The CMS said it will reprocess ICD-10 claims with National Coverage Determination and Local Coverage Determination errors automatically and at no cost to providers. The agency also said that it is waiting to reprocess some claims with errors resulting from LCDs until Medicare Administrative Contractors have updated criteria needed to process the claims.
A report from Office of the National Coordinator for Health IT contractor Venesco calls for health care organizations to begin linking patient portals with health information exchanges instead of EHRs. Untethering the portals from just a single organization will lead to more comprehensive patient records, according to the report. "Having an HIE base for the PHR provides greater interoperability, depth of information and ability to integrate data sources, which in turn provides better service to the consumer and to other stakeholders," the report states.
Th17, an inflammatory protein, may help predict which people with obesity will experience progression to type 2 diabetes, according to a study in the journal Obesity. Researchers used basic measures of inflammation in type 2 diabetes and mathematical analysis to develop the predictive tool.
There is an association between higher levels of fasting plasma glucose and a higher burden of brain white matter hyperintensities in the right hemisphere, but not in the left hemisphere, and the link was most prominent in the frontal and temporal lobes, researchers reported at the XXII World Congress of Neurology. The findings were based on about 7,500 Australian adults followed for more than 20 years. The association was especially strong among people with type 2 diabetes.
Tips for making Thanksgiving dinner healthier and lower in calories include reducing the amount of fat and sugar in recipes, offering whole grains instead of just stuffing and mashed potatoes, and serving steamed green beans instead of green bean casserole, said registered dietitian Theresa Shank. Use Greek yogurt instead of butter for making mashed potatoes and fill dinner plates with vegetables and lower-calories foods first, Shank said.
New guidelines in the journal Obstetrics & Gynecology recommend encouragement of exercise and healthy eating during pregnancy to prevent obesity. Pregnancy is "an ideal time for lifestyle modification" because of increased access to health care and guidance, the guidelines' main author said.
Experts from the US, Canada and Europe reached consensus on 11 nutrition recommendations during the Finding Common Ground summit, sponsored by Oldways. Recommendations supported the 2015 Dietary Guidelines, sustainably sourced food and food literacy, and the group noted concern over confusion about what makes up a healthy eating pattern.
Michigan parents say their children come home from school hungry because they do not have enough time to finish their lunch. Bath Township food services director Cathy Zeeb said the 20 to 40 minutes allotted by many schools for lunch and recess is not enough, especially for younger children, but Bath's Superintendent Jake Huffman said if the lunch period is extended, the extra time would have to be added to the school day.
The gene associated with Huntington's disease generates four novel homopolymeric expansion proteins that kill neurons and accumulate in the regions of the brain most affected by the condition, University of Florida Health scientists say. The findings might lead to new methods to detect and treat Huntington's disease.
The idea of paying physicians for engaging patients in advance care planning got off to a rough start politically, but public support has increased and a recent CMS decision to allow reimbursements was met with little criticism. Rep. Earl Blumenauer, D-Ore., said a bipartisan bill would be introduced next year to train practitioners to have end-of-life care discussions, to store advance directives and to track the success of the effort. "We need to ensure that this expression of interests follows people, that it gets integrated into the records and ultimately that it's respected," he said.
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