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Monday, August 16, 2010

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18 Medical Necessity Issues OK'd for RAC Review

By: James Carroll, for HealthLeaders Media, August 16, 2010

CGI Technologies is the first Recovery Audit Contractor to post issues approved by CMS. All but one of them comes as no surprise, says one regulatory affairs expert.

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Medicare Reimbursement Changes May Lead to More Antibiotic Use

By: Janice Simmons, for HealthLeaders Media, August 16, 2010

While changes in drug coverage improved the use of antibiotics for pneumonia, they could also lead to overuse of antibiotics for conditions for which antibiotics generally were not indicated, study suggests.

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1 in 5 Hospitalizations Involve Diabetes Patients

By: Cheryl Clark, for HealthLeaders Media, August 16, 2010

The average or mean cost of caring for each of those hospitalizations was $10,937—nearly $2,200 more than the cost of a stay for a patient without a diagnosis of diabetes, report says.

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UT Regents Approve $800 Million Hospital Project

By: John Commins, for HealthLeaders Media, August 16, 2010

Pending final approval, construction of a 424-bed University Hospital at University of Texas Southwestern Medical Center in Dallas will begin in March

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NY Physician Charged in Medicaid Drug Fraud Ring

By: Cheryl Clark, August 16, 2010

A Manhattan-based primary care doctor is said to have written nearly $1 million worth of prescriptions for oxycontin pills paid for by Medicaid in a fraud scheme says the U.S. Drug Enforcement Agency.

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MRSA Progress Brings Hope for Hospitals’ Ability to Adapt

By: Philip Betbeze, for HealthLeaders Media, August 13, 2010

No shortage of commentators like myself are predicting that the business of healthcare is about to get a lot more cutthroat. To hear some of them tell it, the unceasing double-digit inflation that has plagued healthcare for years will eventually lead to a race to the bottom, whereby only the most hardy and lean organizations will survive, putting everyone's healthcare at risk.

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