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STAT+: Medicare Advantage insurers ramped up use of technology to deny claims, Senate investigation shows

STAT

UnitedHealth Group, Humana, and CVS Health targeted denials among older adults who were requesting care in nursing homes, inpatient rehab hospitals, and long-term hospitals.

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How Nursing Homes Get Paid and Why That Matters to LTC Pharmacy

Integra X Files

Many of you may be well acquainted with nursing home payment models – but a short primer can refocus us on important facts or familiarize colleagues newer to the industry. Let’s review how nursing homes get paid – and especially how that affects how pharmacies get paid for serving their residents. Areas of efficiency?

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How Can You Prepare for the Internal Medicine Board Exam?

Board Vitals - Pharmacist

Most hospitals require their Internal Medicine physicians to be initially board certified, as well as to be recertified every ten years. What is the Internal Medicine Board Exam? Offered by the American Board of Internal Medicine (ABIM), this exam verifies physicians are knowledgeable and skilled in all aspects of Internal Medicine.

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What Pharmacists Should Know About Medicare Open Enrollment 2023

Digital Pharmacist

Below is a quick summary to help your eligible patients prepare: Medicare Part A: Hospital insurance that includes inpatient and overnight hospital care, skilled nursing facility services, nursing home care, hospice care, and home health services. Breakdown of Medicare types and coverage.

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Understanding the Nurse Practitioner Scope of Practice

Board Vitals - Pharmacist

The study also found, “Physician-owned practices earned about $100,749 more after operating expenses per physician and hospital-owned practices earned $131,770 more.” Nurse Practitioner Scope of Practice What exactly is the scope of practice for nurse practitioners? between 2012 and 2015.

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Episode 979: Does aspiration pneumonia require different antibiotics than community acquired pneumonia?

Pharmacy Joe

Examples of patients with CAP that might be suspected of aspiration pneumonia are those from nursing homes, with dementia, or those with a seizure disorder. Newer studies of acute aspiration events in hospitalized patients have suggested that anaerobic bacteria do not play a major role in the etiology of CAP.

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What Pharmacists Should Know About Medicare Open Enrollment 2024

Digital Pharmacist

Breakdown of Medicare Types and Coverage Below is a quick summary to help your eligible patients prepare: Medicare Part A: Hospital insurance that includes inpatient and overnight hospital care, skilled nursing facility services, nursing home care, hospice care, and home health services.