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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

The ABIM states that “The setting of the encounters reflect[s] current medical practice, so [roughly 75%] take place in an outpatient or emergency department setting…the remainder occur in inpatient settings, ranging from the intensive care unit to the nursing home.”. Take the ACP Internal Medicine In-Training Exam®.

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Episode 751: 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. To sign up go to pharmacyjoe.com/academy.

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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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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.

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Episode 751: 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. To sign up go to pharmacyjoe.com/academy.