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Managed Care Weekly Digest

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Medicare and Medicaid



New medicare and medicaid data have been reported by investigators at Agency for Healthcare Research and Quality



May 28th, 2007

A report, "Modifying DRG-PPS to include only diagnoses present on admission: financial implications and challenges," is newly published data in Medical Care. According to recent research published in the journal Medical Care, "The inability to distinguish complications acquired in hospital from comorbid conditions that are present on admission (POA) has long hampered the use of claims data in quality and safety research. Now pay-for-performance initiatives and legislation requiring Medicare to reduce payment for acquired infections add imperative for POA coding."

"This study used data from 2 states currently coding POA to assess the financial impact if...


Source: Managed Care Weekly Digest (2007-05-28)

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