost.com/local/article/Hospitals-pay-big-for-uncompensated-care-5049356.php
*  Community Benefit Scripps San Diego uncompensated care
Uncompensated care accounted for the largest portion of Scripps' community benefit efforts throughout San Diego County, more ... Scripps divides community benefit services into three categories: uncompensated health care, community health improvement ... 9.6 million in bad debt (failure to pay by patients whose health care was not classified as charity care). ... Scripps cares for some of the neediest people in San Diego County, often at low to no cost. In fiscal year 2015, Scripps ...
  https://www.scripps.org/news_items/5785-scripps-invests-close-to-354-million-into-community-benefit-services
*  Obamacare is not just the answer to the uncompensated care problem | The Incidental Economist
A common argument is that we need the Affordable Care Act to address the uncompensated care problem. Maybe so, but it's pretty ... 56B cost of uncompensated care. Consequently, though the Affordable Care Act is intended to address uncompensated care ... A common argument is that we need the Affordable Care Act to address the uncompensated care problem. Maybe so, but it's pretty ... shifting care previously paid for by states to care now paid for by. the feds? The care that was previously not going to be ...
  http://theincidentaleconomist.com/wordpress/obamacare-is-not-just-the-answer-to-the-uncompensated-care-problem/
*  Local Seattle Children's Hospital Guild Announces 10th Annual Run and Walk to Support Uncompensated Care at Seattle Children's...
... the great need to support the uncompensated care fund. "The need for uncompensated care grows each year and is expected to ... now in remission thanks to her care at Seattle Children's. "We haven't had to pay a penny. Because of the uncompensated care ... The Run for Children's Guild is dedicated to raising funds to support the Seattle Children's Uncompensated Care Fund. For more ... Last year, the Columbia Winery Charity Run & Walk raised more than $90,000, all of which benefitted the uncompensated care fund ...
  http://www.racecenter.com/2015/06/local-seattle-childrens-hospital-guild-announces-10th-annual-run-and-walk-to-support-uncompensated-care-at-seattle-childrens-hospital/
*  DSH Cuts and Uncompensated Care Costs Impacting Hospital Reimbursement
You are here: Home / HHS / Centers for Medicare and Medicaid / DSH Cuts and Uncompensated Care Costs Impacting Hospital ... Uncompensated Care. An increase in the amount of Medicaid patients has resulted in a significant decrease in the cost of ... uncompensated care by hospitals. HHS is reporting that FY 2014 hospitals incurred $5.7 billion less in uncompensated care costs ... DSH Cuts and Uncompensated Care Costs Impacting Hospital Reimbursement. November 20, 2014 by Wolters Kluwer Contributor ...
  http://health.wolterskluwerlb.com/2014/11/dsh-cuts-and-uncompensated-care-costs-impacting-hospital-reimbursement/
*  fullinsurancecover: How much does uncompensated medical care cost everyone? How many people have no health insurance?
How much does uncompensated medical care cost everyone? How many people have no health insurance? ... our office will on Thursday release a new report detailing the scope of uncompensated medical care in Washington, as well as ...
  http://fullinsurancecover.blogspot.com/2009/11/how-much-does-uncompensated-medical.html
*  September 2016 - Volume 116 - Issue 9 : AJN The American Journal of Nursing
... and promotion of nursing perspectives to the health care community and the public. ... The Journal's mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer- ... NewsCAP: Medicaid expansion may reduce uncompensated care costs for hospitals. Less AJN The American Journal of Nursing. 116(9 ... It also describes current treatments for MST-related mental health conditions and how nurses can promote access to care. ...
  https://journals.lww.com/ajnonline/toc/2016/09000
*  Session Law
The division of health care finance and policy shall calculate an annual payment liability from the uncompensated care pool to ... the division of health care finance and policy may administer, as provided in this section, the Uncompensated Care Trust Fund ... AN ACT RELATIVE TO THE UNCOMPENSATED CARE TRUST FUND.. Whereas , The deferred operation of this act would tend to defeat its ... In hospital fiscal year 2005, not less than $5,000,000 shall be expended from the Uncompensated Care Trust Fund to fund a pool ...
  https://malegislature.gov/Laws/SessionLaws/Acts/2004/Chapter240
*  Administrative Review | JD Supra
D.C. Circuit Precludes Review of DSH Uncompensated Care Data. by Baker Ober Health Law on 10/5/2016. ...
  https://www.jdsupra.com/topics/administrative-review/
*  Kool Smiles Supplies Teachers with Free Dental Lesson Plans and Toothbrushes for Children's Dental
Feb 06, 2018, 09:51 ET Kool Smiles Surpasses $128 Million in Uncompensated Care for... ... Preview: Connecticut Medicaid Dental Provider Surpasses $3 Million in Uncompensated Care for Uninsured Children and Families ... As a leading dental care provider, Kool Smiles' mission is to improve lives by providing high quality dental care in a fun, ... Dental care is one of the nation's greatest unmet children's health needs, especially in low-income, minority and rural ...
  https://www.prnewswire.com/news-releases/kool-smiles-supplies-teachers-with-free-dental-lesson-plans-and-toothbrushes-for-childrens-dental-health-month-300400551.html
*  Rick Perry on Health Care
Healthier Texas: $200M funding pool for uncompensated care One of the greatest obstacles to individual prosperity is the rising ... This initiative redirects hundreds of millions of federal dollars spent on uncompensated care for the uninsured to the creation ... Click here for definitions & background information on Health Care. *Click here for a profile of Rick Perry. *Click here for ... Agree? Disagree? Voice your opinions on Health Care in The Forum. *Click here for a summary of Rick Perry's positions on all ...
  http://www.issues2000.org/House/Rick_Perry_Health_Care.htm
*  Mount Sinai Medical Center, Miami, FL Hospital.
Primary Care , Urology , Cardiology *For primary care, cardiology and urology appointments physician and location are subject ... A legacy of caring and a commitment to the future. Click here to learn more about our plans and how we are positively impacting ... Whether you are a man or a woman, Mount Sinai can guide you through your diverse and unique health care needs. Click here to ... The physicians and nurses who took care of me listened and treated me quickly to ensure I wasn't in pain. I am very pleased. ...
  https://www.msmc.com/
*  Impact of budget sequestration on health care discussed
HealthDay)-The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece ... Study examines Affordable Care Act's impact on uncompensated care. December 27, 2012 The decision by several states not to ... Impact of budget sequestration on health care discussed. March 21, 2013 The impact of sequestration will have far-reaching ... AP)-A think tank allied with the White House is releasing a plan for Medicare cuts-hoping to stave off even bigger health care ...
  https://medicalxpress.com/news/2013-03-impact-sequestration-health-discussed.html
*  Mich. gov wants to raise gas tax, expand Medicaid
"They're classified as uncompensated care. They're still real people.". Democrats, who are outnumbered in the Capitol, applauded ... "The bottom line is better care at a lower cost. This is not about taking money and spending money from Washington. I don't ... 200 million a year because people who receive care from state-funded programs would instead be covered with federal money. That ...
  https://www.yahoo.com/news/mich-gov-wants-raise-gas-152904186.html?soc_src=mediacontentsharebuttons&ref=gs
*  Search Index
HFMA, Navigant Analysis Suggests Provider Executives Focused on Technology Enhancements to Better Manage Uncompensated Care and ...
  http://www.globenewswire.com/Search?tag=health%20system
*  Events - AAHAM Annual National Institute 2014 - American Association of Healthcare Administrative Management
Uncompensated Care\r\n· Receivables Management\r\n· Hospital & Medical Office Management\r\nAbout AAHAM:\r\nThe American ... Uncompensated Care. · Receivables Management. · Hospital & Medical Office Management. About AAHAM:. The American Association of ...
  http://eventsinamerica.com/events/aaham-annual-national-institute-2014-american-association-of-healthcare-administrative-management/ev52c5ca0109f35/
*  Statutes & Constitution :View Statutes : Online Sunshine
Such reductions include bad debts; contractual adjustments; uncompensated care; administrative, courtesy, and policy discounts ... 395.7015 Annual assessment on health care entities.-. (1) For purposes of this section, the term:. (a) "Net operating revenue" ... 2) There is imposed an annual assessment against certain health care entities as described in this section:. (a) The assessment ... b) For the purpose of this section, "health care entities" include the following:. 1. Ambulatory surgical centers and mobile ...
  http://leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0395/Sections/0395.7015.html
*  Snyder wants to raise gas tax, expand Medicaid
They re classified as uncompensated care. They re still real people. Snyder also wants to boost the number of low-income ... The bottom line is better care at a lower cost. This is not about taking money and spending money from Washington. I don t ... The governor said the state would save on Medicaid because more people who now receive care from state-funded programs would ... children receiving dental care. His proposal would cover 70,500 children in Ingham, Ottawa and Washtenaw counties. Currently ...
  http://www.dailytribune.com/apps/pbcs.dll/article?AID=/20130207/NEWS03/130209655
*  DCMR Title 22 - Chapters 40-46 | doh
Chapter 44 Provision of Uncompensated Care. * Chapter 45 Long-Range Plans and Data Reporting ...
  https://doh.dc.gov/node/104132
*  Hospital benefits add up - Midland Daily News
Of that, nearly $994 million went for uncompensated care.. All Michigan s acute-care hospitals are non-profits and, as part of ... Not only does the hospital pay for charity care, but it must eat the cost of bills to people who simply don t pay and don t ... Many people fall through the cracks when it comes to health care and, when they have an acute need, they go to their local ...
  https://www.ourmidland.com/news/article/Hospital-benefits-add-up-7054287.php
*  View all posts in Medical Reimbursement News
... lower uncompensated care adjustments for many hospitals receiving Disproportionate Share Hospital (DSH)payments, and increase ... CMS also finalized a number of new codes to more accurately pay for primary care, care management and other cognitive ... advance care planning services and critical care consultations. In addition, it will expand the Center for Medicare & Medicaid ... CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model, as well ...
  http://www.prgweb.com/news/?cat=3
*  Ekman's syndrome | definition of Ekman's syndrome by Medical dictionary
The condition can be prevented by careful strabismus surgical technique and care not to disturb the posterior Tenon's capsule. ... Check for presence of tibial varum, tibial torsion, uncompensated rearfoot varus and limb length discrepancy (include shoe wear ... This congenital micrognathia corrects itself during the growth of the child if proper care is provided. ...
  http://medical-dictionary.thefreedictionary.com/Ekman

Association Residence Nursing HomeFor-profit hospital: For-profit hospitals, or alternatively investor-owned hospitals, are investor-owned chains of hospitals which have been established particularly in the United States during the late twentieth century. In contrast to the traditional and more common non-profit hospitals, they attempt to garner a profit for their shareholders.Drumcondra Hospital: Drumcondra Hospital (originally, the Whitworth Fever Hospital, and from 1852 to 1893 the Whitworth General Hospital) was a voluntary hospital on Whitworth Road in Dublin, Ireland, that became part of the Rotunda Hospital in 1970.Dow Lohnes: Washington, D.C.Lawrence Ting Charity Walk: Lawrence S. Ting Charity Walk is a charity walk event to raise fund for the poor and needy people in Ho Chi Minh City, Vietnam.Medical state: Medical states or medical conditions are used to describe a patient's condition in a hospital. These terms are most commonly used by the news media and are rarely used by physicians, who in their daily business prefer to deal with medical problems in greater detail.Middlesex County Hospital: Middlesex County Hospital was a hospital operated by Middlesex County which was operational from the 1930s until 2001 in Waltham and Lexington, Massachusetts. Originally opened as a tuberculosis hospital, the hospital eventually became the county hospital for Middlesex until its closure in 2001.New Jersey State Park Police: The New Jersey State Park Police patrol and protect the State’s 54 parks, forests and recreation areas which encompass an excess of and are visited by more than 17 million people each year, which defines their motto, "Protecting New Jersey's Treasures and the people who visit them." All State Park Police Officers are sworn State Law Enforcement Officers who are PTC certified.Sunshine Social Welfare Foundation: Sunshine Social Welfare Foundation (Chinese: 陽光社會福利基金會) is a charity established in 1981 in Taiwan to provide comprehensive services for burn survivors and people with facial disfigurement.Miami-Dade County Corrections and Rehabilitation Department: The Miami-Dade County Corrections and Rehabilitation Department is an agency of the government of Miami-Dade County, Florida. It has its headquarters in the Gladeview census-designated place in an unincorporated area.San Diego County, California Probation: The San Diego County Probation Department is the body in San Diego County, California responsible for supervising convicted offenders in the community, either who are on probation, such as at the conclusion of their sentences, or while on community supervision orders.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,

(1/118) Implications of managed care denials for pediatric inpatient care.

With the growing penetration of managed care into the healthcare market, providers continue to experience increasing cost constraints. In this environment, it is important to track reimbursement denials and understand the managed care organization's rationale for refusal of payment. This is especially critical for providers of pediatric care, as children justifiably have unique healthcare needs and utilization patterns. We developed a system for tracking and documenting denials in our institution and found that health maintenance organizations denied claims primarily for one of three reasons: medically unnecessary care, care provided as a response to social (rather than medical) need, and provider inefficiencies. Health maintenance organization denials are also growing annually at our institutions. This knowledge can not only help providers of pediatric care more effectively negotiate future contracts, but provides an opportunity to differentiate the health needs of the pediatric patient from those of the adult. This information can be used as a basis for education, pediatric outcome studies, and guideline development--all tools that can help providers receive reasonable reimbursement for pediatric services and enable them to meet the complex health needs of children. Recommendations for action are discussed.  (+info)

(2/118) Differences in physician compensation for cardiovascular services by age, sex, and race.

The purpose was to determine whether physicians receive substantially less compensation from patient groups (women, older patients, and nonwhite patients) that are reported to have low rates of utilization of cardiovascular services. Over an 18-month period we collected information on payments to physicians by 3,194 consecutive patients who underwent stress testing an 833 consecutive patients who underwent percutaneous coronary angioplasty at the Yale University Cardiology Practice. Although the charges for procedures were not related to patient characteristics, there were large and significant differences in payment to physicians based on age, sex, and race. For example, physicians who performed percutaneous transluminal coronary angioplasty received at least $2,500 from, or on behalf of, 72% of the patients 40 to 64 years old, 22% of the patients 65 to 74 years old, and 3% of the patients 75 years and older (P < 0.001); from 49% of the men and 28% of the women (P < 0.001); and 42% of the whites and 31% of the nonwhites (P < 0.001). Similar differences were observed for stress testing. These associations were largely explained by differences in insurance status.  (+info)

(3/118) Uncompensated care and hospital conversions in Florida.

Hospital conversions to for-profit ownership have prompted concern about continuing access to care for the poor or uninsured. This DataWatch presents an analysis of the rate of uncompensated care provided by Florida hospitals before and after converting to for-profit ownership. Uncompensated care declined greatly in the converting public hospitals, which had a significant commitment to uncompensated care before conversion. Among converting nonprofit hospitals, uncompensated care levels were low before conversion and did not change following conversion. The study suggests that policymakers should assess the risk entailed in a conversion by considering the hospital's historic mission and its current role in the community.  (+info)

(4/118) Alternative funding policies for the uninsured: exploring the value of hospital tax exemption.

The tax exemption accorded private, nonprofit hospitals is being subjected to more scrutiny as the numbers of uninsured grow; meanwhile, charity care competes with market-driven priorities. Current public policies tie hospital tax exemption to the provision of charity care, but there is a gap in the size and distribution of values between tax exemption and the charity care that is provided. Most hospitals, in a study reported here, provided free care at a level below the value of their tax exemption, even when 50 percent of bad debt was included in the care value. However, hospitals in the poorest communities offered considerably more care than the value of their tax exemption, whereas those in wealthier communities offered considerably less. Policies at local, state, and federal levels should be designed to exert leverage on hospitals to provide free care at a level commensurate with the value of their tax exemptions.  (+info)

(5/118) Impact of managed MediCal on California family practice programs.

BACKGROUND: An important source of patients for California's family practice program is MediCal. During the past 5 years, MediCal has established a variety of capitated managed care plans. OBJECTIVE: To assess the impact of California's managed MediCal program on the state's 38 family practice training programs. DESIGN: A cross-sectional, retrospective descriptive survey. METHODS: A 3-page, 11-question survey was developed by family practice residency directors and staff from the California Academy of Family Physicians, San Francisco. The 38 family practice programs in existence in California in September 1997 were stratified by type of managed MediCal in their county and by type of sponsoring institution--university, county, community based, staff-model health maintenance organization, or managed care system. RESULTS: Of the 38 family practice programs, 27 responded; 19 of 27 programs participated in managed MediCal. The total number of family health center patients, and the percentage of MediCal patients (48%-60%) at family practice programs was similar when stratified by programs with and without managed MediCal and by type of sponsorship. Most programs reported that they were able to compete effectively, although most also reported increased administrative, nursing, and front office costs. Managed MediCal patients were directly assigned to residents in only 3 of 19 programs. CONCLUSIONS: The introduction of managed MediCal has not adversely affected the number of patients cared for in California's family practice programs. Continued vigilance regarding California family practice programs' involvement in managed MediCal, including collection of accurate data on the number of MediCal patients and the financial and educational implications for California's family practice programs, is warranted.  (+info)

(6/118) ADEA annual survey of clinic fees and revenue: 1998-1999 academic year.

The American Dental Education Association's 1998-1999 Survey of Clinic Fees and Revenue obtained data by which to report, by school, clinic revenue information per undergraduate student. Fifty of the fifty-five U.S. dental schools responded to the survey. The median revenue per third-year student was $6,313. It was $11,680 for fourth-year students. Clinic revenue data was also obtained by type of postdoctoral program. The postdoctoral general dentistry programs had the highest per student clinic revenues, at over $59,000 per AEGD student and almost $35,000 per student of GPR programs. Other areas of the survey provided information regarding clinic fees by type of program, levels of uncompensated care by type of program, clinic revenue by source of payment, and dental school fees as a percent of usual and customary private practice fees.  (+info)

(7/118) Primary care office policies regarding care of uninsured adult patients.

OBJECTIVE: To describe primary care office policies regarding care of uninsured patients. DESIGN: Telephone survey of all adult primary care sites advertising in the area telephone directory. Sites were defined by ownership status, number of physicians, use of physician-extenders, and location. Policies assessed were whether the site was accepting new uninsured patients, billing policies, the availability of free or discounted care, and payment plans. SETTING: Allegheny County, Pennsylvania. PARTICIPANTS: Of the 359 sites identified, 240 (66.9%) responded, representing 794 physicians. Survey respondents included receptionists (40.4%), office managers (36.2%), and physicians (22.9%). RESULTS: While the majority of all sites reported accepting new patients without health insurance (87.5%), policies regarding these patients varied significantly by ownership status and the number of physicians. Sites with 3 or fewer physicians were more likely to accept uninsured patients. Self-owned practices were more likely to require payment at the time of service, and provide discounted care, free care, and payment plans compared with hospital/health system practices or multisite group practices. CONCLUSIONS: Willingness to accept uninsured patients does not always equate to affordable or accessible care. Office policies have the potential to be substantial obstacles to primary care.  (+info)

(8/118) Impact of Medicare denials on noninvasive vascular diagnostic testing.

PURPOSE: The purpose of this study was to evaluate the impact of Medicare coverage limitations and claim denials on noninvasive vascular diagnostic testing. METHODS: All Medicare claims for noninvasive vascular diagnostic studies from January 1, 1999, to December 31, 1999, were identified from the hospital billing database according to Current Procedural Terminology codes for carotid artery duplex ultrasound scan, venous duplex ultrasound scan, and lower-extremity arterial Doppler scan. Reasons for Medicare denial of payment for these tests were reviewed and a cost analysis was performed. RESULTS: During the 1-year period, there were 1096 noninvasive vascular diagnostic studies performed on Medicare patients. Of these 1096 tests, 176 (16.1%) were denied by Medicare (19.6% of 408 carotid duplex ultrasound scans, 16.8% of 345 venous duplex ultrasound scans, and 11.1% of 343 lower-extremity arterial Doppler scans). Of the noninvasive vascular tests denied by Medicare, an abnormal result was present in 72.5% of carotid duplex ultrasound scans, 32.8% of venous duplex ultrasound scans, and 78.9% of lower-extremity arterial Doppler scans. Overall, 88.1% of all initially denied claims (N = 176) were ultimately reimbursed by Medicare after resubmission, including 77.1% of the 118 claims denied based on compliance rules for "medical necessity." CONCLUSION: Because of coverage limitations, Medicare denials of noninvasive vascular diagnostic tests can lead to potential uncompensated physician and hospital technical fees if denied claims are unrecognized. Vascular laboratories performing these tests need to review compliance with Medicare guidelines. Improvements may need to be made at both the provider and Medicare carrier levels in obtaining reimbursement for appropriately ordered noninvasive vascular diagnostic studies.  (+info)



  • centers
  • Scripps takes this legislative requirement a step further by incorporating community benefit activities from throughout the system, including Scripps' five acute-care hospital campuses, wellness centers and clinics. (scripps.org)
  • Erlanger East Hospital became the region's first full-service lifestyle hospital with the completion of a $50 million expansion in 2016.The expansion includes a 58-bed patient tower providing medical/surgical care, a six-bed intensive care unit (ICU) and cardiovascular interventional radiology lab.Other services include 24/7 emergency care and women's centers for breast health and obstetrics. (wikipedia.org)
  • The Southside and Dodson Avenue Community Health Centers are safety-net clinical care providers operating under comprehensive federal standards. (wikipedia.org)
  • It includes the 1,200-member Henry Ford Medical Group, five hospitals, the Health Alliance Plan, 30 primary care centers and many other health-related entities throughout Southeast Michigan. (wikipedia.org)
  • The taxes that fed the state's "free care pool", which covered uninsured emergency room visits as well as uninsured hospital admissions (as well as funding community health centers), consistently underfunded the pool and had to be raised almost annually (with differences made up by appropriations from general revenue). (wikipedia.org)
  • provide
  • Undocumented immigrants are expected to make up a larger share of Connecticut's uninsured population next year, which health experts predict will put new financial pressures on safety-net hospitals that provide emergency care to everyone. (ctpost.com)
  • We believe it's our moral and professional duty to provide uncompensated care in those situations so that all patients receive the dental care they need, regardless of their insurance coverage. (prnewswire.com)
  • More than 30,000 total Henry Ford Health System employees provide care during the more than 4.24 million annual patient contacts. (wikipedia.org)
  • The Hospital Survey and Construction Act responded to the first of President Truman's proposals, which called for the construction of hospitals and related health care facilities, and was designed to provide federal grants and guaranteed loans to improve the physical plant of the nation's hospital system. (wikipedia.org)
  • Facilities that received funding were also required to provide a 'reasonable volume' of free care each year for those residents in the facility's area who needed care but could not afford to pay. (wikipedia.org)
  • Hospitals were initially required to provide uncompensated care for 20 years after receiving funding. (wikipedia.org)
  • The most significant changes at this point were the addition of some regulatory mechanisms (defining what constitutes the inability to pay) and the move from a 20-year commitment to a requirement to provide free care in perpetuity. (wikipedia.org)
  • Another issue revolves around the fact that hospitals are required to provide care for patients in the emergency department, even if the person cannot pay or is an undocumented immigrant. (wikipedia.org)
  • Kool Smiles has partnered with the Gary Community Health Center and the East Chicago Community Health Center to provide dental care in their facilities. (wikipedia.org)
  • The 340B Drug Discount Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. (wikipedia.org)
  • The dean is Dr. Jack Sobel The School of Medicine's mission is to provide first-rate medical education while leading the field through research and patient care. (wikipedia.org)
  • The faculty consists of over 2,000 physicians, many who are members of the Wayne State University Physician Group, and provide care at eleven affiliated hospitals, clinics and training sites throughout the area. (wikipedia.org)
  • Emergency physicians also provide episodic primary care to patients during off hours and for those who do not have primary care providers. (wikipedia.org)
  • The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free health care insurance for residents earning less than 150% of the federal poverty level (FPL) and mandated employers with more than 10 "full-time" employees to provide healthcare insurance. (wikipedia.org)
  • Approximately 70 medical personnel, employees of the University of Washington, provide care aboard flights. (wikipedia.org)
  • Kool Smiles
  • As a leading dental health provider, Kool Smiles' mission is to improve lives by providing high-quality dental care in a fun, compassionate environment. (prnewswire.com)
  • Founded in 2002, Kool Smiles has more than 120 dental practices in 14 states and the District of Columbia , primarily in underserved communities that have historically lacked access to dental care. (prnewswire.com)
  • Founded in 2002, Kool Smiles has more than 120 dental practices across 15 states and the District of Columbia , all working to make dental care more accessible to communities in need. (prnewswire.com)
  • Kool Smiles' Chief Dental Officer, Dr. David Strange, argued that if it lost the contract, some families in Columbus, Georgia, would be unable to receive dental care. (wikipedia.org)
  • Slate ran a feature about dental care in Alabama during 2015, explaining that the work by companies such as Kool Smiles was assisting with assisting some of the poorest children in the country with their dental care. (wikipedia.org)
  • physicians
  • Scripps also invested in training for new physicians, health screenings for underserved populations, care for homeless people and worked to meet other important community needs through its five hospital campuses across the region. (scripps.org)
  • The physicians and nurses who took care of me listened and treated me quickly to ensure I wasn't in pain. (msmc.com)
  • WellSpan Medical Group includes more than 1,200 primary care and specialty physicians and advanced practice clinicians. (wikipedia.org)
  • In their role as first-line providers, emergency physicians are responsible for initiating resuscitation and stabilization, starting investigations and interventions to diagnose and treat illnesses in the acute phase, coordinating care with specialists, and determining disposition regarding patients' need for hospital admission, observation, or discharge. (wikipedia.org)
  • Rural emergency physicians may be the only health care providers in the community, and require skills that include primary care and obstetrics. (wikipedia.org)
  • EMTALA
  • If we merely wanted to tax Americans to finance Emergency Medical Treatment and Active Labor Act ( EMTALA ) care, it'd only cost us another $13.1B per year or about $57 per adult per year. (theincidentaleconomist.com)
  • Aaron has written a lot about how EMTALA-related care barely scratches the surface of what one needs for adequate care of chronic conditions. (theincidentaleconomist.com)
  • The cost of emergency care required by EMTALA is not directly covered by the federal government. (wikipedia.org)
  • This means, for example, that outpatient clinics not equipped to handle medical emergencies are not obligated under EMTALA and can simply refer patients to a nearby emergency department for care. (wikipedia.org)
  • Not all medical conditions qualify for uncompensated mandated services imposed by EMTALA, which is contrary to the misperception that many individuals assume that if they are ill, they will be treated, regardless of their ability to pay. (wikipedia.org)
  • Obamacare
  • Thanks to the Grover Norquist pledge, a tax to pay for ER care would most likely be unanimously opposed by the congressional opponents of Obamacare, and would do nothing to address the uninsured cancer or diabetes patient who needs to have long term care. (theincidentaleconomist.com)
  • acute
  • Each acute care hospital's liability to the fund shall be equal to the product of the percentage rate and its private sector charges. (malegislature.gov)
  • provided, however, that the division of health care finance and policy, in consultation with the executive office of health and human services, the Massachusetts Hospital Association and representatives of acute care hospitals, shall ensure that all funding for hospital payments made pursuant to this section through disproportionate share payments or Title XIX services rate adjustment payments shall qualify for federal financial participation. (malegislature.gov)
  • The field of emergency medicine encompasses care involving the acute care of internal medical and surgical conditions. (wikipedia.org)
  • formerly known as Three Rivers Community Hospital, TRCH) is a 125-bed general acute care hospital located in Grants Pass in the U.S. state of Oregon. (wikipedia.org)
  • medical care
  • fullinsurancecover: How much does uncompensated medical care cost everyone? (blogspot.com)
  • Heads up: After weeks of research, our office will on Thursday release a new report detailing the scope of uncompensated medical care in Washington, as well as the number of Washingtonians who have no health coverage at all. (blogspot.com)
  • The company said, "Unfortunately, Frontline ignores what all dentists know - children with long-neglected dental needs require more medical care. (wikipedia.org)
  • By contrast, in countries following the Franco-German model, the speciality does not exist and emergency medical care is instead provided directly by anesthesiologists (for initial resuscitation), surgeons, specialists in internal medicine, or another speciality as appropriate. (wikipedia.org)
  • Airlift Northwest, a program of the University of Washington School of Medicine and Harborview Medical Center, provides flight transport via helicopter and fixed wing aircraft for patients needing intensive medical care in Washington, Idaho, Montana and Alaska. (wikipedia.org)
  • services
  • Scripps divides community benefit services into three categories: uncompensated health care, community health improvement services and professional education and health research. (scripps.org)
  • The division of health care finance and policy in consultation with the executive office of health and human services, shall ensure that assessment liability to the fund and payments from the uncompensated care pool are structured in a manner that would secure for the General Fund the maximum allowable federal reimbursement under Title XIX, XXI or any successor federal law. (malegislature.gov)
  • University Hospital is a principal teaching hospital for Rutgers Biomedical and Health Sciences and a regional resource for specialized services and critical care. (wikipedia.org)
  • In addition, uncompensated care cases were increasing, putting more demand on HCMC's services. (wikipedia.org)
  • The system's critical care services are accessible to patients within a 100-mile radius through five LIFE FORCE air ambulance helicopters, each equipped to perform in-flight surgical procedures and transfusions. (wikipedia.org)
  • Services include 24/7 emergency care, family medicine practices, cardiac rehabilitation program, and a 25-bed inpatient unit. (wikipedia.org)
  • Erlanger Sequatchie Valley in Dunlap, TN, offers primary care and 24/7 emergency services, as well as weekly clinics for cardiology, orthopaedics, and women's health. (wikipedia.org)
  • Includes more than 130 outpatient patient care locations that offer services such as diagnostic imaging, laboratory, rehabilitation, primary care, walk-in health care, durable medical equipment and other specialty services. (wikipedia.org)
  • As per America's Health Care Safety Net: Intact But Endangered, safety nets are known for maintaining an open-door policy for their services. (wikipedia.org)
  • Requires the Secretary of Health and Human Services (HHS) to develop quality measures for the delivery of health care services in the United States. (wikipedia.org)
  • primary care
  • For primary care, cardiology and urology appointments physician and location are subject to availability. (msmc.com)
  • According to U.S. News ranking, the school ranks 69th in its Research activities, and 85th in primary care. (wikipedia.org)
  • year
  • The percentage is less than one would expect because during this time period the amount available for the original 25 percent has increased from year to year somewhat offsetting the decrease in uncompensated care payments. (wolterskluwerlb.com)
  • BACHMANN: Gov. Perry mandated a health care decision on all 12-year-old little girls in the state of Texas. (issues2000.org)
  • nation's
  • Dental care is one of the nation's greatest unmet children's health needs, especially in low-income, minority and rural communities. (prnewswire.com)
  • Founded in 1915 by auto pioneer Henry Ford and now one of the nation's leading health care providers, Henry Ford Health System is a not-for-profit corporation managed by Chief Executive Officer Wright L. Lassiter, III and governed by a 17-member Board of Trustees, with volunteer-led advisory and affiliate boards providing additional leadership. (wikipedia.org)
  • entities
  • 395.7015 Annual assessment on health care entities. (fl.us)
  • a) The assessment shall be equal to 1 percent of the annual net operating revenues of health care entities. (fl.us)
  • Headquartered in York, Pennsylvania, WellSpan Health includes WellSpan York Hospital, WellSpan Gettysburg Hospital, WellSpan Ephrata Community Hospital, WellSpan Surgery & Rehabilitation Hospital, WellSpan Medical Group, WellSpan VNA Home Care, WellSpan Good Samaritan, WellSpan Philhaven and several other health care provider entities in south central Pennsylvania and northern Maryland. (wikipedia.org)
  • Congress
  • In November 1945, President Harry S. Truman delivered a special message to Congress in which he outlined a five-part program for improving the health and health care of Americans. (wikipedia.org)
  • Consequently, Congress created the 340B program in November 1992 through the enactment of Public Law 102-585, the Veterans Health Care Act of 1992, which is codified as Section 340B of the Public Health Service Act (created under Section 602 of the Veterans Health Care Act of 1992). (wikipedia.org)
  • The bill was introduced during the first session of the 111th Congress as part of an effort of the Democratic Party leadership to enact health care reform. (wikipedia.org)
  • patients
  • Without access to preventive dental care, many patients are left to seek expensive emergency dental care for unaddressed oral health needs. (prnewswire.com)
  • Geisinger says the program is an attempt to give patients the most consistent, comprehensive and effective care possible. (wikipedia.org)
  • Emergency medicine, also known as accident and emergency medicine, is the medical specialty concerned with caring for undifferentiated, unscheduled patients with illnesses or injuries requiring immediate medical attention. (wikipedia.org)
  • payments
  • they will be receiving less in DSH payments, but the amount of uncompensated care is not decreasing. (wolterskluwerlb.com)
  • The division of health care finance and policy shall calculate the surcharge percentage by dividing $160,000,000 by the projected annual aggregate payments subject to surcharge, as defined in said section 1 of said chapter 118G. (malegislature.gov)
  • impact
  • The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine . (medicalxpress.com)
  • HealthDay)-The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine . (medicalxpress.com)
  • To this end, basic science studies run the gamut from whole animal physiology to cell and molecular biology to bioengineering with an emphasis on studies that can directly impact patient care. (wikipedia.org)
  • this observation is made by Waitzkin and he refers to these facts as part of the social and structural "contradictions" that safety net hospitals face further negatively impact there financial stability and care performance. (wikipedia.org)
  • Federal
  • If federal, state and local governments do not allocate more funding for this care, the financial burden would fall on health care providers," the report states. (aha.org)
  • The way to deliver health care more efficiently, more effectively is to block grant those dollars back to the state and keep this federal government that has this one-size-fits-all mentality from driving the thought process that we've seen that's destroyed health care in this country today. (issues2000.org)
  • Major revisions related to health care industry price controls were passed in August 2012, and the employer mandate was repealed in 2013 in favor of the federal mandate (even though enforcement of the federal mandate was delayed until January 2015). (wikipedia.org)
  • therefore
  • Whereas , The deferred operation of this act would tend to defeat its purpose, which is to administer forthwith the Uncompensated Care Trust Fund, therefore it is hereby declared to be an emergency law, necessary for the immediate preservation of the public convenience. (malegislature.gov)
  • clinics
  • Hospitals usually are distinguished from other types of medical facilities by their ability to admit and care for inpatients whilst the others, which are smaller, are often described as clinics. (wikipedia.org)
  • emergency care
  • People often say we need people to become insured because the rest of us are obligated to fund their emergency care anyway. (theincidentaleconomist.com)
  • It offers 24/7 emergency care, sports and family medicine practices, an inpatient seniors program, and a sleep disorders center accredited by the American Academy of Sleep Medicine. (wikipedia.org)
  • In developing countries, emergency medicine is still evolving and international emergency medicine programs offer hope of improving basic emergency care where resources are limited. (wikipedia.org)
  • report
  • Even when controlling for insurance status, low-income and minority children remain less likely than higher income children to receive preventive dental care, according to the report. (prnewswire.com)
  • Health care report 2015: Growing partnership. (wikipedia.org)
  • research
  • The Benevis Foundation is committed to improving dental care access and outcomes for underserved communities in the United States through research, education and outreach. (prnewswire.com)
  • Henry Ford Hospital (HFH) is an 877-bed tertiary care hospital, education and research complex at the western edge of the New Center area in Detroit, Michigan. (wikipedia.org)
  • access to dental care
  • The company has also partnered with the Governor of Maryland, Martin O'Malley, on his "Healthy Smiles Tour" to improve access to dental care in the state. (wikipedia.org)
  • health insurance
  • Votes in the U.S. House of Representatives on this bill and on the United States National Health Care Act, an alternative that would establish a national, universal single-payer health insurance, were previously expected in September 2009 and again in October 2009, before the actual November 2009 vote took place. (wikipedia.org)
  • As such it is one of the models of the Affordable Care Act's health insurance exchanges. (wikipedia.org)