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Doom and Gloom: CMS Civil Monetary Penalties

Why the proposed CMS penalties imposed on hospitals are destined for failure… Without trying to dissect the language embedded in the proposal such as ‘shoppable services’, ‘machine readable files’ or ‘limited set’ services, the following article focuses on the absurdity of these CMS civil monetary penalties. The authors performed a financial analysis of the three […]

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Dilemmas In Attendant Care for Life Care Plans of Spinal Cord Injury Patients

The services of attendant care provided by Registered Nurses (RN), Licensed Practical Nurses (LPN), and Home Health Aids (HHA) make up at least two-thirds of the majority of life care plans for patients with severe injuries, like Spinal Cord Injuries (SCI). The spinal cord is the passageway that allows for communication between the brain and

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This Little Piglet Has Surgery – GalSafe Organ Xenotransplantation Impacts Millions Americans

Over 54 percent of US citizens are registered as organ donors, however, fewer than 1 percent of deaths result in useable organs. By a large margin, kidneys are the most commonly transplanted organ, followed by liver, heart, lungs, and pancreas. Typically, kidney failure is due to diabetes or severe hypertension. In 2021, it is estimated

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The Economics of Digital Classrooms: How Digital Learning May Change Kindergarten to College

The primary concern of high school students today is the high cost of a college education. In fact, more than 66 percent of college dropouts come from low-income homes, with family adjusted gross income (AGI) under $50,000. Nearly 75 percent of first-generation college students become college dropouts, accounting for more than one million students dropping

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Why the Proposed CMS Civil Monetary Penalties Imposed on Hospitals is DOOMED for Failure

All hospitals in the United States are now required to make a public machine-readable online file to include all four standard charges: gross charges, payer’s specific negotiated charges, discounted cash charges, and de-identified minimum and maximal negotiation charges for every hospitalprocedure. In fact, most hospitals nationwide are not complying with these requirements, but instead, the

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Orthopedic Surgery for Elderly Requires Universal Adoption of Maryland’s Total Cost of Care Model

Medicare expenditures are driven by a variety of factors, including the demand for care, the complexity of medical services provided, medical inflation, and life expectancy. The Medicare program has two separate trust funds—the Hospital Insurance (HI) Trust Fund and the Supplementary Medical Insurance (SMI) Trust Fund. Under the Hospital Insurance Trust, payroll taxes from workers

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Catastrophic Injury Fast-tracking in Medicare Set-Asides

How Medicare Set-Aside Allocation Is Going to Be Used to Accelerate Settlement Claims Medicare Set-Aside Allocation (MSA) is not required by federal statute, nor is there a legal requirement to create an MSA. However, an MSA is the preferred method for protecting Medicare’s future interests when attempting to settle cases pretrial, that involve a Medicare

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The Hidden Costs of Antiquated Calculations – A Closer look at COLA and CPI on Federal Programs

Historically there have been years with no Cost of Living Adjustment (COLA) for Supplemental Security Income (SSI), examples seen in 2010 or 2011. However, there was a SSI COLA for 2012 of 3.6% affecting more than 60 million Americans. Note: The Social Security Act provides for automatic increases in Social Security and SSI benefits if

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