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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 […]

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

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

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

Abstract: The maritime landmark case Culver v. Slater Boat Co., 722 F.2d 114, at 117 (Culver II) prescribed a method for the calculation of future economic loss in the trials of maritime personal injury and wrongful death cases. In this three-step analysis: the fact finder (1) must estimate the diminishment or loss of work-life resulting

Data from the Centers for Disease Control (CDC) provide proof that COVID-19 deaths affected nearly 80 percent of seniors age 65 and older in the first quarter of 2020 and continuing today, despite the fact that the sample size was limited to 52,166 people. As of January 20, 2022, over 75.8 percent of total COVID-19

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

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

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

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