CMS is increasing its scrutiny of hospital billing practices in the wake of excessive claims for outlier payments by some healthcare organizations. Hospitals should review their billing practices to ensure that they are using a charge schedule that complies with Medicare regulations Hospitals also should conduct ongoing reviews of their outlier cases to ensure that their charge structures are appropriate and their outlier services are medically necessary. Hospitals can expect CMS to implement changes to the outlier regulations.
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Cureus
January 2025
Department of Critical Care Medicine, Jen Ho Hospital, Show Chwan Health Care System, Changhua, TWN.
Diffusion models, variational autoencoders, and generative adversarial networks (GANs) are three common types of generative artificial intelligence models for image generation. Among these, GANs are the most frequently used for medical image generation and are often employed for data augmentation in various studies. However, due to the adversarial nature of GANs, where the generator and discriminator compete against each other, the training process can sometimes end with the model unable to generate meaningful images or even producing noise.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Orthopedic Surgery, Ordensklinikum Linz Barmherzige Schwestern, Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University, 5020 Salzburg, Austria.
Short-stem total hip arthroplasty (THA) has gained popularity due to its bone-sparing technique, but its outcomes in patients with obesity remain uncertain. The aim of this study was to investigate the impact of obesity on postoperative subsidence and clinical outcomes after short-stem THA. A retrospective cohort study with a minimum follow-up of 24 months was conducted on 163 patients who underwent short-stem THA with a collarless, triple-tapered, cementless stem achieving fixation in the metaphyseal region.
View Article and Find Full Text PDFCureus
December 2024
Ophthalmology, University of Washington, Seattle, USA.
Objective: This study investigates the refractive accuracy of eight intraocular lens (IOL) power calculation formulas in patients with postoperative refractive surprise after phacoemulsification. It aims to determine if a different formula could result in better refractive outcomes in these eyes.
Methods And Analysis: We retrospectively reviewed consecutive patients undergoing uncomplicated phacoemulsification as a sole procedure between March 2007 and September 2020 at the University of Washington by glaucoma subspecialists as part of a study investigating cataract surgery in normal eyes.
J Shoulder Elbow Surg
December 2024
Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USA. Electronic address:
Background: The Centers for Medicare & Medicaid Services (CMS) implemented the Bundled Payments for Care Improvement Advanced (BPCIA) Model that covers 90-day care episodes after select orthopedic procedures including anatomic or reverse ball-and-socket total shoulder arthroplasty (TSA/rTSA). This study investigated whether patients undergoing TSA/rTSA for non-degenerative processes incur higher costs than patients undergoing arthroplasty for degenerative processes.
Methods: A retrospective review was conducted of all patients at a single academic medical center enrolled in the BPCIA model for TSA/rTSA from October 1, 2018, through December 31, 2022.
Cureus
November 2024
Psychology, Lexington Veterans Affairs Health Care System, Lexington, USA.
Background This project investigates a music intervention to deprescribe antipsychotics in rural Veterans with dementia. Methods The Veterans Health Administration Home-Based Primary Care Program is care provided in the home by an interdisciplinary team with the goals of decreasing hospitalizations and falls, providing education to patients and caregivers, and improving quality of life. Eighteen Home Based Primary Care Veterans with dementia and active antipsychotic prescriptions were identified with the goal to deprescribe antipsychotics in 50% of them using a music intervention.
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