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Archive for April, 2012

I Just Got RAC’d by Medicare

April 22, 2012

First, let me acknowledge that many billions of dollars are lost by Medicare each year for outright fraud. I have heard that drug kingpins in Florida have looked at this enterprise as being just as lucrative as selling drugs, but with less potential prison time. A RAC is a Recovery Audit...
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The Limits of Care Coordination

April 15, 2012

The PCMH pushers love to talk about care coordination. They believe the key to more cost-effective care is to have primary care practices hire care coordinators to keep track of patients. I asked the leader of a large integrated network what his care coordinators actually do. He said they mostly track...
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Finally, a National Call to Reduce Medical Testing

April 8, 2012

The American Board of Internal Medicine Foundation recently led an initiative to reduce unnecessary testing. It’s called the ChooseWisely campaign and can be reached at http://www.choosingwisely.org/ There were nine medical societies that participated. Some of you might have seen articles in NEJM and the Annals of Internal Medicine where people proposed...
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The AAFP Should Leave the RUC

April 1, 2012

I was going to write a post about the spineless leadership of the AAFP and how they caved in to the RUC (relative value update committee — the ologist-dominated committee of the AMA that makes physician fee recommendations to CMS). Visualize the AAFP dog whimpering pathetically with its tail stuck firmly...
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