SU-A-210-00: AAPM Medical Physics Student Meeting: Medical Billing and Regulations: Everything You Always Wanted To Know, But Were Too Afraid To Ask

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’smore » long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the career options for medical physicists in the NRC, how the NRC interacts with clinical medical physicists, and a physicist’s experience as a regulator. Learning Objectives: Explore non-clinical career pathways for medical physics students and trainees at the Nuclear Regulatory Commission. Overview of NRC medical applications and medical use regulations. Understand the skills needed for physicists as regulators. Abogunde is funded to attend the meeting by her employer, the NRC.« less

SU-A-210-04: Panel Discussion

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stanford, J.

The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’smore » long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the career options for medical physicists in the NRC, how the NRC interacts with clinical medical physicists, and a physicist’s experience as a regulator. Learning Objectives: Explore non-clinical career pathways for medical physics students and trainees at the Nuclear Regulatory Commission. Overview of NRC medical applications and medical use regulations. Understand the skills needed for physicists as regulators. Abogunde is funded to attend the meeting by her employer, the NRC.« less

SU-A-210-03: Panel Discussion

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rodrigues, A.

The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’smore » long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the career options for medical physicists in the NRC, how the NRC interacts with clinical medical physicists, and a physicist’s experience as a regulator. Learning Objectives: Explore non-clinical career pathways for medical physics students and trainees at the Nuclear Regulatory Commission. Overview of NRC medical applications and medical use regulations. Understand the skills needed for physicists as regulators. Abogunde is funded to attend the meeting by her employer, the NRC.« less

SU-A-210-02: Medical Physics Opportunities at the NRC

DOE Office of Scientific and Technical Information (OSTI.GOV)

Abogunde, M.

The purpose of this student annual meeting is to address topics that are becoming more relevant to medical physicists, but are not frequently addressed, especially for students and trainees just entering the field. The talk is divided into two parts: medical billing and regulations. Hsinshun Wu – Why should we learn radiation oncology billing? Many medical physicists do not like to be involved with medical billing or coding during their career. They believe billing is not their responsibility and sometimes they even refuse to participate in the billing process if given the chance. This presentation will talk about a physicist’smore » long career and share his own experience that knowing medical billing is not only important and necessary for every young medical physicist, but that good billing knowledge could provide a valuable contribution to his/her medical physics development. Learning Objectives: The audience will learn the basic definition of Current Procedural Terminology (CPT) codes performed in a Radiation Oncology Department. Understand the differences between hospital coding and physician-based or freestanding coding. Apply proper CPT coding for each Radiation Oncology procedure. Each procedure with its specific CPT code will be discussed in detail. The talk will focus on the process of care and use of actual workflow to understand each CPT code. Example coding of a typical Radiation Oncology procedure. Special procedure coding such as brachytherapy, proton therapy, radiosurgery, and SBRT. Maryann Abogunde – Medical physics opportunities at the Nuclear Regulatory Commission (NRC) The NRC’s responsibilities include the regulation of medical uses of byproduct (radioactive) materials and oversight of medical use end-users (licensees) through a combination of regulatory requirements, licensing, safety oversight including inspection and enforcement, operational experience evaluation, and regulatory support activities. This presentation will explore the career options for medical physicists in the NRC, how the NRC interacts with clinical medical physicists, and a physicist’s experience as a regulator. Learning Objectives: Explore non-clinical career pathways for medical physics students and trainees at the Nuclear Regulatory Commission. Overview of NRC medical applications and medical use regulations. Understand the skills needed for physicists as regulators. Abogunde is funded to attend the meeting by her employer, the NRC.« less

Coding for urologic office procedures.

PubMed

Dowling, Robert A; Painter, Mark

2013-11-01

This article summarizes current best practices for documenting, coding, and billing common office-based urologic procedures. Topics covered include general principles, basic and advanced urologic coding, creation of medical records that support compliant coding practices, bundled codes and unbundling, global periods, modifiers for procedure codes, when to bill for evaluation and management services during the same visit, coding for supplies, and laboratory and radiology procedures pertinent to urology practice. Detailed information is included for the most common urology office procedures, and suggested resources and references are provided. This information is of value to physicians, office managers, and their coding staff. Copyright © 2013 Elsevier Inc. All rights reserved.

What if pediatric residents could bill for their outpatient services?

PubMed

Ng, M; Lawless, S T

2001-10-01

We prospectively studied the potential of billing and coding practices of pediatric residents in outpatient clinics and extrapolated our results to assess the financial implications of billing inaccuracies. Using Medicare as a common measure of "currency," we also used the relative value unit (RVU) and ambulatory payment class methodologies as means of assessing the productivity and financial value of resident-staffed pediatric clinics. Residents were asked to submit voluntarily shadow billing forms and documentation of outpatient clinic visits. Documentation of work was assessed by a blinded reviewer, and current procedure terminology evaluation and management codes were assigned. Comparisons between resident codes and calculated codes were made. Financial implications of physician productivity were calculated in terms of dollar amounts and RVUs. Resource intensity was measured using the ambulatory payment class methodology. A total of 344 charts were reviewed. Coding agreement for health maintenance visits was 86%, whereas agreement for acute care visits was 38%. Eighty-three percent of coding disagreement in the latter group was resulting from undercoding by residents. Errors accounted for a 4.79% difference in potential reimbursement for all visit types and a 19.10% difference for acute care visits. No significant differences in shadow billing discrepancies were found between different levels of training. Residents were predicted to generate $67 230, $87 593, and $96 072 in Medicare revenue in the outpatient clinic setting during each successive year of training. On average, residents generated 1.17 +/- 0.01 and 0.81 +/- 0.02 work RVUs for each health maintenance visit and office visit, respectively. Annual productivity from outpatient clinic settings was estimated at 548, 735, and 893 work RVUs in the postgraduate levels 1, 2, and 3, respectively. When pediatric residents are not trained adequately in proper coding practices, the potential for billing discrepancies is high and potential reimbursement differences may be substantial. Discussion of financial issues should be considered in curriculum development.

Impact of the Primary Care Exception on Family Medicine Resident Coding.

PubMed

Cawse-Lucas, Jeanne; Evans, David V; Ruiz, David R; Allcut, Elizabeth A; Andrilla, C Holly A; Thompson, Matthew; Norris, Thomas E

2016-03-01

The Medicare Primary Care Exception (PCE) allows residents to see and bill for less-complex patients independently in the primary care setting, requiring attending physicians only to see patients for higher-level visits and complete physical exams in order to bill for them as such. Primary care residencies apply the PCE in various ways. We investigated the impact of the PCE on resident coding practices. Family medicine residency directors in a five-state region completed a survey regarding interpretation and application of the PCE, including the number of established patient evaluation and management codes entered by residents and attending faculty at their institution. The percentage of high-level codes was compared between residencies using chi-square tests. We analyzed coding data for 125,016 visits from 337 residents and 172 faculty physicians in 15 of 18 eligible family medicine residencies. Among programs applying the PCE criteria to all patients, residents billed 86.7% low-mid complexity and 13.3% high-complexity visits. In programs that only applied the PCE to Medicare patients, residents billed 74.9% low-mid complexity visits and 25.2% high-complexity visits. Attending physicians coded more high-complexity visits at both types of programs. The estimated revenue loss over the 1,650 RRC-required outpatient visits was $2,558.66 per resident and $57,569.85 per year for the average residency in our sample. Residents at family medicine programs that apply the PCE to all patients bill significantly fewer high-complexity visits. This finding leads to compliance and regulatory concerns and suggests significant revenue loss. Further study is required to determine whether this discrepancy also reflects inaccuracy in coding.

Fixed-Rate Tuition Plans: A Survey in Response to Senate Bill 806

ERIC Educational Resources Information Center

State Council of Higher Education for Virginia, 2015

2015-01-01

Legislation introduced in 2015, including Senate Bill 806, sought to amend the "Code of Virginia" regarding fixed four-year tuition and other costs. Eventually, Senate Bill 1183 was incorporated into Senate Bill 806; the substitute amendment directed the board of visitors of each four-year public institution with an in-state…

The Relationship Between Financial Incentives and Quality of Diabetes Care in Ontario, Canada

PubMed Central

Kiran, Tara; Victor, J. Charles; Kopp, Alexander; Shah, Baiju R.; Glazier, Richard H.

2012-01-01

OBJECTIVE We assessed the impact of a diabetes incentive code introduced for primary care physicians in Ontario, Canada, in 2002 on quality of diabetes care at the population and patient level. RESEARCH DESIGN AND METHODS We analyzed administrative data for 757,928 Ontarians with diabetes to examine the use of the code and receipt of three evidence-based monitoring tests from 2006 to 2008. We assessed testing rates over time and before and after billing of the incentive code. RESULTS One-quarter of Ontarians with diabetes had an incentive code billed by their physician. The proportion receiving the optimal number of all three monitoring tests (HbA1c, cholesterol, and eye tests) rose gradually from 16% in 2000 to 27% in 2008. Individuals who were younger, lived in rural areas, were not enrolled in a primary care model, or had a mental illness were less likely to receive all three recommended tests. Patients with higher numbers of incentive code billings in 2006–2008 were more likely to receive recommended testing but also were more likely to have received the highest level of recommended testing prior to introduction of the incentive code. Following the same patients over time, improvement in recommended testing was no greater after billing of the first incentive code than before. CONCLUSIONS The diabetes incentive code led to minimal improvement in quality of diabetes care at the population and patient level. Our findings suggest that physicians who provide the highest quality care prior to incentives may be those most likely to claim incentive payments. PMID:22456866

Providing for consideration of the bill (H.R. 4800) making appropriations for Agriculture, Rural Development, Food and Drug Administration, and Related Agencies programs for the fiscal year ending September 30, 2015, and for other purposes; providing for consideration of the bill (H.R. 4457) to amend the Internal Revenue Code of 1986 to permanently extend increased expensing limitations, and for other purposes; and providing for consideration of the bill (H.R. 4453) to amend the Internal Revenue Code of 1986 to make permanent the reduced recognition period for built-in gains of S corporations.

THOMAS, 113th Congress

Rep. Burgess, Michael C. [R-TX-26

2014-06-10

House - 06/11/2014 On agreeing to the resolution Agreed to by recorded vote: 227 - 189 (Roll no. 299). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Performance and Limitations of Administrative Data in the Identification of AKI

PubMed Central

Waikar, Sushrut S.; MacMahon, Blaithin; Whelton, Seamus; Ballew, Shoshana H.; Coresh, Josef

2014-01-01

Background and objectives Billing codes are frequently used to identify AKI events in epidemiologic research. The goals of this study were to validate billing code–identified AKI against the current AKI consensus definition and to ascertain whether sensitivity and specificity vary by patient characteristic or over time. Design, setting, participants, & measurements The study population included 10,056 Atherosclerosis Risk in Communities study participants hospitalized between 1996 and 2008. Billing code–identified AKI was compared with the 2012 Kidney Disease Improving Global Outcomes (KDIGO) creatinine-based criteria (AKIcr) and an approximation of the 2012 KDIGO creatinine- and urine output–based criteria (AKIcr_uop) in a subset with available outpatient data. Sensitivity and specificity of billing code–identified AKI were evaluated over time and according to patient age, race, sex, diabetes status, and CKD status in 546 charts selected for review, with estimates adjusted for sampling technique. Results A total of 34,179 hospitalizations were identified; 1353 had a billing code for AKI. The sensitivity of billing code–identified AKI was 17.2% (95% confidence interval [95% CI], 13.2% to 21.2%) compared with AKIcr (n=1970 hospitalizations) and 11.7% (95% CI, 8.8% to 14.5%) compared with AKIcr_uop (n=1839 hospitalizations). Specificity was >98% in both cases. Sensitivity was significantly higher in the more recent time period (2002–2008) and among participants aged 65 years and older. Billing code–identified AKI captured a more severe spectrum of disease than did AKIcr and AKIcr_uop, with a larger proportion of patients with stage 3 AKI (34.9%, 19.7%, and 11.5%, respectively) and higher in-hospital mortality (41.2%, 18.7%, and 12.8%, respectively). Conclusions The use of billing codes to identify AKI has low sensitivity compared with the current KDIGO consensus definition, especially when the urine output criterion is included, and results in the identification of a more severe phenotype. Epidemiologic studies using billing codes may benefit from a high specificity, but the variation in sensitivity may result in bias, particularly when trends over time are the outcome of interest. PMID:24458075

The devil is in the details: maximizing revenue for daily trauma care.

PubMed

Barnes, Stephen L; Robinson, Bryce R H; Richards, J Taliesin; Zimmerman, Cindy E; Pritts, Tim A; Tsuei, Betty J; Butler, Karyn L; Muskat, Peter C; Davis, Kenneth; Johannigman, Jay A

2008-10-01

Falling reimbursement rates for trauma care demand a concerted effort of charge capture for the fiscal survival of trauma surgeons. We compared current procedure terminology code distribution and billing patterns for Subsequent Hospital Care (SHC) before and after the institution of standardized documentation. Standardized SHC progress notes were created. The note was formulated with an emphasis on efficiency and accuracy. Documentation was completed by residents in conjunction with attendings following standard guidelines of linkage. Year-to-year patient volume, length of stay (LOS), injury severity, bills submitted, coding of service, work relative value units (wRVUs), revenue stream, and collection rate were compared with and without standardized documentation. A 394% average revenue increase was observed with the standardization of SHC documentation. Submitted charges more than doubled in the first year despite a 14% reduction in admissions and no change in length of stay. Significant increases in level II and level III billing and billing volume (P < .05) were sustainable year to year and resulted in an average per patient admission SHC income increase from $91.85 to $362.31. Use of a standardized daily progress note dramatically increases the accuracy of coding and associated billing of subsequent hospital care for trauma services.

Implementation of a handheld electronic point-of-care billing system improved efficiency in the critical care unit.

PubMed

Fahy, Brenda G; Ketzler, Jonathan T

2007-01-01

Coding and billing are time consuming and important considerations for critical care practitioners. A 1-year prospective, observational study incorporated the use of a personal digital assistant and MDeverywhere software (Hauppauge, New York) for patient coding and billing. Twelve months of data were examined before electronic implementation (pre-elec) and compared with a 12-month period after implementation (post-elec) by using an unpaired t test or z test with P < .05 considered significant. The total number of charges was 2479 pre-elec and 2243 post-elec. The days from date of service to billing for services significantly decreased from 37.8 pre-elec to 12.4 post-elec (P < .001); days in accounts receivable significantly decreased from 92.0 to 73.0 (P < .001). The net collection rate increased from 44.7% pre-elec to 49.3% post-elec (P < .001). Duplicate charges significantly decreased from 5.0% pre-elec to 1.4% post-elec ( P < .001). The return on investment was 1.97-fold (197%). The initiation of personal digital assistant technology to facilitate billing and coding resulted in significant improvements.

Billing code algorithms to identify cases of peripheral artery disease from administrative data

PubMed Central

Fan, Jin; Arruda-Olson, Adelaide M; Leibson, Cynthia L; Smith, Carin; Liu, Guanghui; Bailey, Kent R; Kullo, Iftikhar J

2013-01-01

Objective To construct and validate billing code algorithms for identifying patients with peripheral arterial disease (PAD). Methods We extracted all encounters and line item details including PAD-related billing codes at Mayo Clinic Rochester, Minnesota, between July 1, 1997 and June 30, 2008; 22 712 patients evaluated in the vascular laboratory were divided into training and validation sets. Multiple logistic regression analysis was used to create an integer code score from the training dataset, and this was tested in the validation set. We applied a model-based code algorithm to patients evaluated in the vascular laboratory and compared this with a simpler algorithm (presence of at least one of the ICD-9 PAD codes 440.20–440.29). We also applied both algorithms to a community-based sample (n=4420), followed by a manual review. Results The logistic regression model performed well in both training and validation datasets (c statistic=0.91). In patients evaluated in the vascular laboratory, the model-based code algorithm provided better negative predictive value. The simpler algorithm was reasonably accurate for identification of PAD status, with lesser sensitivity and greater specificity. In the community-based sample, the sensitivity (38.7% vs 68.0%) of the simpler algorithm was much lower, whereas the specificity (92.0% vs 87.6%) was higher than the model-based algorithm. Conclusions A model-based billing code algorithm had reasonable accuracy in identifying PAD cases from the community, and in patients referred to the non-invasive vascular laboratory. The simpler algorithm had reasonable accuracy for identification of PAD in patients referred to the vascular laboratory but was significantly less sensitive in a community-based sample. PMID:24166724

A bill to amend title 38, United States Code, to prohibit the use of the phrases GI Bill and Post-9/11 GI Bill to give a false impression of approval or endorsement by the Department of Veterans Affairs.

THOMAS, 113th Congress

Sen. Boxer, Barbara [D-CA

2013-06-20

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Home Energy Saver

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The Montgomery GI Bill--Selected Reserve Under Chapter 1606 of Title 10, U.S. Code

ERIC Educational Resources Information Center

US Department of Veterans Affairs, 2007

2007-01-01

The Montgomery GI Bill--Selected Reserve (MGIB--SR, or chapter 1606 of title 10, U.S. Code) is an educational assistance program enacted by Congress to attract high quality men and women into the reserve branch of the Armed Forces. This program is for members of the Selected Reserve of the Army, Navy, Air Force, Marine Corps, and Coast Guard, and…

A Survey of Texas HIV, Sexually Transmitted Disease, Tuberculosis, and Viral Hepatitis Providers’ Billing and Reimbursement Capabilities

PubMed Central

Atwood, Robin; Greenberg, Jennifer B.; Ray, Tara; Harris, Karol Kaye

2015-01-01

The Affordable Care Act presents financial challenges and opportunities for publicly funded service providers. We assessed billing practices and anticipated barriers to third-party billing among organizations in Texas that provide publicly funded HIV, sexually transmitted diseases, tuberculosis, and viral hepatitis services. One third to one half of the organizations did not bill for medical services. The most common barrier to third-party billing was lack of staff knowledge about billing and coding. Future research must evaluate options for organizations and communities to maintain access to infectious disease services for vulnerable populations. PMID:26447911

Pediatric primary care psychologists' reported level of integration, billing practices, and reimbursement frequency.

PubMed

Riley, Andrew R; Grennan, Allison; Menousek, Kathryn; Hoffses, Kathryn W

2018-03-01

Integration of psychological services into pediatric primary care is increasingly common, but models of integration vary with regard to their level of coordination, colocation, and integration. High-integration models may provide some distinct advantages, such as preventative care and brief consultation for subclinical behavior concerns; however, psychologists face barriers to seeking reimbursement for these services. Alternatives to traditional psychotherapy and psychological testing codes, specifically Health & Behavior (H&B) codes, have been proposed as 1 method for supporting integrated care. The aim of this study was to investigate the relationships between psychologists' reported billing practices, reimbursement rates, and model of integration in pediatric primary care. As part of a larger survey study, 55 psychologists working in pediatric primary care reported on characteristics of their practice's model of integration, billing practices, and frequency of reimbursement for consultative services. Compared with those who categorized their integrated care model as colocated, psychologists who endorsed working in integrated models reported a significantly higher usage of H&B codes and more frequent reimbursement for consultations. Overall, use of H&B codes was associated with higher reported levels of coordination and integration. Survey results showed a clear pattern of higher integration being associated with greater utilization of H&B codes and better reimbursement for consultation activities. These results underscore the importance of establishing and maintaining billing and reimbursement systems that adequately support integrated care. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Can dialysis patients be accurately identified using healthcare claims data?

PubMed

Taneja, Charu; Berger, Ariel; Inglese, Gary W; Lamerato, Lois; Sloand, James A; Wolff, Greg G; Sheehan, Michael; Oster, Gerry

2014-01-01

While health insurance claims data are often used to estimate the costs of renal replacement therapy in patients with end-stage renal disease (ESRD), the accuracy of methods used to identify patients receiving dialysis - especially peritoneal dialysis (PD) and hemodialysis (HD) - in these data is unknown. The study population consisted of all persons aged 18 - 63 years in a large US integrated health plan with ESRD and dialysis-related billing codes (i.e., diagnosis, procedures) on healthcare encounters between January 1, 2005, and December 31, 2008. Using billing codes for all healthcare encounters within 30 days of each patient's first dialysis-related claim ("index encounter"), we attempted to designate each study subject as either a "PD patient" or "HD patient." Using alternative windows of ± 30 days, ± 90 days, and ± 180 days around the index encounter, we reviewed patients' medical records to determine the dialysis modality actually received. We calculated the positive predictive value (PPV) for each dialysis-related billing code, using information in patients' medical records as the "gold standard." We identified a total of 233 patients with evidence of ESRD and receipt of dialysis in healthcare claims data. Based on examination of billing codes, 43 and 173 study subjects were designated PD patients and HD patients, respectively (14 patients had evidence of PD and HD, and modality could not be ascertained for 31 patients). The PPV of codes used to identify PD patients was low based on a ± 30-day medical record review window (34.9%), and increased with use of ± 90-day and ± 180-day windows (both 67.4%). The PPV for codes used to identify HD patients was uniformly high - 86.7% based on ± 30-day review, 90.8% based on ± 90-day review, and 93.1% based on ± 180-day review. While HD patients could be accurately identified using billing codes in healthcare claims data, case identification was much more problematic for patients receiving PD. Copyright © 2014 International Society for Peritoneal Dialysis.

Turning whine into wine: the fiscal impact of comprehensive documentation and billing for nonoperative pediatric surgical services.

PubMed

Gollin, Gerald; Moores, Donald

2006-06-01

Some pediatric surgeons rarely document nonoperative services, believing that the reimbursement provided for such care is negligible. We evaluated the impact of comprehensive documentation and billing for nonoperative, pediatric surgical care. All bills submitted for inpatient, nonoperative care for 1 year were reviewed. Total receipts for documented admissions, consultations, critical care, and daily care were determined. The Evaluation and Management code billed for each service was recorded, and the total and average payments attributable to each Evaluation and Management code were calculated. Fifty-six percent of services were covered by Medicaid and 26% by a commercial insurer. There were 607 billed admission history and physical exams for which reimbursement totaled 43,493 dollars. Critical care services were provided to 49 patients and yielded 8964 dollars in payments. Six hundred thirty-nine inpatient consultations were performed with a reimbursement of 42,830 dollars. Daily care services were billed 1044 times and produced 71,579 dollars in payments. Overall reimbursement for documented, nonoperative services was 166,866 dollars. This represented 16.2% of total, noncontracted income for the practice. Despite a payer mix heavily weighted toward Medicaid, comprehensive documentation and billing for nonoperative services increased total, noncontracted reimbursement by almost 20% over what it would have been had only operative services been billed. The yield from properly documented, nonoperative care can be substantial.

A concise evaluation and management curriculum for physicians in training improved billing at an outpatient academic rheumatology clinic.

PubMed

Hirsh, Joel M; Collier, David H; Boyle, Dennis J; Gardner, Edward M

2010-04-01

To study whether providing house staff with a brief lecture and handout about proper documentation could improve billing at an academic rheumatology clinic. The authors created an educational sheet about documentation and billing after a review of the common documentation omissions responsible for down coding (Appendix, Supplemental Digital Content 1, available at: http://links.lww.com/RHU/A8). Beginning in November of 2006, the house staff were provided with this sheet and a brief lecture regarding how outpatient evaluation and management levels of service are coded. The results of clinic billing from January 1, 2006 to October 31, 2006 and November 1, 2006 to August 31, 2007 were obtained from the physician billing office. The authors compared the average level of service, by appointment type, in the prepost comparison periods using the student t test. There was a significant improvement in the level of service billed for new visits (P < 0.001), consults (P < 0.001), and return visits (P < 0.001) after November 1, 2006. The percentage of patients evaluated for the first time who were billed as consults improved from 15% to 78% (P < 0.001 by chi2). These changes resulted in $34,342 of additional billing during the postintervention period. A simple strategy for educating the house staff about proper documentation of the history, physical examination, and clinical decision making resulted in a significant improvement in an academic rheumatology division's outpatient billing.

Community health center provider ability to identify, treat and account for the social determinants of health: a card study.

PubMed

Lewis, Joy H; Whelihan, Kate; Navarro, Isaac; Boyle, Kimberly R

2016-08-27

The social determinants of health (SDH) are conditions that shape the overall health of an individual on a continuous basis. As momentum for addressing social factors in primary care settings grows, provider ability to identify, treat and assess these factors remains unknown. Community health centers care for over 20-million of America's highest risk populations. This study at three centers evaluates provider ability to identify, treat and code for the SDH. Investigators utilized a pre-study survey and a card study design to obtain evidence from the point of care. The survey assessed providers' perceptions of the SDH and their ability to address them. Then providers filled out one anonymous card per patient on four assigned days over a 4-week period, documenting social factors observed during encounters. The cards allowed providers to indicate if they were able to: provide counseling or other interventions, enter a diagnosis code and enter a billing code for identified factors. The results of the survey indicate providers were familiar with the SDH and were comfortable identifying social factors at the point of care. A total of 747 cards were completed. 1584 factors were identified and 31 % were reported as having a service provided. However, only 1.2 % of factors were associated with a billing code and 6.8 % received a diagnosis code. An obvious discrepancy exists between the number of identifiable social factors, provider ability to address them and documentation with billing and diagnosis codes. This disparity could be related to provider inability to code for social factors and bill for related time and services. Health care organizations should seek to implement procedures to document and monitor social factors and actions taken to address them. Results of this study suggest simple methods of identification may be sufficient. The addition of searchable codes and reimbursements may improve the way social factors are addressed for individuals and populations.

Regulatory changes that affect coding for immunotherapy.

PubMed

Atwater, J Spencer

2006-02-01

During the past decade, a variety of federal regulations have had a significant impact on the way allergen immunotherapy is reimbursed and how Current Procedural Terminology (CPT) codes are used for this purpose. As mandated by the US Congress, the Centers for Medicare and Medicaid Services (CMS) through the Office of the Inspector General (OIG) targeted immunotherapy codes for scrutiny, because they are some of the most frequently used codes. To examine how federal regulations have affected reimbursement for allergy immunotherapy and other allergy services. A review was performed of the OIG survey of allergy immunotherapy and the OIG recommendations on CPT coding compliance guidelines. A preliminary survey found problems with medical appropriateness of allergen immunotherapy. For this reason, the OIG performed a more comprehensive study of 301 physicians using code 95165 to analyze by medical record and billing data whether the new billing rules were being correctly used and found that only 44% of physicians were following the new definition of a billable dose. In the early 1990s, the federal government served notice of its intent to more aggressively identify and prosecute health care providers who improperly billed and collected for medical services. Through the adoption of the 1991 US Sentencing Commission Guidelines, the government sought to enhance compliance by mandating lesser criminal penalties for violating organizations that nevertheless maintained and operated "effective compliance plans." In 2002, the OIG audited health care providers and recouped dollar 14.4 billion in improper payments by Medicare. Between January and June 2003, Medicare excluded 1,241 individual providers and health care entities due to fraudulent billing practices. Federal regulations have significantly affected reimbursement for allergy immunotherapy and other allergy services. Allergists need to be aware of these changes and implement the new recommendations into their practices.

Providing for consideration of the bill (H.R. 2553) to amend the Internal Revenue Code of 1986 to extend the funding and expenditure authority of the Airport and Airway Trust Fund, to amend title 49, United States Code, to extend the airport improvement program, and for other purposes.

THOMAS, 112th Congress

Rep. Webster, Daniel [R-FL-8

2011-07-19

House - 07/20/2011 On agreeing to the resolution Agreed to by recorded vote: 242 - 178 (Roll no. 609). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Validation of an algorithm to identify children with biopsy-proven celiac disease from within health administrative data: An assessment of health services utilization patterns in Ontario, Canada

PubMed Central

Chan, Jason; Mack, David R.; Manuel, Douglas G.; Mojaverian, Nassim; de Nanassy, Joseph

2017-01-01

Importance Celiac disease (CD) is a common pediatric illness, and awareness of gluten-related disorders including CD is growing. Health administrative data represents a unique opportunity to conduct population-based surveillance of this chronic condition and assess the impact of caring for children with CD on the health system. Objective The objective of the study was to validate an algorithm based on health administrative data diagnostic codes to accurately identify children with biopsy-proven CD. We also evaluated trends over time in the use of health services related to CD by children in Ontario, Canada. Study design and setting We conducted a retrospective cohort study and validation study of population-based health administrative data in Ontario, Canada. All cases of biopsy-proven CD diagnosed 2005–2011 in Ottawa were identified through chart review from a large pediatric health care center, and linked to the Ontario health administrative data to serve as positive reference standard. All other children living within Ottawa served as the negative reference standard. Case-identifying algorithms based on outpatient physician visits with associated ICD-9 code for CD plus endoscopy billing code were constructed and tested. Sensitivity, specificity, PPV and NPV were tested for each algorithm (with 95% CI). Poisson regression, adjusting for sex and age at diagnosis, was used to explore the trend in outpatient visits associated with a CD diagnostic code from 1995–2011. Results The best algorithm to identify CD consisted of an endoscopy billing claim follow by 1 or more adult or pediatric gastroenterologist encounters after the endoscopic procedure. The sensitivity, specificity, PPV, and NPV for the algorithm were: 70.4% (95% CI 61.1–78.4%), >99.9% (95% CI >99.9->99.9%), 53.3% (95% CI 45.1–61.4%) and >99.9% (95% CI >99.9->99.9%) respectively. It identified 1289 suspected CD cases from Ontario-wide administrative data. There was a 9% annual increase in the use of this combination of CD-associated diagnostic codes in physician billing data (RR 1.09, 95% CI 1.07–1.10, P<0.001). Conclusions With its current structure and variables Ontario health administrative data is not suitable in identifying incident pediatric CD cases. The tested algorithms suffer from poor sensitivity and/or poor PPV, which increase the risk of case misclassification that could lead to biased estimation of CD incidence rate. This study reinforced the importance of validating the codes used to identify cohorts or outcomes when conducting research using health administrative data. PMID:28662204

Understanding your hospital bill

MedlinePlus

... use to help you find this information. They use national databases of billed medical services. You enter the name of the procedure and your zip code to find an average or estimated ... charge, you can use the information to ask for a lower fee.

A bill to amend title 23, United States Code, to reauthorize the State infrastructure bank program.

THOMAS, 113th Congress

Sen. Ayotte, Kelly [R-NH

2013-09-26

Senate - 09/26/2013 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A Method for Constructing a New Extensible Nomenclature for Clinical Coding Practices in Sub-Saharan Africa.

PubMed

Van Laere, Sven; Nyssen, Marc; Verbeke, Frank

2017-01-01

Clinical coding is a requirement to provide valuable data for billing, epidemiology and health care resource allocation. In sub-Saharan Africa, we observe a growing awareness of the need for coding of clinical data, not only in health insurances, but also in governments and the hospitals. Presently, coding systems in sub-Saharan Africa are often used for billing purposes. In this paper we consider the use of a nomenclature to also have a clinical impact. Often coding systems are assumed to be complex and too extensive to be used in daily practice. Here, we present a method for constructing a new nomenclature based on existing coding systems by considering a minimal subset in the sub-Saharan region. Evaluation of completeness will be done nationally using the requirements of national registries. The nomenclature requires an extension character for dealing with codes that have to be used for multiple registries. Hospitals will benefit most by using this extension character.

Billing, coding, and documentation in the critical care environment.

PubMed

Fakhry, S M

2000-06-01

Optimal conduct of modern-day physician practices involves a thorough understanding and application of the principles of documentation, coding, and billing. Physicians' role in these activities can no longer be secondary. Surgeons practicing critical care must be well versed in these concepts and their effective application to ensure that they are competitive in an increasingly difficult and demanding environment. Health care policies and regulations continue to evolve, mandating constant education of practicing physicians and their staffs and surgical residents who also will have to function in this environment. Close, collaborative relationships between physicians and individuals well versed in the concepts of documentation, coding, and billing are indispensable. Similarly, ongoing educational and review processes (whether internal or consultative from outside sources) not only can decrease the possibility of unfavorable outcomes from audit but also will likely enhance practice efficiency and cash flow. A financially viable practice is certainly a prerequisite for a surgical critical care practice to achieve its primary goal of excellence in patient care.

Unique Multiorganizational Collaborative Proves Effective in Delivering 2014 Farm Bill Education

ERIC Educational Resources Information Center

Hachfeld, Gary A.; Mahnken, Curtis L.; Holcomb, C. Robert; Bau, Dave B.; Berning, Elizabeth R.

2016-01-01

The Agricultural Act of 2014 (Farm Bill) is a critical part of the economic safety net for U.S. crop and dairy producers through 2018. Passage of the Farm Bill marked a change in philosophy regarding producer and landowner decisions about program choices. The shift was away from nearly 20 years of fixed annual payments based on historical…

[How can the coding quality in the DRG system be determined?].

PubMed

Kahlmeyer, A; Volkmer, B

2014-01-01

The permanent adjustments ​​since 2003 to the G-DRG system have made the system even less understandable, so that many users have the feeling of feeding data into a black box which gives them a result without them being able to actively use the system itself. While chief physicians, senior physicians, and nursing managers are responsible to management for the results of the billing, they are in most cases not involved in the steps of DRG coding and billing. From this situation, a common question arises: "How well does my department code?" This uncertainty is exploited by many commercial vendors, who offer a wide variety of approaches for DRG optimization. The goal of this work is to provide advice as to how coding quality can be determined.

A bill to amend title 49, United States Code, to allow for additional transportation assistance grants.

THOMAS, 111th Congress

Sen. Brown, Sherrod [D-OH

2010-03-26

Senate - 03/26/2010 Read twice and referred to the Committee on Banking, Housing, and Urban Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Minnesota Department of Human Services audit of medication therapy management programs.

PubMed

Smith, Stephanie; Cell, Penny; Anderson, Lowell; Larson, Tom

2013-01-01

To inform medication therapy management (MTM) providers of findings of the Minnesota Department of Human Services review of claims submitted to Minnesota Health Care Programs (MHCP) for patients receiving MTM services and to discuss the impact of the audit on widespread MTM services and future audits. A retrospective review was completed on MTM claims submitted to MHCP from 2008 to 2010. The auditor verified that the Current Procedural Terminology codes billed matched the actual number of medications, conditions, and drug therapy problems assessed during an encounter. 190 claims were reviewed for 57 distinct pharmacies that billed for MTM services from 2008 to 2010, representing 4.5% of all claims submitted. The auditor reported that generally, the documentation within the electronic medical record had the least "up-coding" of all documentation systems. A total of 18 claims were coded at a higher level than appropriate, but only 10 notices were sent out to recover money because the others did not meet the minimum $50 threshold. The auditor expressed concerns that a number of claims billed at the highest complexity level were only 15 minutes long. Providers will need to be cautious of the conditions that they bill as complex and of how they define drug therapy problems. Everything for which is being billed must be clearly assessed or rationalized in the documentation note. The auditor expressed that overall, documentation was well done; however, many MTM providers are now asking how to internally prepare for future audits.

Estimating the costs of VA ambulatory care.

PubMed

Phibbs, Ciaran S; Bhandari, Aman; Yu, Wei; Barnett, Paul G

2003-09-01

This article reports how we matched Common Procedure Terminology (CPT) codes with Medicare payment rates and aggregate Veterans Affairs (VA) budget data to estimate the costs of every VA ambulatory encounter. Converting CPT codes to encounter-level costs was more complex than a simple match of Medicare reimbursements to CPT codes. About 40 percent of the CPT codes used in VA, representing about 20 percent of procedures, did not have a Medicare payment rate and required other cost estimates. Reconciling aggregated estimated costs to the VA budget allocations for outpatient care produced final VA cost estimates that were lower than projected Medicare reimbursements. The methods used to estimate costs for encounters could be replicated for other settings. They are potentially useful for any system that does not generate billing data, when CPT codes are simpler to collect than billing data, or when there is a need to standardize cost estimates across data sources.

Law and psychiatry. Doing forensic work, II: fees, billing, and collections.

PubMed

Reid, William H

2012-05-01

Forensic practice fees, billing, and collection procedures are quite different from those in general psychiatry. Most forensic practices have far fewer "clients," and individual bills are usually larger. Collections are usually better (and less frequently discounted) in forensic practice, and resolving billing disputes is far more straightforward. Medicare, Medicaid, other insurance coverage, provider networks and agreements, procedure codes, and diagnosis-related groups (DRGs) are all largely irrelevant in forensic work (although sometimes important to direct clinical services in correctional psychiatry or forensic treatment clinics). An understanding of the practicalities and ethics of charging and billing for forensic services greatly simplifies practice management.

75 FR 14331 - Disaster Assistance Loan Program

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... meet current building code requirements. If your business is a major source of employment, SBA may..., granting tax exemption under sections 510(c), (d), or (e) of the Internal Revenue Code of 1954, or (2...; 8:45 am] BILLING CODE 8025-01-P ...

Suggested Sources for Teaching about the Bill of Rights.

ERIC Educational Resources Information Center

Pahl, Ronald H.

1991-01-01

Provides an annotated bibliography of materials for use in teaching about the Bill of Rights. Includes items selected for their breadth of instructional techniques, variety of sources, and uniqueness. States prices and directions for obtaining the materials. (SG)

Intellectual Freedom

ERIC Educational Resources Information Center

Knox, Emily

2011-01-01

Support for intellectual freedom, a concept codified in the American Library Association's Library Bill of Rights and Code of Ethics, is one of the core tenets of modern librarianship. According to the most recent interpretation of the Library Bill of Rights, academic librarians are encouraged to incorporate the principles of intellectual freedom…

A bill to amend title 38, United States Code, to reauthorize the Veterans' Advisory Committee on Education, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2012-06-11

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 18, United States Code, to include constrictor snakes of the species Python genera as an injurious animal.

THOMAS, 111th Congress

Sen. Nelson, Bill [D-FL

2009-02-03

Senate - 05/05/2010 Placed on Senate Legislative Calendar under General Orders. Calendar No. 365. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

South Carolina TEC Student Code.

ERIC Educational Resources Information Center

Edwards, C. A., Ed.; Kiser, J. A., Ed.

This student code has statewide application to South Carolina Technical Colleges and Technical Education Centers (TEC). Provisions are divided into eight articles: (1) General Provisions, including the purpose of a student code, the precept of internal solution of problems, and definitions; (2) Student Rights, including Bill of Rights protections;…

E/M coding problems plague physicians, coders.

PubMed

King, Mitchell S; Lipsky, Martin S; Sharp, Lisa

2002-01-01

As the government turns its high beams on fraudulent billing, physician E/M coding is raising questions. With several studies spotlighting the difficulty physicians have in applying CPT E/M codes, the authors wanted to know if credentialed coders had the same problem. Here's what they found.

A bill to amend title 5, United States Code, to provide that persons having seriously delinquent tax debts shall be ineligible for Federal employment.

THOMAS, 113th Congress

Sen. Coburn, Tom [R-OK

2013-05-23

Senate - 11/13/2014 Placed on Senate Legislative Calendar under General Orders. Calendar No. 596. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend the Internal Revenue Code of 1986 to allow taxpayers to designate overpayments of tax as contributions to the homeless veterans assistance fund.

THOMAS, 112th Congress

Sen. Boxer, Barbara [D-CA

2011-11-03

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to improve the Department of Veterans Affairs Health Professionals Educational Assistance Program, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-04-25

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to modify authorities relating to the collective bargaining of employees in the Veterans Health Administration.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-09-27

Senate - 11/19/2013 Committee on Veterans' Affairs. Ordered to be reported without amendment favorably. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 49, United States Code, to make technical and minor modifications to the positive train control requirements under chapter 201.

THOMAS, 112th Congress

Sen. Hutchison, Kay Bailey [R-TX

2011-02-08

Senate - 02/08/2011 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

19 CFR 24.26 - Automated Clearinghouse credit.

Code of Federal Regulations, 2013 CFR

2013-04-01

... transmit statement processing payments (see § 24.25) or deferred tax payments (see § 24.4) or bill payments... number or CBP assigned number); and 3-digit filer code. (c) Routing and format instructions. Following... number, entry or warehouse withdrawal number for a deferred tax payment, or bill number); payment type...

19 CFR 24.26 - Automated Clearinghouse credit.

Code of Federal Regulations, 2014 CFR

2014-04-01

... transmit statement processing payments (see § 24.25) or deferred tax payments (see § 24.4) or bill payments... number or CBP assigned number); and 3-digit filer code. (c) Routing and format instructions. Following... number, entry or warehouse withdrawal number for a deferred tax payment, or bill number); payment type...

A bill to amend chapter 83 of title 5, United States Code, to modify the computation for part-time service under the Civil Service Retirement System.

THOMAS, 111th Congress

Sen. Voinovich, George V. [R-OH

2009-02-25

Senate - 04/12/2010 Placed on Senate Legislative Calendar under General Orders. Calendar No. 341. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Adaptive bill morphology for enhanced tool manipulation in New Caledonian crows

PubMed Central

Matsui, Hiroshi; Hunt, Gavin R.; Oberhofer, Katja; Ogihara, Naomichi; McGowan, Kevin J.; Mithraratne, Kumar; Yamasaki, Takeshi; Gray, Russell D.; Izawa, Ei-Ichi

2016-01-01

Early increased sophistication of human tools is thought to be underpinned by adaptive morphology for efficient tool manipulation. Such adaptive specialisation is unknown in nonhuman primates but may have evolved in the New Caledonian crow, which has sophisticated tool manufacture. The straightness of its bill, for example, may be adaptive for enhanced visually-directed use of tools. Here, we examine in detail the shape and internal structure of the New Caledonian crow’s bill using Principal Components Analysis and Computed Tomography within a comparative framework. We found that the bill has a combination of interrelated shape and structural features unique within Corvus, and possibly birds generally. The upper mandible is relatively deep and short with a straight cutting edge, and the lower mandible is strengthened and upturned. These novel combined attributes would be functional for (i) counteracting the unique loading patterns acting on the bill when manipulating tools, (ii) a strong precision grip to hold tools securely, and (iii) enhanced visually-guided tool use. Our findings indicate that the New Caledonian crow’s innovative bill has been adapted for tool manipulation to at least some degree. Early increased sophistication of tools may require the co-evolution of morphology that provides improved manipulatory skills. PMID:26955788

75 FR 78707 - Medicare Program; First Semi-Annual Meeting of the Advisory Panel on Ambulatory Payment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-16

... hospital payment systems; hospital medical care delivery systems; provider billing and accounting systems; APC groups; Current Procedural Terminology codes; Health Care Common Procedure Coding System (HCPCS) codes; the use of, and payment for, drugs, medical devices, and other services in the outpatient setting...

Coding in Stroke and Other Cerebrovascular Diseases.

PubMed

Korb, Pearce J; Jones, William

2017-02-01

Accurate coding is critical for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of coding principles for patients with strokes and other cerebrovascular diseases and includes an illustrative case as a review of coding principles in a patient with acute stroke.

Clinical integration of billing for a pediatric nephrology and transplant program.

PubMed

Tietjen, Andrea L; Orsini, Jenoveva; Mulgaonkar, Shamkant; Morgan, Debbie

2003-09-01

To develop and implement a billing process that fully integrates all activities of a pediatric nephrology and transplant program, by facilitating and coordinating data from patients, physicians, hospitals, and third-party billing services to maximize revenues. Financial operations were analyzed via a randomized audit of patient charts that focused on office procedures and revenue collection. Results based on monthly reports documenting revenue received and outstanding, procedures billed, and patient registration accuracy. The combination of improvements in patient registration, chart documentation, new billing sheets with procedure and diagnosis codes, physician in-service education, upgraded charges, and the recredentialing of all practice physicians realized an increase in revenue collections from 18% in 2000 to 89% in 2001. The need to integrate and coordinate information is vital for both billing accuracy and revenue collections. Integration of clinical services and billing procedures has maximized performance, profitability, and accuracy while decreasing administrative time and costs.

Top 10 Tips for Using Advance Care Planning Codes in Palliative Medicine and Beyond.

PubMed

Jones, Christopher A; Acevedo, Jean; Bull, Janet; Kamal, Arif H

2016-12-01

Although recommended for all persons with serious illness, advance care planning (ACP) has historically been a charitable clinical service. Inadequate or unreliable provisions for reimbursement, among other barriers, have spurred a gap between the evidence demonstrating the importance of timely ACP and recognition by payers for its delivery. 1 For the first time, healthcare is experiencing a dramatic shift in billing codes that support increased care management and care coordination. ACP, chronic care management, and transitional care management codes are examples of this newer recognition of the value of these types of services. ACP discussions are an integral component of comprehensive, high-quality palliative care delivery. The advent of reimbursement mechanisms to recognize these services has an enormous potential to impact palliative care program sustainability and growth. In this article, we highlight 10 tips to effectively using the new ACP codes reimbursable under Medicare. The importance of documentation, proper billing, and nuances regarding coding is addressed.

Top 10 Tips for Using Advance Care Planning Codes in Palliative Medicine and Beyond

PubMed Central

Acevedo, Jean; Bull, Janet; Kamal, Arif H.

2016-01-01

Abstract Although recommended for all persons with serious illness, advance care planning (ACP) has historically been a charitable clinical service. Inadequate or unreliable provisions for reimbursement, among other barriers, have spurred a gap between the evidence demonstrating the importance of timely ACP and recognition by payers for its delivery.1 For the first time, healthcare is experiencing a dramatic shift in billing codes that support increased care management and care coordination. ACP, chronic care management, and transitional care management codes are examples of this newer recognition of the value of these types of services. ACP discussions are an integral component of comprehensive, high-quality palliative care delivery. The advent of reimbursement mechanisms to recognize these services has an enormous potential to impact palliative care program sustainability and growth. In this article, we highlight 10 tips to effectively using the new ACP codes reimbursable under Medicare. The importance of documentation, proper billing, and nuances regarding coding is addressed. PMID:27682147

Providing for consideration of the Senate amendment to the bill (H.R. 4853) to amend the Internal Revenue Code of 1986 to extend the funding and expenditure authority of the Airport and Airway Trust Fund, to amend title 49, United States Code, to extend authorizations for the airport improvement program, and for other purposes, and providing for consideration of motions to suspend the rules.

THOMAS, 111th Congress

Rep. Pingree, Chellie [D-ME-1

2010-12-01

House - 12/02/2010 On agreeing to the resolution Agreed to by the Yeas and Nays: 213 - 203 (Roll no. 597). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to improve the furnishing of benefits for homeless veterans who are women or who have dependents, and for other purposes.

THOMAS, 112th Congress

Sen. Heller, Dean [R-NV

2012-06-18

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-02-14

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 5, United States Code, to provide that agencies may not deduct labor organization dues from the pay of Federal employees, and for other purposes.

THOMAS, 112th Congress

Sen. DeMint, Jim [R-SC

2011-06-06

Senate - 06/06/2011 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 5, United States Code, to provide that persons having seriously delinquent tax debts shall be ineligible for Federal employment.

THOMAS, 111th Congress

Sen. Coburn, Tom [R-OK

2010-09-15

Senate - 09/16/2010 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 564. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend chapter 77 of title 5, United States Code, to clarify certain due process rights of Federal employees serving in sensitive positions, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-12-12

Senate - 12/12/2013 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend the definition of commercial motor vehicle in section 31101 of title 49, United States Code, to exclude certain farm vehicles, and for other purposes.

THOMAS, 111th Congress

Sen. Inhofe, James M. [R-OK

2009-03-19

Senate - 03/19/2009 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 10, United States Code, to modify the authorities and responsibilities of convening authorities in taking actions on the findings and sentences of courts-martial.

THOMAS, 113th Congress

Sen. McCaskill, Claire [D-MO

2013-03-12

Senate - 06/04/2013 Committee on Armed Services. Hearings held. Hearings printed: S.Hrg. 113-320. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 46, United States Code, to extend the exemption from the fire-retardant materials construction requirement for vessels operating within the Boundary Line.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-05-22

Senate - 05/22/2013 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend the limitation on liability for certain passenger rail accidents or incidents under section 28103 of title 49, United States Code, and for other purposes.

THOMAS, 111th Congress

Sen. Feinstein, Dianne [D-CA

2010-11-29

Senate - 11/29/2010 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require States to recognize the military experience of veterans when issuing licenses and credentials to veterans, and for other purposes.

THOMAS, 113th Congress

Sen. Burr, Richard [R-NC

2013-03-07

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to direct the Secretary of Veterans Affairs to establish a VetStar Award Program.

THOMAS, 112th Congress

Rep. Filner, Bob [D-CA-51

2011-02-18

Senate - 06/06/2011 Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

A bill to amend title 39, United States Code, to expand the definition of homeless veteran for purposes of benefits under the laws administered by the Secretary of Veterans Affairs.

THOMAS, 112th Congress

Sen. Begich, Mark [D-AK

2012-05-09

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

42 CFR 414.904 - Average sales price as the basis for payment.

Code of Federal Regulations, 2014 CFR

2014-10-01

... subsection (c), the term billing unit means the identifiable quantity associated with a billing and payment code, as established by CMS. (c) Single source drugs—(1) Average sales price. The average sales price... report as required by section 623(c) of the Medicare Prescription Drug, Improvement, and Modernization...

42 CFR 414.904 - Average sales price as the basis for payment.

Code of Federal Regulations, 2012 CFR

2012-10-01

... subsection (c), the term billing unit means the identifiable quantity associated with a billing and payment code, as established by CMS. (c) Single source drugs—(1) Average sales price. The average sales price... report as required by section 623(c) of the Medicare Prescription Drug, Improvement, and Modernization...

A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes.

THOMAS, 113th Congress

Sen. Merkley, Jeff [D-OR

2013-11-14

Senate - 11/14/2013 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide replacement automobiles for certain disabled veterans and members of the Armed Forces, and for other purposes.

THOMAS, 113th Congress

Sen. Sanders, Bernard [I-VT

2013-10-28

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To amend title 44, United States Code, to eliminate the mandatory printing of bills and resolutions for the use of offices of Members of Congress.

THOMAS, 112th Congress

Rep. Lee, Christopher J. [R-NY-26

2011-01-12

Senate - 01/25/2011 Received in the Senate and Read twice and referred to the Committee on Rules and Administration. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

A bill to amend title 18, United States Code, to prohibit the intentional discrimination of a person or organization by an employee of the Internal Revenue Service.

THOMAS, 113th Congress

Sen. Cruz, Ted [R-TX

2014-02-27

Senate - 03/03/2014 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 311. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Access to Electronic Information, Services, and Networks: An Interpretation of the Library Bill of Rights.

ERIC Educational Resources Information Center

American Library Association, Chicago, IL. Office of Intellectual Freedom.

The American Library Association (ALA) expresses the basic principles of librarianship in its "Code of Ethics" and in the "Library Bill of Rights" and its interpretations. All library system and network policies, procedures or regulations relating to electronic resources and services should be scrutinized for potential…

Bar Coding the U. S. Government Bill of Lading and the Material Inspection and Receiving Report.

DTIC Science & Technology

1984-12-01

of respondents K because some of the replies did not respond to this question.) TABLE 3-2. DD 250 PROCESSING CAPABILITIES AUTOMiATED - BAR CODE...Proposed minimum data elements (both human readable and bar coded) required and why? (3) Proposed signature requirement changes and why? (4) Proposed

75 FR 51465 - Medicare Program; Announcement of Five New Members to the Advisory Panel on Ambulatory Payment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-20

... Panel. This expertise encompasses hospital payment systems; hospital medical-care delivery systems; provider billing systems; APC groups, Current Procedural Terminology codes, and alpha-numeric Healthcare Common Procedure Coding System codes; and the use of, and payment for, drugs and medical devices in the...

Cable-Porn and Dial-A-Porn Control Act. Hearing before the Subcommittee on Criminal Law of the Committee on the Judiciary. United States Senate, Ninety-Ninth Congress, First Session on S. 1090. A Bill to Amend Section 1464 of Title 18, United States Code, Relating to Broadcasting Obscene Language, and for Other Purposes (July 31, 1985).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

A Senate hearing on the cable porn and dial-a-porn control bill is presented in this document. Opening statements by Senators Jeremiah Denton, Arlen Specter, and Jesse Helms discuss the need for this bill and its content. The text of the bill itself is included. Jack D. Smith, General Counsel of the Federal Communications Commission (FCC)…

75 FR 19415 - Agency Information Collection Activities: Proposed Collection; Comment Request, 1660-0022...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-14

... implement practices, such as building codes and public education activities, that are considered to reduce..., Department of Homeland Security. [FR Doc. 2010-8496 Filed 4-13-10; 8:45 am] BILLING CODE 9110-11-P ...

Coding in Muscle Disease.

PubMed

Jones, Lyell K; Ney, John P

2016-12-01

Accurate coding is critically important for clinical practice and research. Ongoing changes to diagnostic and billing codes require the clinician to stay abreast of coding updates. Payment for health care services, data sets for health services research, and reporting for medical quality improvement all require accurate administrative coding. This article provides an overview of administrative coding for patients with muscle disease and includes a case-based review of diagnostic and Evaluation and Management (E/M) coding principles in patients with myopathy. Procedural coding for electrodiagnostic studies and neuromuscular ultrasound is also reviewed.

A bill to amend title 13, United States Code, to provide for the more accurate and complete enumeration of certain overseas Americans in the decennial census, and for other purposes.

THOMAS, 112th Congress

Sen. Hatch, Orrin G. [R-UT

2011-03-30

Senate - 03/30/2011 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 5, United States Code, to require that the Office of Personnel Management submit an annual report to Congress relating to the use of official time by Federal employees.

THOMAS, 113th Congress

Sen. Coburn, Tom [R-OK

2013-07-23

Senate - 07/23/2013 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

75 FR 57056 - Notice of Availability of the Draft Buffalo Resource Management Plan Amendment for the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-17

... further information contact Thomas Bills, Buffalo RMPA Team Leader, telephone at 307-684-1133; mailing..., threatened and endangered species, visual resources, air quality, wilderness characteristics, and other.... Donald A. Simpson, State Director. [FR Doc. 2010-23330 Filed 9-16-10; 8:45 am] BILLING CODE 4310-22-P ...

A bill to amend title 38, United States Code, to extend the Yellow Ribbon G.I. Education Enhancement Program to cover recipients of Marine Gunnery Sergeant John David Fry scholarship, and for other purposes.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-03-11

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend the Internal Revenue Code of 1986 with respect to the proper tax treatment of certain indebtedness discharged in 2009 or 2010, and for other purposes.

THOMAS, 111th Congress

Sen. Ensign, John [R-NV

2009-01-06

Senate - 01/07/2009 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 11. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Fair Use and Unpublished Works. Joint Hearing on S. 2370 and H.R. 4263, Bills To Amend Section 107 of Title 17, United States Code...before the Subcommittee on Patents, Copyrights, and Trademarks of the Senate Committee on the Judiciary and the Subcommittee on Courts, Intellectual Property, and the Administration of Justice of the House Committee on the Judiciary.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on the Judiciary.

This hearing was called to consider two bills that would amend the section of the United States Code relating to fair use, to clarify that such section applies to both published and unpublished copyrighted works. Recent judicial developments are reviewed which suggest that the fair use doctrine does not apply to the subsequent uses of unpublished…

47 CFR 64.1504 - Restrictions on the use of toll-free numbers.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., debit, prepaid account, phone bill, or credit or calling card and, if a subscriber elects to pay by means of phone bill, a clear explanation that the subscriber will be assessed for calls made to the information service from the subscriber's phone line; (vii) A unique personal identification number or other...

Providing for consideration of the bill (H.R. 4138) to protect the separation of powers in the Constitution of the United States by ensuring that the President takes care that the laws be faithfully executed, and for other purposes, and providing for consideration of the bill (H.R. 3973) to amend section 530D of title 28, United States Code.

THOMAS, 113th Congress

Rep. Nugent, Richard B. [R-FL-11

2014-03-11

House - 03/12/2014 On agreeing to the resolution Agreed to by recorded vote: 229 - 192 (Roll no. 119). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Using electronic medical records to enable large-scale studies in psychiatry: treatment resistant depression as a model

PubMed Central

Perlis, R. H.; Iosifescu, D. V.; Castro, V. M.; Murphy, S. N.; Gainer, V. S.; Minnier, J.; Cai, T.; Goryachev, S.; Zeng, Q.; Gallagher, P. J.; Fava, M.; Weilburg, J. B.; Churchill, S. E.; Kohane, I. S.; Smoller, J. W.

2013-01-01

Background Electronic medical records (EMR) provide a unique opportunity for efficient, large-scale clinical investigation in psychiatry. However, such studies will require development of tools to define treatment outcome. Method Natural language processing (NLP) was applied to classify notes from 127 504 patients with a billing diagnosis of major depressive disorder, drawn from out-patient psychiatry practices affiliated with multiple, large New England hospitals. Classifications were compared with results using billing data (ICD-9 codes) alone and to a clinical gold standard based on chart review by a panel of senior clinicians. These cross-sectional classifications were then used to define longitudinal treatment outcomes, which were compared with a clinician-rated gold standard. Results Models incorporating NLP were superior to those relying on billing data alone for classifying current mood state (area under receiver operating characteristic curve of 0.85–0.88 v. 0.54–0.55). When these cross-sectional visits were integrated to define longitudinal outcomes and incorporate treatment data, 15% of the cohort remitted with a single antidepressant treatment, while 13% were identified as failing to remit despite at least two antidepressant trials. Non-remitting patients were more likely to be non-Caucasian (p<0.001). Conclusions The application of bioinformatics tools such as NLP should enable accurate and efficient determination of longitudinal outcomes, enabling existing EMR data to be applied to clinical research, including biomarker investigations. Continued development will be required to better address moderators of outcome such as adherence and co-morbidity. PMID:21682950

A bill to repeal an obsolete provision in title 49, United States Code, requiring motor vehicle insurance cost reporting.

THOMAS, 112th Congress

Sen. Klobuchar, Amy [D-MN

2012-12-04

Senate - 12/04/2012 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Notes: For further action, see H.R.5859, which became Public Law 112-252 on 1/10/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 5, United States Code, to provide that persons having seriously delinquent tax debts shall be ineligible for Federal employment.

THOMAS, 112th Congress

Sen. Coburn, Tom [R-OK

2011-02-17

Senate - 05/09/2011 Committee on Homeland Security and Governmental Affairs referred to Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require judges of the United States Court of Appeals for Veterans Claims to reside within fifty miles of the District of Columbia, and for other purposes.

THOMAS, 112th Congress

Sen. Burr, Richard [R-NC

2012-01-31

House - 01/02/2013 Referred to the Subcommittee on Disability Assistance and Memorial Affairs. (All Actions) Tracker: This bill has the status Passed SenateHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to improve the approval and disapproval of programs of education for purposes of educational benefits under laws administered by the Secretary of Veterans Affairs, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-09-26

Senate - 06/13/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-567. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Providing for consideration of the bill (H.R. 9) to amend the Internal Revenue Code of 1986 to provide a deduction for domestic business income of qualified small businesses.

THOMAS, 112th Congress

Rep. Sessions, Pete [R-TX-32

2012-04-17

House - 04/19/2012 On agreeing to the resolution, as amended Agreed to by recorded vote: 234 - 178 (Roll no. 173). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

A bill to amend the Internal Revenue Code of 1986 to include vaccines against seasonal influenza within the definition of taxable vaccines.

THOMAS, 113th Congress

Sen. Baucus, Max [D-MT

2013-02-27

Senate - 02/27/2013 Read twice and referred to the Committee on Finance. (All Actions) Notes: For further action, see H.R.475, which became Public Law 113-15 on 6/25/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

32 CFR 623.4 - Accounting procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... or O) indicating which loan of the day is first; e.g., A-first, B-second, etc. 51 “M”. 52-53 “G4” for... commercial bills of lading (CBL). Freight charges will be paid by the borrower. The CBL will cite proper project codes. NOTE: In emergencies where use of CBL would delay shipment, government bills of lading (GBL...

77 FR 40492 - Revocation of Class D Airspace; Andalusia, AL; and Amendment of Class E Airspace; Fort Rucker, AL

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-10

... Alabama Regional Airport at Bill Benton Field has closed, and amends Class E Airspace at Fort Rucker, AL, by recognizing the airport's name change to South Alabama Regional Airport at Bill Benton Field. This... reference action under title 1, Code of Federal Regulations, part 51, subject to the annual revision of FAA...

77 FR 21510 - Proposed Revocation of Class D Airspace; Andalusia, AL and Proposed Amendment of Class E Airspace...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-10

... Andalusia, AL, as the Air Traffic Control Tower at South Alabama Regional Airport at Bill Benton Field has... Alabama Regional Airport at Bill Benton Field. This action also would update the geographic coordinates of... 1, Code of Federal Regulations, part 51, subject to the annual revision of FAA, Order 7400.9 and...

32 CFR 623.4 - Accounting procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... or O) indicating which loan of the day is first; e.g., A-first, B-second, etc. 51 “M”. 52-53 “G4” for... commercial bills of lading (CBL). Freight charges will be paid by the borrower. The CBL will cite proper project codes. NOTE: In emergencies where use of CBL would delay shipment, government bills of lading (GBL...

A bill to amend title 38, United States Code, to include contracts and grants for residential care for veterans in the exception to the requirement that the Federal Government recover a portion of the value of certain projects.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-09-24

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

19 CFR 24.26 - Automated Clearinghouse credit.

Code of Federal Regulations, 2010 CFR

2010-04-01

...; payer identification number (importer number or Social Security number or Customs assigned number); and...; payer identifier (importer number or Social Security number or Customs assigned number or filer code if... or warehouse withdrawal number for a deferred tax payment, or bill number); payment type code...

26 CFR 1.0-1 - Internal Revenue Code of 1954 and regulations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... INCOME TAXES § 1.0-1 Internal Revenue Code of 1954 and regulations. (a) Enactment of law. The Internal Revenue Code of 1954 which became law upon enactment of Public Law 591, 83d Congress, approved August 16... references. The date of enactment, bill number, public law number, and chapter number, shall be printed as a...

26 CFR 1.0-1 - Internal Revenue Code of 1954 and regulations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... INCOME TAXES § 1.0-1 Internal Revenue Code of 1954 and regulations. (a) Enactment of law. The Internal Revenue Code of 1954 which became law upon enactment of Public Law 591, 83d Congress, approved August 16... references. The date of enactment, bill number, public law number, and chapter number, shall be printed as a...

26 CFR 1.0-1 - Internal Revenue Code of 1954 and regulations.

Code of Federal Regulations, 2012 CFR

2012-04-01

... INCOME TAXES § 1.0-1 Internal Revenue Code of 1954 and regulations. (a) Enactment of law. The Internal Revenue Code of 1954 which became law upon enactment of Public Law 591, 83d Congress, approved August 16... references. The date of enactment, bill number, public law number, and chapter number, shall be printed as a...

26 CFR 1.0-1 - Internal Revenue Code of 1954 and regulations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... INCOME TAXES § 1.0-1 Internal Revenue Code of 1954 and regulations. (a) Enactment of law. The Internal Revenue Code of 1954 which became law upon enactment of Public Law 591, 83d Congress, approved August 16... references. The date of enactment, bill number, public law number, and chapter number, shall be printed as a...

26 CFR 1.0-1 - Internal Revenue Code of 1954 and regulations.

Code of Federal Regulations, 2013 CFR

2013-04-01

... INCOME TAXES § 1.0-1 Internal Revenue Code of 1954 and regulations. (a) Enactment of law. The Internal Revenue Code of 1954 which became law upon enactment of Public Law 591, 83d Congress, approved August 16... references. The date of enactment, bill number, public law number, and chapter number, shall be printed as a...

Using support vector machines to detect medical fraud and abuse.

PubMed

Francis, Charles; Pepper, Noah; Strong, Homer

2011-01-01

This paper examines the architecture and efficacy of Quash, an automated medical bill processing system capable of bill routing and abuse detection. Quash is designed to be used in conjunction with human auditors and a standard bill review software platform to provide a complete cost containment solution for medical claims. The primary contribution of Quash is to provide a real world speed up for medical fraud detection experts in their work. There will be a discussion of implementation details and preliminary experimental results. In this paper we are entirely focused on medical data and billing patterns that occur within the United States, though these results should be applicable to any financial transaction environment in which structured coding data can be mined.

A bill to amend the Internal Revenue Code of 1986 to provide for the treatment of Department of Defense health coverage as minimal essential coverage.

THOMAS, 111th Congress

Sen. Webb, Jim [D-VA

2010-03-22

Senate - 03/22/2010 Read twice and referred to the Committee on Finance. (All Actions) Notes: For further action, see H.R.4887, which became Public Law 111-159 on 4/26/2010. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to improve the disability compensation evaluation procedure of the Secretary of Veterans Affairs for veterans with post-traumatic stress disorder or mental health conditions related to military sexual trauma, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-07-20

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To enact certain laws relating to public contracts as title 41, United States Code, "Public Contracts".

THOMAS, 111th Congress

Rep. Conyers, John, Jr. [D-MI-14

2009-02-23

01/04/2011 Became Public Law No: 111-350. (TXT | PDF) (All Actions) Notes: A page further explaining the bill is available from the Office of the Law Revision Counsel at http://uscode.house.gov/codification/t41/index.html. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

A bill to amend section 5542 of title 5, United States Code, to provide that any hours worked by Federal firefighters under a qualified trade-of-time arrangement shall be excluded for purposes of determinations relating to overtime pay.

THOMAS, 112th Congress

Sen. Webb, Jim [D-VA

2011-03-09

Senate - 03/09/2011 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to transport individuals to and from facilities of the Department of Veterans Affairs in connection with rehabilitation, counseling, examination, treatment, and care, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-03-05

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 46, United States Code, to modify the vessels eligible for a fishery endorsement, and for other purposes.

THOMAS, 111th Congress

Sen. Murray, Patty [D-WA

2009-05-21

Senate - 05/21/2009 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Notes: For further action, see H.R.3619, which became Public Law 111-281 on 10/15/2010. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel in connection with certain special disabilities rehabilitation, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-03-21

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel for certain special disabilities rehabilitation, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-10-20

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 10, United States Code, to provide for continuity of TRICARE Standard coverage for certain members of the Retired Reserve.

THOMAS, 111th Congress

Sen. Nelson, Ben [D-NE

2009-03-26

Senate - 03/26/2009 Read twice and referred to the Committee on Armed Services. (All Actions) Notes: For further action, see H.R.2647, which became Public Law 111-84 on 10/28/2009. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To enact title 54, United States Code, "National Park Service and Related Programs", as positive law.

THOMAS, 113th Congress

Rep. Goodlatte, Bob [R-VA-6

2013-03-12

12/19/2014 Became Public Law No: 113-287. (TXT | PDF) (All Actions) Notes: A page further explaining the bill is available from the Office of the Law Revision Counsel at http://uscode.house.gov/codification/t54/index.html. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to repeal the prohibition on collective bargaining with respect to matters and questions regarding compensation of employees of the Department of Veterans Affairs other than rates of basic pay, and for other purposes.

THOMAS, 111th Congress

Sen. Brown, Sherrod [D-OH

2010-06-15

Senate - 09/02/2010 Placed on Senate Legislative Calendar under General Orders. Calendar No. 558. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to repeal the prohibition on collective bargaining with respect to matters and questions regarding compensation of employees of the Department of Veterans Affairs other than rates of basic pay, and for other purposes.

THOMAS, 112th Congress

Sen. Brown, Sherrod [D-OH

2011-03-14

Senate - 09/06/2011 Placed on Senate Legislative Calendar under General Orders. Calendar No. 148. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to update the Service-Disabled Veterans Insurance program to base premium rates on the Commissioners 2001 Standard Ordinary Mortality Table instead of the Commissioners 1941 Standard Ordinary Table of Mortality.

THOMAS, 113th Congress

Sen. Sanders, Bernard [I-VT

2013-10-28

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 36, United States Code, to grant a Federal charter to the Military Officers Association of America, and for other purposes.

THOMAS, 111th Congress

Sen. Nelson, Bill [D-FL

2009-07-14

Senate - 07/14/2009 Read twice and referred to the Committee on the Judiciary. (All Actions) Notes: For further action, see S.832, which became Public Law 111-95 on 11/6/2009. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require the Secretary of Labor to establish minimum funding levels for States for the support of disabled veterans' outreach program specialists and local veterans' employment representatives, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-06-30

Senate - 06/13/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-567. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

75 FR 34634 - Privacy Act; Implementation

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-18

... DEPARTMENT OF DEFENSE National Geospatial-Intelligence Agency 32 CFR Part 320 Privacy Act; Implementation CFR Correction In Title 32 of the Code of Federal Regulations, Parts 191 to 399, revised as of...-INTELLIGENCE AGENCY (NGA) PRIVACY [FR Doc. 2010-14884 Filed 6-17-10; 8:45 am] BILLING CODE 1505-01-D ...

To make improvements in the enactment of title 41, United States Code, into a positive law title and to improve the Code.

THOMAS, 112th Congress

Rep. Smith, Lamar [R-TX-21

2012-07-09

Senate - 09/12/2012 Received in the Senate and Read twice and referred to the Committee on the Judiciary. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

77 FR 59629 - Statutorily Mandated Designation of Difficult Development Areas for 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-28

... Economist, Economic Development and Public Finance Division, Office of Policy Development and Research... evaluative list of metropolitan zip codes that would be designated Small Area DDAs using this methodology and... Research. [FR Doc. 2012-23900 Filed 9-27-12; 8:45 am] BILLING CODE 4210-67-P ...

75 FR 61139 - Board of Scientific Counselors (BOSC); Request for Nominations of Experts

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-04

.... Heather Drumm, Mail Code 8104-R, Office of Science Policy, Office of Research and Development... and bioinformatics); socioeconomics; environmental justice, science policy (research, policy, and.... Acting Director, Office of Science Policy . [FR Doc. 2010-24805 Filed 10-1-10; 8:45 am] BILLING CODE 6560...

77 FR 43645 - Petition for Waiver of Compliance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-25

...] Petition for Waiver of Compliance In accordance with Part 211 of Title 49 of the Code of Federal... Transportation (CSX), has petitioned the Federal Railroad Administration (FRA) for a waiver of compliance from... Compliance. [FR Doc. 2012-18081 Filed 7-24-12; 8:45 am] BILLING CODE 4910-06-P ...

Patterns and predictors of enactment of state childhood obesity legislation in the United States: 2006-2009.

PubMed

Eyler, Amy A; Nguyen, Leah; Kong, Jooyoung; Yan, Yan; Brownson, Ross

2012-12-01

We developed a content review for state policies related to childhood obesity, and we have quantitatively described the predictors of enactment. We collected an inventory of 2006 through 2009 state legislation on 27 childhood obesity topics from legislative databases. We coded each bill for general information, topic content, and other appropriate components. We conducted a general descriptive analysis and 3 multilevel analyses using bill- and state-level characteristics to predict bill enactment. Common topics in the 27% of the bills that were enacted were community physical activity access, physical education, and school food policy. Committee and bipartisan sponsorship and having term limits significantly predicted enactment in at least 1 model. Bills with safe routes to school or health and nutrition content were twice as likely to be enacted. Bills containing product and menu labeling or soda and snack taxes were significantly less likely to be enacted. Bipartisan and committee support and term limits are important in bill enactment. Advocacy efforts can be tailored to increase awareness and sense of priority among policymakers.

Patterns and Predictors of Enactment of State Childhood Obesity Legislation in the United States: 2006–2009

PubMed Central

Nguyen, Leah; Kong, Jooyoung; Yan, Yan; Brownson, Ross

2012-01-01

Objectives. We developed a content review for state policies related to childhood obesity, and we have quantitatively described the predictors of enactment. Methods. We collected an inventory of 2006 through 2009 state legislation on 27 childhood obesity topics from legislative databases. We coded each bill for general information, topic content, and other appropriate components. We conducted a general descriptive analysis and 3 multilevel analyses using bill- and state-level characteristics to predict bill enactment. Results. Common topics in the 27% of the bills that were enacted were community physical activity access, physical education, and school food policy. Committee and bipartisan sponsorship and having term limits significantly predicted enactment in at least 1 model. Bills with safe routes to school or health and nutrition content were twice as likely to be enacted. Bills containing product and menu labeling or soda and snack taxes were significantly less likely to be enacted. Conclusions. Bipartisan and committee support and term limits are important in bill enactment. Advocacy efforts can be tailored to increase awareness and sense of priority among policymakers. PMID:23078482

3 CFR 8464 - Proclamation 8464 of December 9, 2009. Human Rights Day, Bill of Rights Day, And Human Rights...

Code of Federal Regulations, 2010 CFR

2010-01-01

... culture is unique, certain rights are universal: the freedom of people—including women and ethnic and... are the core of our Declaration of Independence, our Constitution, and our Bill of Rights. They are... fundamental values is one of America’s greatest strengths and the reason we stand in solidarity with those who...

A bill to amend title 36, United States Code, to improve the Federal charter for the Veterans of Foreign Wars of the United States, and for other purposes.

THOMAS, 113th Congress

Sen. Sanders, Bernard [I-VT

2014-09-09

Senate - 09/09/2014 Read twice and referred to the Committee on the Judiciary. (All Actions) Notes: For further action, see H.R.5441, which became Public Law 113-199 on 12/4/2014. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to provide that section 3330a, 3330b, and 3330c of title 5, United States Code, relating to administrative and judicial redress and remedies for preference eligibles, shall apply with respect to the Federal Aviation Administration and the Transportation Security Administration.

THOMAS, 112th Congress

Sen. Akaka, Daniel K. [D-HI

2011-11-10

Senate - 06/13/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-567. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to modify the commencement date of the period of service at Camp Lejeune, North Carolina, for eligibility for hospital care and medical services in connection with exposure to contaminated water, and for other purposes.

THOMAS, 113th Congress

Sen. Burr, Richard [R-NC

2013-03-12

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend chapter 63 of title 5, United States Code, to modify the rate of accrual of annual leave for administrative law judges, contract appeals board members, and immigration judges.

THOMAS, 111th Congress

Sen. Akaka, Daniel K. [D-HI

2009-06-10

Senate - 07/16/2009 Committee on Homeland Security and Governmental Affairs referred to Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To enact certain laws relating to national and commercial space programs as title 51, United States Code, "National and Commercial Space Programs".

THOMAS, 111th Congress

Rep. Conyers, John, Jr. [D-MI-14

2009-07-16

12/18/2010 Became Public Law No: 111-314. (TXT | PDF) (All Actions) Notes: A page further explaining the bill is available from the Office of the Law Revision Counsel at http://uscode.house.gov/codification/t51/index.html. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require the Secretary of Veterans Affairs, in cases of overpayments of educational assistance under Post-9/11 Educational Assistance, to deduct amounts for repayment from the last months of educational assistance entitlement, and for other purposes.

THOMAS, 113th Congress

Sen. Bennet, Michael F. [D-CO

2013-05-13

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To enact title 54, United States Code, "National Park System", as positive law.

THOMAS, 112th Congress

Rep. Smith, Lamar [R-TX-21

2011-05-23

Senate - 08/02/2012 Received in the Senate and Read twice and referred to the Committee on the Judiciary. (All Actions) Notes: A page further explaining the bill is available from the Office of the Law Revision Counsel at http://uscode.house.gov/codification/t54/index.html. Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment.

THOMAS, 113th Congress

Sen. Hirono, Mazie K. [D-HI

2013-10-28

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide additional educational assistance under Post-9/11 Educational Assistance to veterans pursuing a degree in science, technology, engineering, math, or an area that leads to employment in a high-demand occupation, and for other purposes.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-03-11

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to protect certain veterans who would otherwise be subject to a reduction in educational assistance benefits, and for other purposes.

THOMAS, 112th Congress

Sen. Schumer, Charles E. [D-NY

2011-04-06

Senate - 07/19/2011 Placed on Senate Legislative Calendar under General Orders. Calendar No. 105. (All Actions) Notes: For further action, see H.R.1383, which became Public Law 112-26 on 8/3/2011. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To make revisions in title 36, United States Code, as necessary to keep the title current and make technical corrections and improvements.

THOMAS, 113th Congress

Rep. Goodlatte, Bob [R-VA-6

2013-03-12

12/18/2014 Became Public Law No: 113-237. (TXT | PDF) (All Actions) Notes: A page further explaining the bill is available from the Office of the Law Revision Counsel at http://uscode.house.gov/codification/t36/index.html. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

Veterans Benefits: Merchant Seamen

DTIC Science & Technology

2007-05-08

Bill of Rights, available at [http://www.gibill.va.gov/GI_Bill_Info/history.htm]. a job, and not taken advantage of the veterans benefits even if they...veterans (of World War II and Korea) took advantage of the education benefits and participated in an education or training program.48 Limitation on...Order Code RL33992 Veterans Benefits : Merchant Seamen May 8, 2007 Christine Scott Specialist in Tax Economics Domestic Social Policy Division

An original bill to amend title 38, United States Code, to improve Servicemembers' Group Life Insurance and Veterans' Group Life Insurance and to modify the provision of compensation and pension to surviving spouses of veterans in months of the deaths of the veterans, and for other purposes.

THOMAS, 111th Congress

Sen. Akaka, Daniel K. [D-HI

2010-09-02

Senate - 09/02/2010 Placed on Senate Legislative Calendar under General Orders. Calendar No. 553. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Texas

USGS Publications Warehouse

,

1999-01-01

In 1997, the Texas Legislature passed a comprehensive revision to the Texas Water Code. This legislation (Senate Bill 1) changed water planning in Texas from a statewide to a regional activity. By September 2001, the 16 regions created by Senate Bill 1 must produce water plans to address their water needs during drought-of-record conditions, and must identify water-management strategies for periods when streamflows, reservoir storage, and groundwater levels are 50 and 75 percent of normal.

Preparing a cost analysis for the section of medical physics-guidelines and methods.

PubMed

Mills, M D; Spanos, W J; Jose, B O; Kelly, B A; Brill, J P

2000-01-01

Radiation oncology is a highly complex medical specialty, involving many varied routine and special procedures. To assure cost-effectiveness and maintain support for the medical physics program, managers are obligated to analyze and defend all aspects of an institutional billing and cost-reporting program. Present standards of practice require that each patient's radiation treatments be customized to fit his/her particular condition. Since the use of personnel time and other resources is highly variable among patients, graduated levels of charges have been established to allow for more precise billing. Some radiation oncology special procedures have no specific code descriptors; so existing codes are modified or additional information attached in order to avoid payment denial. Recent publications have explored the manpower needs, salaries, and other resources required to perform radiation oncology "physics" procedures. This information is used to construct a model cost-based resource use profile for a radiation oncology center. This profile can be used to help the financial officer prepare a cost report for the institution. Both civil and criminal penalties for Medicare fraud and abuse (intentional or unintentional) are included in the False Claims Act and other statutes. Compliance guidelines require managers to train all personnel in correct billing procedures and to review continually billing performance.

Evaluation of an automated inferencing engine generating ICD-9CM codes for physician and hospital billing.

PubMed

Behta, Maryam; Friedman, Glenna; Manber, Maxine; Jordan, Desmond

2008-11-06

Recent Medicare changes to Severity Diagnosis Related Groups (MS-DRGs) for inpatients have made the appropriate and timely coding of services provided by hospitals and physicians a challenge, and require education for clinicians and coders. Clinical departments have limited funds to hire dedicated personnel to code and prepare payor submissions. Automating the process can assist in accurate data collection and reimbursement.

Evaluating Coding Accuracy in General Surgery Residents' Accreditation Council for Graduate Medical Education Procedural Case Logs.

PubMed

Balla, Fadi; Garwe, Tabitha; Motghare, Prasenjeet; Stamile, Tessa; Kim, Jennifer; Mahnken, Heidi; Lees, Jason

The Accreditation Council for Graduate Medical Education (ACGME) case log captures resident operative experience based on Current Procedural Terminology (CPT) codes and is used to track operative experience during residency. With increasing emphasis on resident operative experiences, coding is more important than ever. It has been shown in other surgical specialties at similar institutions that the residents' ACGME case log may not accurately reflect their operative experience. What barriers may influence this remains unclear. As the only objective measure of resident operative experience, an accurate case log is paramount in representing one's operative experience. This study aims to determine the accuracy of procedural coding by general surgical residents at a single institution. Data were collected from 2 consecutive graduating classes of surgical residents' ACGME case logs from 2008 to 2014. A total of 5799 entries from 7 residents were collected. The CPT codes entered by residents were compared to departmental billing records submitted by the attending surgeon for each procedure. Assigned CPT codes by institutional American Academy of Professional Coders certified abstract coders were considered the "gold standard." A total of 4356 (75.12%) of 5799 entries were identified in billing records. Excel 2010 and SAS 9.3 were used for analysis. In the event of multiple codes for the same patient, any match between resident codes and billing record codes was considered a "correct" entry. A 4-question survey was distributed to all current general surgical residents at our institution for feedback on coding habits, limitations to accurate coding, and opinions on ACGME case log representation of their operative experience. All 7 residents had a low percentage of correctly entered CPT codes. The overall accuracy proportion for all residents was 52.82% (range: 43.32%-60.07%). Only 1 resident showed significant improvement in accuracy during his/her training (p = 0.0043). The survey response rate was 100%. Survey results indicated that inability to find the precise code within the ACGME search interface and unfamiliarity with available CPT codes were by far the most common perceived barriers to accuracy. Survey results also indicated that most residents (74%) believe that they code accurately most of the time and agree that their case log would accurately represent their operative experience (66.6%). This is the first study to evaluate correctness of residents' ACGME case logs in general surgery. The degree of inaccuracy found here necessitates further investigation into the etiology of these discrepancies. Instruction on coding practices should also benefit the residents after graduation. Optimizing communication among attendings and residents, improving ACGME coding search interface, and implementing consistent coding practices could improve accuracy giving a more realistic view of residents' operative experience. Published by Elsevier Inc.

Practicing medicine in a new environment: what can we learn from the business managers?

PubMed

Frezza, Eldo Ermenegildo; Wachtel, Mitchell S

2006-01-01

Physicians, once only responsible for patient care, now are responsible for their organization's management. Although this paradigm shift occasioned much opposition, most aspects of this change are improving as the rules are reevaluated and reconsidered. Physician managers have difficult tasks for which medical school provides no preparation. Employees must be individually evaluated, so their unique talents can be properly exploited and appropriately compensated. Each person's weaknesses must be improved upon with delicacy, while his or her strengths are given greater and greater focus. This is especially true with regards to billing and coding because the financial health of all healthcare businesses requires organizational competence in this arena. It is vital to have an understanding of each staff member's skills, talents, and knowledge, and a proper deployment of each person into the appropriate job. The goal of any manager is a group of satisfied employees who enjoy their work and make appropriately recognized contributions.

26 CFR 51.4T - Information provided by the agencies (temporary).

Code of Federal Regulations, 2013 CFR

2013-04-01

... sales price (ASP) for each Healthcare Common Procedure Coding System (HCPCS) code for the sales year...IdentifiableDataFiles/03_PartBNationalSummaryDataFile.asp to obtain the number of allowed billing units per... respective NDCs) manufactured by a single entity, CMS will multiply the annual weighted ASP by the total...

26 CFR 51.4T - Information provided by the agencies (temporary).

Code of Federal Regulations, 2014 CFR

2014-04-01

... sales price (ASP) for each Healthcare Common Procedure Coding System (HCPCS) code for the sales year...IdentifiableDataFiles/03_PartBNationalSummaryDataFile.asp to obtain the number of allowed billing units per... respective NDCs) manufactured by a single entity, CMS will multiply the annual weighted ASP by the total...

26 CFR 51.4T - Information provided by the agencies (temporary).

Code of Federal Regulations, 2012 CFR

2012-04-01

... sales price (ASP) for each Healthcare Common Procedure Coding System (HCPCS) code for the sales year...IdentifiableDataFiles/03_PartBNationalSummaryDataFile.asp to obtain the number of allowed billing units per... respective NDCs) manufactured by a single entity, CMS will multiply the annual weighted ASP by the total...

75 FR 32857 - Academic Competitiveness Grant (ACG) and National Science and Mathematics Access To Retain Talent...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-10

... and Mathematics Access To Retain Talent Grant (National Smart Grant) Programs CFR Correction In Title 34 of the Code of Federal Regulations, Part 400 to End, revised as of July 1, 2009, on page 978, in...; 8:45 am] BILLING CODE 1505-01-D ...

76 FR 32989 - Request for Certification of Compliance-Rural Industrialization Loan and Grant Program

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-07

.../Purpose: The loan, guarantee, or grant application is to obtain financing for infrastructure updates... will be located in Burlington, Iowa. The NAICS industry code for this enterprise is: 311812 (commercial..., Assistant Secretary for Employment and Training. [FR Doc. 2011-13937 Filed 6-6-11; 8:45 am] BILLING CODE...

75 FR 78246 - Medicare Program; Re-Chartering of the Advisory Panel on Ambulatory Payment Classification (APC...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-15

... Administrator among the fields of hospital payment systems; hospital medical care delivery systems; provider billing and accounting systems; APC groups; Current Procedural Terminology codes; HCPCS codes; the use of, and payment for, drugs, medical devices, and other services in the outpatient setting; and other forms...

78 FR 62411 - Delegation of Authority Under Sections 552(c)(2) and 614 of the Foreign Assistance Act of 1961...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-21

... laws of the United States of America, including section 301 of title 3, United States Code, I hereby... and the SMC without regard to any other provision of law within the purview of section 614(a)(1) of...] Billing code 3295-F4 ...

Transition to international classification of disease version 10, clinical modification: the impact on internal medicine and internal medicine subspecialties.

PubMed

Caskey, Rachel N; Abutahoun, Angelos; Polick, Anne; Barnes, Michelle; Srivastava, Pavan; Boyd, Andrew D

2018-05-04

The US health care system uses diagnostic codes for billing and reimbursement as well as quality assessment and measuring clinical outcomes. The US transitioned to the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) on October, 2015. Little is known about the impact of ICD-10-CM on internal medicine and medicine subspecialists. We used a state-wide data set from Illinois Medicaid specified for Internal Medicine providers and subspecialists. A total of 3191 ICD-9-CM codes were used for 51,078 patient encounters, for a total cost of US $26,022,022 for all internal medicine. We categorized all of the ICD-9-CM codes based on the complexity of mapping to ICD-10-CM as codes with complex mapping could result in billing or administrative errors during the transition. Codes found to have complex mapping and frequently used codes (n = 295) were analyzed for clinical accuracy of mapping to ICD-10-CM. Each subspecialty was analyzed for complexity of codes used and proportion of reimbursement associated with complex codes. Twenty-five percent of internal medicine codes have convoluted mapping to ICD-10-CM, which represent 22% of Illinois Medicaid patients, and 30% of reimbursements. Rheumatology and Endocrinology had the greatest proportion of visits and reimbursement associated with complex codes. We found 14.5% of ICD-9-CM codes used by internists, when mapped to ICD-10-CM, resulted in potential clinical inaccuracies. We identified that 43% of diagnostic codes evaluated and used by internists and that account for 14% of internal medicine reimbursements are associated with codes which could result in administrative errors.

Chronic myelogenous leukemia in eastern Pennsylvania: an assessment of registry reporting.

PubMed

Mertz, Kristen J; Buchanich, Jeanine M; Washington, Terri L; Irvin-Barnwell, Elizabeth A; Woytowitz, Donald V; Smith, Roy E

2015-01-01

Chronic myelogenous leukemia (CML) has been reportable to the Pennsylvania Cancer Registry (PCR) since the 1980s, but the completeness of reporting is unknown. This study assessed CML reporting in eastern Pennsylvania where a cluster of another myeloproliferative neoplasm was previously identified. Cases were identified from 2 sources: 1) PCR case reports for residents of Carbon, Luzerne, or Schuylkill County with International Classification of Diseases for Oncology, Third Edition (ICD-O-3) codes 9875 (CML, BCR-ABL+), 9863 (CML, NOS), and 9860 (myeloid leukemia) and date of diagnosis 2001-2009, and 2) review of billing records at hematology practices. Participants were interviewed and their medical records were reviewed by board-certified hematologists. PCR reports included 99 cases coded 9875 or 9863 and 9 cases coded 9860; 2 additional cases were identified by review of billing records. Of the 110 identified cases, 93 were mailed consent forms, 23 consented, and 12 medical records were reviewed. Hematologists confirmed 11 of 12 reviewed cases as CML cases; all 11 confirmed cases were BCR/ABL positive, but only 1 was coded as positive (code 9875). Very few unreported CML cases were identified, suggesting relatively complete reporting to the PCR. Cases reviewed were accurately diagnosed, but ICD-0-3 coding often did not reflect BCR-ABL-positive tests. Cancer registry abstracters should look for these test results and code accordingly.

Evaluating the benefits of commercial building energy codes and improving federal incentives for code adoption.

PubMed

Gilbraith, Nathaniel; Azevedo, Inês L; Jaramillo, Paulina

2014-12-16

The federal government has the goal of decreasing commercial building energy consumption and pollutant emissions by incentivizing the adoption of commercial building energy codes. Quantitative estimates of code benefits at the state level that can inform the size and allocation of these incentives are not available. We estimate the state-level climate, environmental, and health benefits (i.e., social benefits) and reductions in energy bills (private benefits) of a more stringent code (ASHRAE 90.1-2010) relative to a baseline code (ASHRAE 90.1-2007). We find that reductions in site energy use intensity range from 93 MJ/m(2) of new construction per year (California) to 270 MJ/m(2) of new construction per year (North Dakota). Total annual benefits from more stringent codes total $506 million for all states, where $372 million are from reductions in energy bills, and $134 million are from social benefits. These total benefits range from $0.6 million in Wyoming to $49 million in Texas. Private benefits range from $0.38 per square meter in Washington State to $1.06 per square meter in New Hampshire. Social benefits range from $0.2 per square meter annually in California to $2.5 per square meter in Ohio. Reductions in human/environmental damages and future climate damages account for nearly equal shares of social benefits.

A bill to provide additional flexibility to the Board of Governors of the Federal Reserve System to establish capital standards that are properly tailored to the unique characteristics of the business of insurance, and for other purposes.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-07-25

Senate - 03/11/2014 Committee on Banking, Housing, and Urban Affairs Subcommittee on Financial Institutions and Consumer Protection. Hearings held. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Military Veterans Face Challenges in Accessing Educational Benefits at Florida Community Colleges

ERIC Educational Resources Information Center

Spiro, Rivka; Hill, Robert

2010-01-01

Florida's community colleges are seeing an influx of students who face unique challenges. They are the men and women who served in the military after the attacks of September 11, 2001, and who are now attending college on the new Post-9/11 GI Bill, with its greatly enhanced educational benefits, and on the expanded, old Montgomery GI Bill, which…

Providing for consideration of the bill (H.R. 3826) to provide direction to the Administrator of the Environmental Protection Agency regarding the establishment of standards for emissions of any greenhouse gas from fossil fuel-fired electric utility generating units, and for other purposes, and providing for consideration of the bill (H.R. 4118) to amend the Internal Revenue Code of 1986 to delay the implementation of the penalty for failure to comply with the individual health insurance mandate.

THOMAS, 113th Congress

Rep. Burgess, Michael C. [R-TX-26

2014-03-04

House - 03/05/2014 On agreeing to the resolution Agreed to by recorded vote: 228 - 182 (Roll no. 94). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Chiari malformation Type I surgery in pediatric patients. Part 1: validation of an ICD-9-CM code search algorithm.

PubMed

Ladner, Travis R; Greenberg, Jacob K; Guerrero, Nicole; Olsen, Margaret A; Shannon, Chevis N; Yarbrough, Chester K; Piccirillo, Jay F; Anderson, Richard C E; Feldstein, Neil A; Wellons, John C; Smyth, Matthew D; Park, Tae Sung; Limbrick, David D

2016-05-01

OBJECTIVE Administrative billing data may facilitate large-scale assessments of treatment outcomes for pediatric Chiari malformation Type I (CM-I). Validated International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code algorithms for identifying CM-I surgery are critical prerequisites for such studies but are currently only available for adults. The objective of this study was to validate two ICD-9-CM code algorithms using hospital billing data to identify pediatric patients undergoing CM-I decompression surgery. METHODS The authors retrospectively analyzed the validity of two ICD-9-CM code algorithms for identifying pediatric CM-I decompression surgery performed at 3 academic medical centers between 2001 and 2013. Algorithm 1 included any discharge diagnosis code of 348.4 (CM-I), as well as a procedure code of 01.24 (cranial decompression) or 03.09 (spinal decompression or laminectomy). Algorithm 2 restricted this group to the subset of patients with a primary discharge diagnosis of 348.4. The positive predictive value (PPV) and sensitivity of each algorithm were calculated. RESULTS Among 625 first-time admissions identified by Algorithm 1, the overall PPV for CM-I decompression was 92%. Among the 581 admissions identified by Algorithm 2, the PPV was 97%. The PPV for Algorithm 1 was lower in one center (84%) compared with the other centers (93%-94%), whereas the PPV of Algorithm 2 remained high (96%-98%) across all subgroups. The sensitivity of Algorithms 1 (91%) and 2 (89%) was very good and remained so across subgroups (82%-97%). CONCLUSIONS An ICD-9-CM algorithm requiring a primary diagnosis of CM-I has excellent PPV and very good sensitivity for identifying CM-I decompression surgery in pediatric patients. These results establish a basis for utilizing administrative billing data to assess pediatric CM-I treatment outcomes.

A bill to amend section 5542 of title 5, United States Code, to provide that any hours worked by Federal firefighters under a qualified trade-of-time arrangement shall be excluded for purposes of determinations relating to overtime pay.

THOMAS, 111th Congress

Sen. Webb, Jim [D-VA

2010-05-13

Senate - 06/30/2010 Committee on Homeland Security and Governmental Affairs referred to Subcommittee on Oversight of Government Management, the Federal Workforce, and the District of Columbia. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend section 254 of the Communications Act of 1934 to provide that funds received as universal service contributions and the universal service support programs established pursuant to that section are not subject to certain provisions of title 31, United States Code, commonly known as the Antideficiency Act.

THOMAS, 112th Congress

Sen. Rockefeller, John D., IV [D-WV

2011-02-07

Senate - 02/07/2011 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend section 254 of the Communications Act of 1934 to provide that funds received as universal service contributions and the universal service support programs established pursuant to that section are not subject to certain provisions of title 31, United States Code, commonly known as the Antideficiency Act.

THOMAS, 111th Congress

Sen. Rockefeller, John D., IV [D-WV

2009-01-29

Senate - 01/29/2009 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require the Secretary of Veterans Affairs to provide veterans with notice, when veterans electronically file claims for benefits under laws administered by the Secretary, that relevant services may be available from veterans service organizations, and for other purposes.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2013-07-15

Senate - 10/30/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-280. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to improve the provision of benefits and assistance under laws administered by the Secretary of Veterans Affairs to veterans affected by natural or other disasters, and for other purposes.

THOMAS, 112th Congress

Sen. Brown, Sherrod [D-OH

2011-05-26

Senate - 06/08/2011 Committee on Veterans' Affairs. Hearings held. (All Actions) Notes: For further action, see H.R.1627, which became Public Law 112-154 on 8/6/2012. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to revise the enforcement penalties for misrepresentation of a business concern as a small business concern owned and controlled by veterans or as a small business concern owned and controlled by service-disabled veterans, and for other purposes.

THOMAS, 112th Congress

Sen. Cantwell, Maria [D-WA

2011-06-13

Senate - 06/13/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-567. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Education in medical billing benefits both neurology trainees and academic departments.

PubMed

Waugh, Jeff L

2014-11-11

The objective of residency training is to produce physicians who can function independently within their chosen subspecialty and practice environment. Skills in the business of medicine, such as clinical billing, are widely applicable in academic and private practices but are not commonly addressed during formal medical education. Residency and fellowship training include limited exposure to medical billing, but our academic department's performance of these skills was inadequate: in 56% of trainee-generated outpatient notes, documentation was insufficient to sustain the chosen billing level. We developed a curriculum to improve the accuracy of documentation and coding and introduced practice changes to address our largest sources of error. In parallel, we developed tools that increased the speed and efficiency of documentation. Over 15 months, we progressively eliminated note devaluation, increased the mean level billed by trainees to nearly match that of attending physicians, and increased outpatient revenue by $34,313/trainee/year. Our experience suggests that inclusion of billing education topics into the formal medical curriculum benefits both academic medical centers and trainees. © 2014 American Academy of Neurology.

18 CFR 284.403 - Code of conduct for persons holding blanket marketing certificates.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Code of conduct for persons holding blanket marketing certificates. 284.403 Section 284.403 Conservation of Power and Water... information upon which it billed the prices it charged for the natural gas sold pursuant to its market based...

18 CFR 284.288 - Code of conduct for unbundled sales service.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Code of conduct for unbundled sales service. 284.288 Section 284.288 Conservation of Power and Water Resources FEDERAL ENERGY... information upon which it billed the prices it charged for natural gas it sold pursuant to its market based...

77 FR 31647 - Request for Certification of Compliance-Rural Industrialization Loan and Grant Program

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-29

... includes the retrofit and build-out of the facility, which will be located in Mt. Pleasant, Pennsylvania. The NAICS industry code for this enterprise is: 335911 (storage battery manufacturing). DATES: All..., Assistant Secretary for Employment and Training. [FR Doc. 2012-12917 Filed 5-25-12; 8:45 am] BILLING CODE...

77 FR 1955 - Request for Certification of Compliance-Rural Industrialization Loan and Grant Program

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-12

... Product/Purpose: The loan, guarantee, or grant application is to finance building construction and to... Dakota. The NAICS industry code for this enterprise is: 311611 (beef produced in slaughtering plants..., Assistant Secretary for Employment and Training. [FR Doc. 2012-448 Filed 1-11-12; 8:45 am] BILLING CODE 4510...

Identifying clinically disruptive International Classification of Diseases 10th Revision Clinical Modification conversions to mitigate financial costs using an online tool.

PubMed

Venepalli, Neeta K; Qamruzzaman, Yusuf; Li, Jianrong John; Lussier, Yves A; Boyd, Andrew D

2014-03-01

To quantify coding ambiguity in International Classification of Diseases Ninth Revision Clinical Modification conversions (ICD-9-CM) to ICD-10-CM mappings for hematology-oncology diagnoses within an Illinois Medicaid database and an academic cancer center database (University of Illinois Cancer Center [UICC]) with the goal of anticipating challenges during ICD-10-CM transition. One data set of ICD-9-CM diagnosis codes came from the 2010 Illinois Department of Medicaid, filtered for diagnoses generated by hematology-oncology providers. The other data set of ICD-9-CM diagnosis codes came from UICC. Using a translational methodology via the Motif Web portal ICD-9-CM conversion tool, ICD-9-CM to ICD-10-CM code conversions were graphically mapped and evaluated for clinical loss of information. The transition to ICD-10-CM led to significant information loss, affecting 8% of total Medicaid codes and 1% of UICC codes; 39 ICD-9-CM codes with information loss accounted for 2.9% of total Medicaid reimbursements and 5.3% of UICC billing charges. Prior work stated hematology-oncology would be the least affected medical specialty. However, information loss affecting 5% of billing costs could evaporate the operating margin of a practice. By identifying codes at risk for complex transitions, the analytic tools described can be replicated for oncology practices to forecast areas requiring additional training and resource allocation. In summary, complex transitions and diagnosis codes associated with information loss within clinical oncology require additional attention during the transition to ICD-10-CM.

Formulation of Policy for Cyber Crime in Criminal Law Revision Concept of Bill Book of Criminal Law (A New Penal Code)

NASA Astrophysics Data System (ADS)

Soponyono, Eko; Deva Bernadhi, Brav

2017-04-01

Development of national legal systems is aimed to establish the public welfare and the protection of the public. Many attempts has been carried out to renew material criminal law and those efforts results in the formulation of the concept of the draft Law Book of the Law of Criminal Law in the form of concept criminal code draft. The basic ideas in drafting rules and regulation based on the values inside the idology of Pancasila are balance among various norm and rules in society. The design concept of the New Criminal Code Act is anticipatory and proactive to formulate provisions on Crime in Cyberspace and Crime on Information and Electronic Transactions. Several issues compiled in this paper are whether the policy in formulation of cyber crime is embodied in the provisions of the current legislation and what the policies formulation of cyber crime is in the concept of the bill book of law - criminal law recently?.

A bill to provide that certain provisions of subchapter I of chapter 35 of title 44, United States Code, relating to Federal information policy shall not apply to the collection of information during any investigation, audit, inspection, evaluation, or other review conducted by any Federal office of Inspector General, and for other purposes.

THOMAS, 111th Congress

Sen. Grassley, Chuck [R-IA

2009-05-05

Senate - 05/05/2009 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 10, United States Code, to require a plan to ensure the military leadership of the Armed Forces reflects the diversity of the population of the United States, and for other purposes.

THOMAS, 112th Congress

Sen. Gillibrand, Kirsten E. [D-NY

2012-05-15

Senate - 05/15/2012 Read twice and referred to the Committee on Armed Services. (All Actions) Notes: For further action, see H.R.4310, which became Public Law 112-239 on 1/2/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Providing for consideration of the bill (H.R. 4849) to amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, extend the Build America Bonds program, provide other infrastructure job creation tax incentives, and for other purposes.

THOMAS, 111th Congress

Rep. Cardoza, Dennis A. [D-CA-18

2010-03-22

House - 03/23/2010 On agreeing to the resolution Agreed to by the Yeas and Nays: 233 - 187 (Roll no. 173). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

A bill to amend title 46, United States Code, to exempt old vessels that only operate within inland waterways from the fire-retardant materials requirement if the owners of such vessels make annual structural alterations to at least 10 percent of the areas of the vessels that are not constructed of fire-retardant materials.

THOMAS, 113th Congress

Sen. Brown, Sherrod [D-OH

2014-11-13

Senate - 11/13/2014 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to extend expiring authority for work-study allowances for individuals who are pursuing programs of rehabilitation, education, or training under laws administered by the Secretary of Veterans Affairs, to expand such authority to certain outreach services provided through congressional offices, and for other purposes.

THOMAS, 113th Congress

Sen. Sanders, Bernard [I-VT

2013-05-08

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require the Secretary of Veterans Affairs to provide veterans, when such veterans electronically file claims for benefits under laws administered by the Secretary, with notice that relevant services may be available to the veterans from veterans service organizations, and for other purposes.

THOMAS, 112th Congress

Sen. Brown, Sherrod [D-OH

2012-05-09

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to authorize the interment in national cemeteries under the control of the National Cemetery Administration of individuals who served in combat support of the Armed Forces in the Kingdom of Laos between February 28, 1961, and May 15, 1975, and for other purposes.

THOMAS, 113th Congress

Sen. Murkowski, Lisa [R-AK

2013-01-31

Senate - 06/12/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-111. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to require the Secretary of Veterans Affairs to consider the resources of individuals applying for pension that were recently disposed of by the individuals for less than fair market value when determining the eligibility of such individuals for such pension, and for other purposes.

THOMAS, 112th Congress

Sen. Wyden, Ron [D-OR

2012-06-06

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Integrating advanced practice providers into medical critical care teams.

PubMed

McCarthy, Christine; O'Rourke, Nancy C; Madison, J Mark

2013-03-01

Because there is increasing demand for critical care providers in the United States, many medical ICUs for adults have begun to integrate nurse practitioners and physician assistants into their medical teams. Studies suggest that such advanced practice providers (APPs), when appropriately trained in acute care, can be highly effective in helping to deliver high-quality medical critical care and can be important elements of teams with multiple providers, including those with medical house staff. One aspect of building an integrated team is a practice model that features appropriate coding and billing of services by all providers. Therefore, it is important to understand an APP's scope of practice, when they are qualified for reimbursement, and how they may appropriately coordinate coding and billing with other team providers. In particular, understanding when and how to appropriately code for critical care services (Current Procedural Terminology [CPT] code 99291, critical care, evaluation and management of the critically ill or critically injured patient, first 30-74 min; CPT code 99292, critical care, each additional 30 min) and procedures is vital for creating a sustainable program. Because APPs will likely play a growing role in medical critical care units in the future, more studies are needed to compare different practice models and to determine the best way to deploy this talent in specific ICU settings.

Committee Representation and Medicare Reimbursements-An Examination of the Resource-Based Relative Value Scale.

PubMed

Gao, Y Nina

2018-04-06

The Resource-Based Relative Value Scale Update Committee (RUC) submits recommended reimbursement values for physician work (wRVUs) under Medicare Part B. The RUC includes rotating representatives from medical specialties. To identify changes in physician reimbursements associated with RUC rotating seat representation. Relative Value Scale Update Committee members 1994-2013; Medicare Part B Relative Value Scale 1994-2013; Physician/Supplier Procedure Summary Master File 2007; Part B National Summary Data File 2000-2011. I match service and procedure codes to specialties using 2007 Medicare billing data. Subsequently, I model wRVUs as a function of RUC rotating committee representation and level of code specialization. An annual RUC rotating seat membership is associated with a statistically significant 3-5 percent increase in Medicare expenditures for codes billed to that specialty. For codes that are performed by a small number of physicians, the association between reimbursement and rotating subspecialty representation is positive, 0.177 (SE = 0.024). For codes that are performed by a large number of physicians, the association is negative, -0.183 (SE = 0.026). Rotating representation on the RUC is correlated with overall reimbursement rates. The resulting differential changes may exacerbate existing reimbursement discrepancies between generalist and specialist practitioners. © Health Research and Educational Trust.

Providing for consideration of the bill (H.R. 2655) to amend Rule 11 of the Federal Rules of Civil Procedure to improve attorney accountability, and for other purposes, and providing for consideration of the bill (H.R. 982) to amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos; and for other purposes.

THOMAS, 113th Congress

Rep. Woodall, Rob [R-GA-7

2013-11-12

House - 11/13/2013 On agreeing to the resolution Agreed to by recorded vote: 223 - 194 (Roll no. 574). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Are psychoanalytic billing practices ethical?

PubMed

Blackmon, W D

1993-01-01

The changing climate of "health care reform" and increased third-party intrusion into psychotherapy are raising challenges over the ethics of traditional psychoanalytic practices such as billing for missed sessions. The practice of billing for missed sessions is an integral part of some analytic psychotherapies and forms the basis of the field of operation of many therapies. When used in this way, the billing practices are unique in medicine in that only these therapies use billing as a part of treatment. This practice is used for a variety of practical reasons but especially to emphasize to patients that the therapy occurs in their internal lives and addresses the symbols they use in organizing their world view. The symbolic use of a time commitment and the obligation to pay for that commitment are necessary so as not to present the patient with a contaminated field of operation. In this way the practice is similar to many other areas of medicine, such as surgeries that are viewed as global procedures whose billing allows for time that is not actually spent in contact with patients. This paper discusses the clinical rationale for the ability to bill for missed sessions and its ethics in terms of the newer language of utilization review. By laying down the principle of billing as a practice parameter for an open-ended bundled service that is billed globally the author translates the practice into more modern utilization-review terminology.

76 FR 36979 - Golden Parachute and Indemnification Payments-Technical Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

...: Pamela Yu, Staff Attorney, Office of General Counsel, or Ross Kendall, Special Counsel to the General... the Internal Revenue Code of 1986, 26 U.S.C. 457(b), or a pension or retirement plan that is qualified... Revenue Code of 1986, 26 U.S.C. 401; or (ii) * * * [FR Doc. 2011-15729 Filed 6-23-11; 8:45 am] BILLING...

75 FR 57278 - Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-20

... Title 44, United States Code, as amended by the Paperwork Reduction Act of 1995, Pub. L. 104-13), the... encrypted before transfer to each client record, HRSA is able to link data for clients across Ryan White HIV..., Division of Policy and Information Coordination. [FR Doc. 2010-23416 Filed 9-17-10; 8:45 am] BILLING CODE...

[The new Colombian criminal code and biotechnology].

PubMed

González de Cancino, Emilssen

2002-01-01

The author describes the process by which new offenses concerning biotechnology have been included in Colombia's Penal Code and discusses some of the more controversial aspects involved. She examines the various stages of the passage of the Bill through Parliament and the modifications undergone. She also provides well-argued criticism of the text, with appropriate reference to Constitutional provisions regarding the rights concerned.

Phonics, Spelling, and Word Study: A Sensible Approach. The Bill Harp Professional Teachers Library Series.

ERIC Educational Resources Information Center

Glazer, Susan Mandel

This concise book shares several sensible, logical, and meaningful approaches that guide young children to use the written coding system to read, spell, and make meaning of the English language coding system. The book demonstrates that phonics, spelling, and word study are essential parts of literacy learning. After an introduction, chapters are:…

12 CFR Appendix A to Part 1005 - Model Disclosure Clauses and Forms

Code of Federal Regulations, 2013 CFR

2013-01-01

... you learn of the loss or theft of your [card] [code], you can lose no more than $50 if someone used... learn of the loss or theft of your [card] [code], and we can prove we could have stopped someone from... each transfer you make using our [automated teller machines] [telephone bill-payment service] [point-of...

12 CFR Appendix A to Part 1005 - Model Disclosure Clauses and Forms

Code of Federal Regulations, 2012 CFR

2012-01-01

... you learn of the loss or theft of your [card] [code], you can lose no more than $50 if someone used... learn of the loss or theft of your [card] [code], and we can prove we could have stopped someone from... each transfer you make using our [automated teller machines] [telephone bill-payment service] [point-of...

Unique identification code for medical fundus images using blood vessel pattern for tele-ophthalmology applications.

PubMed

Singh, Anushikha; Dutta, Malay Kishore; Sharma, Dilip Kumar

2016-10-01

Identification of fundus images during transmission and storage in database for tele-ophthalmology applications is an important issue in modern era. The proposed work presents a novel accurate method for generation of unique identification code for identification of fundus images for tele-ophthalmology applications and storage in databases. Unlike existing methods of steganography and watermarking, this method does not tamper the medical image as nothing is embedded in this approach and there is no loss of medical information. Strategic combination of unique blood vessel pattern and patient ID is considered for generation of unique identification code for the digital fundus images. Segmented blood vessel pattern near the optic disc is strategically combined with patient ID for generation of a unique identification code for the image. The proposed method of medical image identification is tested on the publically available DRIVE and MESSIDOR database of fundus image and results are encouraging. Experimental results indicate the uniqueness of identification code and lossless recovery of patient identity from unique identification code for integrity verification of fundus images. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

American Physical Therapy Association

MedlinePlus

... Scope of Practice Ethics & Professionalism Legal Matters PR & Marketing PTNow helps you put evidence into patient care. ... Scope of Practice Ethics & Professionalism Legal Matters PR & Marketing Payment Coding & Billing Private Insurance Medicare Medicaid Workers' ...

Structured physician order entry for trauma CT: value in improving clinical information transfer and billing efficiency.

PubMed

Wortman, Jeremy R; Goud, Asha; Raja, Ali S; Marchello, Dana; Sodickson, Aaron

2014-12-01

The purpose of this study was to measure the effects of use of a structured physician order entry system for trauma CT on the communication of clinical information and on coding practices and reimbursement efficiency. This study was conducted between April 1, 2011, and January 14, 2013, at a level I trauma center with 59,000 annual emergency department visits. On March 29, 2012, a structured order entry system was implemented for head through pelvis trauma CT, so-called pan-scan CT. This study compared the following factors before and after implementation: communication of clinical signs and symptoms and mechanism of injury, primary International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) code category, success of reimbursement, and time required for successful reimbursement for the examination. Chi-square statistics were used to compare all categoric variables before and after the intervention, and the Wilcoxon rank sum test was used to compare billing cycle times. A total of 457 patients underwent pan-scan CT in 2734 distinct examinations. After the intervention, there was a 62% absolute increase in requisitions containing clinical signs or symptoms (from 0.4% to 63%, p<0.0001) and a 99% absolute increase in requisitions providing mechanism of injury (from 0.4% to 99%, p<0.0001). There was a 19% absolute increase in primary ICD-9-CM codes representing clinical signs or symptoms (from 2.9% to 21.8%, p<0.0001), and a 7% absolute increase in reimbursement success for examinations submitted to insurance carriers (from 83.0% to 89.7%, p<0.0001). For reimbursed studies, there was a 14.7-day reduction in mean billing cycle time (from 68.4 days to 53.7 days, p=0.008). Implementation of structured physician order entry for trauma CT was associated with significant improvement in the communication of clinical history to radiologists. The improvement was also associated with changes in coding practices, greater billing efficiency, and an increase in reimbursement success.

Structural stigma in state legislation.

PubMed

Corrigan, Patrick W; Watson, Amy C; Heyrman, Mark L; Warpinski, Amy; Gracia, Gabriela; Slopen, Natalie; Hall, Laura L

2005-05-01

This article discusses examples of structural stigma that results from state governments' enactment of laws that diminish the opportunities of people with mental illness. To examine current trends in structural stigma, the authors identified and coded all relevant bills introduced in 2002 in the 50 states. Bills were categorized in terms of their effect on liberties, protection from discrimination, and privacy. The terms used to describe the targets of bills were examined: persons with "mental illness" or persons who are "incompetent" or "disabled" because of mental illness. About one-quarter of the state bills reviewed for this survey related to protection from discrimination. Within that category, half the bills reduced protections for the targeted individuals, such as restriction of firearms for people with current or past mental illness and reduced parental rights among persons with a history of mental illness. Half the bills seemed to expand protections, such as those that required mental health funding at the same levels provided for other medical conditions and those that disallowed use of mental health status in child custody cases. Legislation frequently confuses "incompetence" with "mental illness." Examples of structural stigma uncovered by surveys such as this one can inform advocates for persons with mental illness as to where an individual state stands in relation to the number of bills that affect persons with mental illness and whether these bills expand or contract the liberties of this stigmatized group.

A bill to amend title 32, United States Code, the body of laws of the United States dealing with the National Guard, to recognize the City of Salem, Massachusetts, as the Birthplace of the National Guard of the United States.

THOMAS, 112th Congress

Sen. Kerry, John F. [D-MA

2011-12-16

Senate - 12/16/2011 Read twice and referred to the Committee on Armed Services. (All Actions) Notes: For further action, see H.R.1339, which became Public Law 112-241 on 1/10/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend section 1004 of title 39, United States Code, to include that it is a policy of the Postal Service to ensure reasonable and sustainable workloads and schedules for supervisory and management employees and to clarify provisions relating to consultation and changes or terminations in certain proposals.

THOMAS, 111th Congress

Sen. Akaka, Daniel K. [D-HI

2010-03-19

Senate - 04/06/2010 Committee on Homeland Security and Governmental Affairs referred to Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to extend the authorization of appropriations for the Secretary of Veterans Affairs to pay a monthly assistance allowance to disabled veterans training or competing for the Paralympic Team and the authorization of appropriations for the Secretary of Veterans Affairs to provide assistance to United States Paralympics, Inc., and for other purposes.

THOMAS, 112th Congress

Sen. Boozman, John [R-AR

2012-05-17

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Variation in geographic access to chemotherapy by definitions of providers and service locations: a population-based observational study.

PubMed

Schroeder, Mary C; Chapman, Cole G; Nattinger, Matthew C; Halfdanarson, Thorvardur R; Abu-Hejleh, Taher; Tien, Yu-Yu; Brooks, John M

2016-07-18

An aging population, with its associated rise in cancer incidence and strain on the oncology workforce, will continue to motivate patients, healthcare providers and policy makers to better understand the existing and growing challenges of access to chemotherapy. Administrative data, and SEER-Medicare data in particular, have been used to assess patterns of healthcare utilization because of its rich information regarding patients, their treatments, and their providers. To create measures of geographic access to chemotherapy, patients and oncologists must first be identified. Others have noted that identifying chemotherapy providers from Medicare claims is not always straightforward, as providers may report multiple or incorrect specialties and/or practice in multiple locations. Although previous studies have found that specialty codes alone fail to identify all oncologists, none have assessed whether various methods of identifying chemotherapy providers and their locations affect estimates of geographic access to care. SEER-Medicare data was used to identify patients, physicians, and chemotherapy use in this population-based observational study. We compared two measures of geographic access to chemotherapy, local area density and distance to nearest provider, across two definitions of chemotherapy provider (identified by specialty codes or billing codes) and two definitions of chemotherapy service location (where chemotherapy services were proven to be or possibly available) using descriptive statistics. Access measures were mapped for three representative registries. In our sample, 57.2 % of physicians who submitted chemotherapy claims reported a specialty of hematology/oncology or medical oncology. These physicians were associated with 91.0 % of the chemotherapy claims. When providers were identified through billing codes instead of specialty codes, an additional 50.0 % of beneficiaries (from 23.8 % to 35.7 %) resided in the same ZIP code as a chemotherapy provider. Beneficiaries were also 1.3 times closer to a provider, in terms of driving time. Our access measures did not differ significantly across definitions of service location. Measures of geographic access to care were sensitive to definitions of chemotherapy providers; far more providers were identified through billing codes than specialty codes. They were not sensitive to definitions of service locations, as providers, regardless of how they are identified, generally provided chemotherapy at each of their practice locations.

77 FR 34218 - Clothing Allowance; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-11

..., Radioactive materials, Veterans, Vietnam. Approved: June 6, 2012. Robert C. McFetridge, Direc tor, Regulation... distinct type''. [FR Doc. 2012-14108 Filed 6-8-12; 8:45 am] BILLING CODE 8320-01-P ...

Society of Critical Care Medicine

MedlinePlus

... Liberation Sepsis ICU Management Coding and Billing ICU Design Workforce ICU REPORT Disaster ICU Benchmarking Tools International ... Family Award for Ethics Honorary Life Membership ICU Design Citation ICU Heroes Lifetime Achievement Norma J. Shoemaker ...

Safe Building Code Incentive Act of 2013

THOMAS, 113th Congress

Sen. Menendez, Robert [D-NJ

2013-05-08

Senate - 05/08/2013 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Safe Building Code Incentive Act of 2011

THOMAS, 112th Congress

Rep. Diaz-Balart, Mario [R-FL-21

2011-06-01

House - 06/02/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Safe Building Code Incentive Act of 2012

THOMAS, 112th Congress

Sen. Menendez, Robert [D-NJ

2012-12-19

Senate - 12/19/2012 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Safe Building Code Incentive Act of 2013

THOMAS, 113th Congress

Sen. Menendez, Robert [D-NJ

2013-05-09

Senate - 05/09/2013 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Safe Building Code Incentive Act of 2009

THOMAS, 111th Congress

Rep. Diaz-Balart, Mario [R-FL-25

2009-05-21

House - 05/22/2009 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Safe Building Code Incentive Act of 2013

THOMAS, 113th Congress

Rep. Diaz-Balart, Mario [R-FL-25

2013-05-08

House - 05/09/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Criminal Code Modernization and Simplification Act of 2013

THOMAS, 113th Congress

Rep. Sensenbrenner, F. James, Jr. [R-WI-5

2013-05-07

House - 06/20/2013 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Cutting Costly Codes Act of 2013

THOMAS, 113th Congress

Sen. Coburn, Tom [R-OK

2013-05-16

Senate - 05/16/2013 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To amend title 40, United States Code, to add certain Armed Forces organizations that are exempt from taxation under section 501(c)(19) of the Internal Revenue Code of 1986 to the list of organizations eligible for donations of personal property through State agencies.

THOMAS, 111th Congress

Rep. Stupak, Bart [D-MI-1

2009-03-16

House - 05/04/2009 Referred to the Subcommittee on Government Management, Organization, and Procurement. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Tobacco control interest groups and their influence on parliamentary committees in Canada.

PubMed

Hastie, Robyn E; Kothari, Anita R

2009-01-01

The aim of this study was to determine how tobacco control interest groups influence tobacco policy decision-making through submissions and presentations to parliamentary committees. A qualitative content analysis was used to examine the presentations and submissions on tobacco-related legislation made to parliamentary committees between 1996 and 2004. The sample was identified from the public list of tobacco-related bills tabled in both the House of Commons and the Senate; the Government of Canada website and LEGISinfo were used to determine which committee reviewed the relevant bill. Committee clerks were asked to send submissions and presentations related to specific bills identified through LEGISinfo. Submissions and presentations were scanned and entered into QSR N6 software for coding. The coding instrument was adapted from previous studies employing qualitative content analysis. Montini and Bero's recommendations were used to evaluate the submissions and presentations. Tobacco control interest groups did present scientific evidence to support tobacco control. However, they underused credible witnesses to present information at meetings. The topics presented by tobacco control interests groups were usually relevant to the bill being discussed. Tobacco control interest groups employed some of the strategies suggested by Montini and Bero in their attempt to influence parliamentary committees through submissions and presentations. They did include scientific evidence in their submissions; however, they could improve their strategies in the area of using credible witnesses, such as scientists and medical experts. Incorporating Montini and Bero's recommendations into lobbying efforts may increase success in influencing committees.

Community Building Code Administration Grant Act of 2009

THOMAS, 111th Congress

Sen. Landrieu, Mary L. [D-LA

2009-05-05

Senate - 05/05/2009 Read twice and referred to the Committee on Banking, Housing, and Urban Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

76 FR 70703 - Senior Executive Service: Membership of Performance Review Board

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-15

...;and investigations, committee meetings, agency decisions and rulings, #0;delegations of authority..., Employee and Labor Relations Division. [FR Doc. 2011-29427 Filed 11-14-11; 8:45 am] BILLING CODE P ...

77 FR 71832 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-04

... the scheduling of open meetings as follows: Wednesday, December 12, 2012: 9:00 a.m.--Oral hearings on..., Chief Administrative Counsel. [FR Doc. 2012-29364 Filed 11-30-12; 4:15 pm] BILLING CODE 4410-BA-P ...

78 FR 24200 - Ocean Transportation Intermediary License Applicants

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-24

...: Hsiao-Ling Chen, President (QI), Application Type: QI Change Matus International, Inc. (NVO & OFF), 411 N. Oak Street, Inglewood, CA 90302, Officers: Anthony S. Pineda, Treasurer (QI), Allan J. Matus...] BILLING CODE 6730-01-P ...

76 FR 30184 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-24

... CLOSED TO THE PUBLIC: None CONTACT PERSON FOR MORE INFORMATION: Jennifer Hodges Reynolds, (703) 306-0002. Jennifer Hodges Reynolds, General Counsel. [FR Doc. 2011-12961 Filed 5-20-11; 4:15 pm] BILLING CODE 7025-01...

78 FR 12369 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-22

... meeting follows: Portion open to the public: (1) Executive Committee Reports. The person to contact for..., 2013. Martha P. Rico, Secretary to the Board. [FR Doc. 2013-04184 Filed 2-20-13; 11:15 am] BILLING CODE...

76 FR 62395 - Proposed Agency Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-07

... the agency's estimate of the burden of the proposed collection of information, including the validity... Delivery and Energy Reliability. [FR Doc. 2011-26061 Filed 10-6-11; 8:45 am] BILLING CODE 6450-01-P ...

76 FR 25692 - Ocean Transportation Intermediary License; Revocation

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-05

...: 169094N. Name : Trans Port Agencies, Inc. Address: 1790 Yardley-Langhorne Road, Suite 202, Yardley, PA... Certification and Licensing. [FR Doc. 2011-10932 Filed 5-4-11; 8:45 am] BILLING CODE 6730-01-P ...

75 FR 28779 - Modoc County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-24

..., Conference Room, 800 West 12th St., Alturas. FOR FURTHER INFORMATION CONTACT: Tom Hudson, Forest Supervisor... 17, 2010. Tom Hudson, Forest Supervisor. [FR Doc. 2010-12354 Filed 5-21-10; 8:45 am] BILLING CODE...

78 FR 14793 - Ocean Transportation Intermediary License Revocations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-07

... Beach, FL 33062. Date Revoked: February 20, 2013. Reason: Voluntary Surrender of License. Vern W. Hill, Director, Bureau of Certification and Licensing. [FR Doc. 2013-05311 Filed 3-6-13; 8:45 am] BILLING CODE...

Validation of Living Donor Nephrectomy Codes

PubMed Central

Lam, Ngan N.; Lentine, Krista L.; Klarenbach, Scott; Sood, Manish M.; Kuwornu, Paul J.; Naylor, Kyla L.; Knoll, Gregory A.; Kim, S. Joseph; Young, Ann; Garg, Amit X.

2018-01-01

Background: Use of administrative data for outcomes assessment in living kidney donors is increasing given the rarity of complications and challenges with loss to follow-up. Objective: To assess the validity of living donor nephrectomy in health care administrative databases compared with the reference standard of manual chart review. Design: Retrospective cohort study. Setting: 5 major transplant centers in Ontario, Canada. Patients: Living kidney donors between 2003 and 2010. Measurements: Sensitivity and positive predictive value (PPV). Methods: Using administrative databases, we conducted a retrospective study to determine the validity of diagnostic and procedural codes for living donor nephrectomies. The reference standard was living donor nephrectomies identified through the province’s tissue and organ procurement agency, with verification by manual chart review. Operating characteristics (sensitivity and PPV) of various algorithms using diagnostic, procedural, and physician billing codes were calculated. Results: During the study period, there were a total of 1199 living donor nephrectomies. Overall, the best algorithm for identifying living kidney donors was the presence of 1 diagnostic code for kidney donor (ICD-10 Z52.4) and 1 procedural code for kidney procurement/excision (1PC58, 1PC89, 1PC91). Compared with the reference standard, this algorithm had a sensitivity of 97% and a PPV of 90%. The diagnostic and procedural codes performed better than the physician billing codes (sensitivity 60%, PPV 78%). Limitations: The donor chart review and validation study was performed in Ontario and may not be generalizable to other regions. Conclusions: An algorithm consisting of 1 diagnostic and 1 procedural code can be reliably used to conduct health services research that requires the accurate determination of living kidney donors at the population level. PMID:29662679

DRG benchmarking study establishes national coding norms.

PubMed

Vaul, J H

1998-05-01

With the increase in fraud and abuse investigations, healthcare financial managers should examine their organization's medical record coding procedures. The Federal government and third-party payers are looking specifically for improper billing of outpatient services, unbundling of procedures to increase payment, assigning higher-paying DRG codes for inpatient claims, and other abuses. A recent benchmarking study of Medicare Provider Analysis and Review (MEDPAR) data has established national norms for hospital coding and case mix based on DRGs and has revealed the majority of atypical coding cases fall into six DRG pairs. Organizations with a greater percentage of atypical cases--those more likely to be scrutinized by Federal investigators--will want to conduct suitable review and be sure appropriate documentation exists to justify the coding.

Secure ADS-B authentication system and method

NASA Technical Reports Server (NTRS)

Viggiano, Marc J (Inventor); Valovage, Edward M (Inventor); Samuelson, Kenneth B (Inventor); Hall, Dana L (Inventor)

2010-01-01

A secure system for authenticating the identity of ADS-B systems, including: an authenticator, including a unique id generator and a transmitter transmitting the unique id to one or more ADS-B transmitters; one or more ADS-B transmitters, including a receiver receiving the unique id, one or more secure processing stages merging the unique id with the ADS-B transmitter's identification, data and secret key and generating a secure code identification and a transmitter transmitting a response containing the secure code and ADSB transmitter's data to the authenticator; the authenticator including means for independently determining each ADS-B transmitter's secret key, a receiver receiving each ADS-B transmitter's response, one or more secure processing stages merging the unique id, ADS-B transmitter's identification and data and generating a secure code, and comparison processing comparing the authenticator-generated secure code and the ADS-B transmitter-generated secure code and providing an authentication signal based on the comparison result.

78 FR 33423 - Arthritis Advisory Committee; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-04

... inflammation by elevated C-reactive protein or magnetic resonance imaging, who have had an inadequate response... Associate Commissioner for Special Medical Programs. [FR Doc. 2013-13082 Filed 6-3-13; 8:45 am] BILLING CODE...

76 FR 40765 - Texas Disaster #TX-00378

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-11

... Administrative declaration of a disaster for the State of Texas dated 07/05/2011. Incident: Dyer Mills Fire.... Karen G. Mills, Administrator. [FR Doc. 2011-17326 Filed 7-8-11; 8:45 am] BILLING CODE 8025-01-P ...

76 FR 54740 - New England Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-02

... Meeting; 2. Review and provide feedback regarding the Draft Terms of Reference (TOR) for the upcoming... Fisheries, National Marine Fisheries Service. [FR Doc. 2011-22453 Filed 9-1-11; 8:45 am] BILLING CODE 3510...

78 FR 51809 - Seventh Meeting: RTCA Special Committee 227, Standards of Navigation Performance

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2013-08-21

.../Administrative Remarks Agenda Overview Review Committee Status and Revised TORs Datacom Situation and..., Federal Aviation Administration. [FR Doc. 2013-20420 Filed 8-20-13; 8:45 am] BILLING CODE 4910-13-P ...

75 FR 13236 - FM Table of Allotments, Port Angeles, Washington

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-19

... rule. SUMMARY: The Audio Division grants a rulemaking petition filed by Jodesha Broadcasting, Inc., the..., Assistant Chief, Audio Division, Media Bureau. [FR Doc. 2010-6017 Filed 3-18-10; 8:45 am] BILLING CODE 6712...

77 FR 70495 - Proposed Collection; Comment Request

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2012-11-26

... reporting burden of 322 hours (2 hours per response x 161 responses). Written comments are invited on: (a...'Neill, Deputy Secretary. [FR Doc. 2012-28530 Filed 11-23-12; 8:45 am] BILLING CODE 8011-01-P ...

76 FR 60806 - Malcolm Baldrige National Quality Award Panel of Judges

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-30

... composed of twelve members prominent in the fields of quality, innovation, and performance management and... Innovation & Industry Services. [FR Doc. 2011-25261 Filed 9-29-11; 8:45 am] BILLING CODE 3510-13-P ...

75 FR 77007 - Notice of Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-10

... works with K-12 teachers to provide content and curricular support selected as the best from among the... Parker, NASA Clearance Officer. [FR Doc. 2010-31038 Filed 12-9-10; 8:45 am] BILLING CODE 7510-13-P ...

75 FR 21390 - Submission for OMB Review; Comment Request

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2010-04-23

... election of section 1016(c)(1). Respondents: Individuals or households. Estimated Total Burden Hours: 1,678... D. Wolfgang, Treasury PRA Clearance Officer. [FR Doc. 2010-9394 Filed 4-22-10; 8:45 am] BILLING CODE...

77 FR 4059 - Meeting of the California Desert District Advisory Council

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2012-01-26

... California Desert District manager, five field office managers, and council subgroups. Final agenda items... A. Raml, California Desert District Manager. [FR Doc. 2012-1630 Filed 1-25-12; 8:45 am] BILLING CODE...

75 FR 25311 - Requested Administrative Waiver of the Coastwise Trade Laws

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2010-05-07

.... ACTION: Invitation for public comments on a requested administrative waiver of the Coastwise Trade Laws... Gurland, Secretary, Maritime Adminstration. [FR Doc. 2010-10903 Filed 5-6-10; 8:45 am] BILLING CODE 4910...

77 FR 58089 - Submission for OMB Review; Comment Request

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2012-09-19

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78 FR 23977 - Proposed Collection; Comment Request for Form 8328

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2013-04-23

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78 FR 22545 - Performance Review Board

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2013-04-16

...-08871 Filed 4-15-13; 8:45 am] BILLING CODE P ... FURTHER INFORMATION CONTACT: Harriette H. Charbonneau, Director of Human Resources, Federal Maritime Commission, 800 North Capitol Street NW., Washington, DC 20573. SUPPLEMENTARY INFORMATION: Sec. 4314(c)(1...

Providing for consideration of the bill (H.R. 658) to amend title 49, United States Code, to authorize appropriations for the Federal Aviation Administration for fiscal years 2011 through 2014, to streamline programs, create efficiencies, reduce waste, and improve aviation safety and capacity, to provide stable funding for the national aviation system, and for other purposes.

THOMAS, 112th Congress

Rep. Webster, Daniel [R-FL-8

2011-03-30

House - 03/31/2011 On agreeing to the resolution Agreed to by the Yeas and Nays: 249 - 171 (Roll no. 205). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

To refer H.R. 5862, a bill making congressional reference to the United States Court of Federal Claims pursuant to sections 1492 and 2509 of title 28, United States Code, the Indian trust-related claims of the Quapaw Tribe of Oklahoma (O-Gah-Pah) as well as its individual members.

THOMAS, 112th Congress

Rep. Cole, Tom [R-OK-4

2012-05-30

House - 12/19/2012 On motion to suspend the rules and agree to the resolution, as amended Agreed to by the Yeas and Nays: (2/3 required): 398 - 5 (Roll no. 635). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

The Computer Software Rental Amendments Act of 1988. Hearing on S. 2727 before the Subcommittee on Patents, Copyrights and Trrademarks of the Committee on the Judiciary, United States Senate. One Hundredth Congress, Second Session (Provo, Utah, August 24, 1988).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

A statement by Senator Orrin G. Hatch opened the hearing on The Computer Software Rental Amendments Act of 1988, a bill which would amend title 17, United States Code, the Copyright Act, to protect certain computer programs. The text of the bill is then presented, followed by the statements of four witnesses: (1) Dr. Alan C. Ashton, president,…

Lessons learned from the reimbursement profile of a mature private medical toxicology practice: office-based practice pays.

PubMed

Thompson, Trevonne M; Leikin, Jerrold B

2015-03-01

We previously reported the financial data for the first 5 years of one of the author's medical toxicology practice. The practice has matured; changes have been made. The practice is increasing its focus on office-based encounters and reducing hospital-based acute care encounters. We report the reimbursement rates and other financial metrics of the current practice. Financial records from October 2009 through September 2013 were reviewed. This is a period of 4 fiscal years and represents the currently available financial data. Charges, payments, and reimbursement rates were recorded according to the type and setting of the medical toxicology encounter: forensic consultations, outpatient clinic encounters, nonpsychiatric inpatient consultations, emergency department (ED) consultations, and inpatient psychiatric consultations. All patients were seen regardless of ability to pay or insurance status. The number of billed Current Procedural Terminology (CPT) codes for office-based encounters increased over the study period; the number of billed CPT codes for inpatient and ED consultations reduced. Office-based encounters demonstrate a higher reimbursement rate and higher payments. In the fiscal year (FY) of 2012, office-based revenue exceeded hospital-based acute care revenue by over $140,000 despite a higher number of billed CPT encounters in acute care settings, and outpatient payments were 2.39 times higher than inpatient, inpatient psychiatry, observation unit, and ED payments combined. The average payment per CPT code was higher for outpatient clinic encounters than inpatient encounters for each fiscal year studied. There was an overall reduction in CPT billing volume between FY 2010 and FY 2013. Despite this, there was an increase in total practice revenue. There was no change in payor mix, practice logistics, or billing/collection service company. In this medical toxicology practice, office-based encounters demonstrate higher reimbursement rates and overall payments compared to inpatient and ED consultations. While consistent with our previous studies, these differences have been accentuated. This study demonstrates the results of changes to the practice--reduced inpatient/ED consultations and increased outpatient encounters. These practice changes resulted in higher overall revenue despite a lower patient volume. In this analysis, the office-based practice of medical toxicology has higher reimbursement rates, nearly 2.5 times higher, when compared to hospital-based acute care consultations.

77 FR 30972 - Certain Polybrominated Diphenylethers; Significant New Use Rule and Test Rule; Extension of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-24

... technical information contact: Catherine Roman, Chemical Control Division, Office of Pollution Prevention... Safety and Pollution Prevention. [FR Doc. 2012-12625 Filed 5-23-12; 8:45 am] BILLING CODE 6560-50-P ...

76 FR 70660 - Petition for Reconsideration of Action of Rulemaking Proceeding

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-15

...., Washington, DC 20554. FOR FUTHER INFORMATION CONTACT: Shaun Maher, Media Bureau, (202) 418- 2324..., Office of Managing Director. [FR Doc. 2011-29437 Filed 11-14-11; 8:45 a.m.] BILLING CODE 6712-01-P ...

77 FR 43237 - Malcolm Baldrige National Quality Award Panel of Judges

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-24

... prominent in the fields of quality, innovation, and performance management and appointed by the Secretary of... Director for Innovation & Industry Services. [FR Doc. 2012-18068 Filed 7-23-12; 8:45 am] BILLING CODE 3510...

76 FR 24862 - Meeting of a Federal Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-03

... minutes. 9:15 a.m. Defense Acquisition Workforce Talent Management Initiative. 10:45 a.m. Army Senior... Liaison Officer, Department of Defense. [FR Doc. 2011-10679 Filed 5-2-11; 8:45 am] BILLING CODE 5001-06-P ...

77 FR 64837 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Fourth Meeting: RTCA Special Committee 227, Standards of Navigation Performance AGENCY: Federal Aviation Administration (FAA), U.S... Operations Group, Federal Aviation Administration. [FR Doc. 2012-26034 Filed 10-22-12; 8:45 am] BILLING CODE...

78 FR 41183 - Federal Aviation Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Meeting: RTCA Program Management Committee AGENCY: Federal Aviation Administration (FAA), U.S. Department of Transportation (DOT). ACTION... Operations Group, Federal Aviation Administration. [FR Doc. 2013-16464 Filed 7-8-13; 8:45 am] BILLING CODE...

75 FR 51163 - Petition for Exemption; Summary of Petition Received

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... absorbing padding installed on the edges of business class passenger seat partition walls on Boeing Model... emergency landing or turbulence. [FR Doc. 2010-20464 Filed 8-17-10; 8:45 am] BILLING CODE 4910-13-P ...

77 FR 2766 - Arts Advisory Panel Meeting

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2012-01-19

...: Pursuant to Section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92-463), as amended, this... Endowment for the Arts. [FR Doc. 2012-1016 Filed 1-13-12; 4:15 pm] BILLING CODE 7537-01-P ...

78 FR 15011 - Environmental Impacts Statements; Notice of Availability

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-08

..., Final EIS, DOE, TX, W.A. Parish Post-Combustion CO 2 Capture and Sequestration Project, Review Period.... 20130055, Final EIS, NPS, IA, Effigy Mounds National Monument Final General Management Plan, Review Period...] BILLING CODE 6560-50-P ...

To amend title 46, United States Code, to improve maritime law enforcement.

THOMAS, 111th Congress

Rep. LoBiondo, Frank A. [R-NJ-2

2009-03-11

House - 04/27/2009 Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

78 FR 14980 - Gulf of Mexico Fishery Management Council; Public Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-08

... New Orleans Airport, 2829 Williams Boulevard, Kenner, LA 70062, telephone: (504) 467-5611. Copies of..., National Marine Fisheries Service. [FR Doc. 2013-05427 Filed 3-7-13; 8:45 am] BILLING CODE 3510-22-P ...

75 FR 36698 - Committee Management Renewals

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-28

... NATIONAL SCIENCE FOUNDATION Committee Management Renewals The NSF management officials having... follows consultation with the Committee Management Secretariat, General Services Administration..., Committee Management Officer. [FR Doc. 2010-15565 Filed 6-25-10; 8:45 am] BILLING CODE 7555-01-P ...

75 FR 63468 - Notice of Revocation of Market-Based Rate Tariff

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-15

... market-based rate tariffs. \\1\\ Electric Quarterly Reports, 132 FERC ] 61,251 (2010) (September 22 Order.... Kimberly D. Bose, Secretary. [FR Doc. 2010-25955 Filed 10-14-10; 8:45 am] BILLING CODE 6717-01-P ...

Variation in hospital costs and reimbursement for endovascular aneurysm repair: A Vascular Quality Initiative pilot project.

PubMed

Lemmon, Gary W; Neal, Dan; DeMartino, Randall R; Schneider, Joseph R; Singh, Tej; Kraiss, Larry; Scali, Salvatore; Tassiopoulos, Apostolos; Hoel, Andrew; Cronenwett, Jack L

2017-10-01

Comparing costs between centers is difficult because of the heterogeneity of vascular procedures contained in broad diagnosis-related group (DRG) billing categories. The purpose of this pilot project was to develop a mechanism to merge Vascular Quality Initiative (VQI) clinical data with hospital billing data to allow more accurate cost and reimbursement comparison for endovascular aneurysm repair (EVAR) procedures across centers. Eighteen VQI centers volunteered to submit UB04 billing data for 782 primary, elective infrarenal EVAR procedures performed by 108 surgeons in 2014. Procedures were categorized as standard or complex (with femoral-femoral bypass or additional arterial treatment) and without or with complications (arterial injury or embolectomy; bowel or leg ischemia; wound infection; reoperation; or cardiac, pulmonary, or renal complications), yielding four clinical groups for comparison. MedAssets, Inc, using cost to charge ratios, calculated total hospital costs and cost categories. Cost variation analyzed across centers was compared with DRG 237 (with major complication or comorbidity) and 238 (without major complication or comorbidity) coding. A multivariable model to predict DRG 237 coding was developed using VQI clinical data. Of the 782 EVAR procedures, 56% were standard and 15% had complications, with wide variation between centers. Mean total costs ranged from $31,100 for standard EVAR without complications to $47,400 for complex EVAR with complications and varied twofold to threefold among centers. Implant costs for standard EVAR without complications varied from $8100 to $28,200 across centers. Average Medicare reimbursement was less than total cost except for standard EVAR without complications. Only 9% of all procedures with complications in the VQI were reported in the higher reimbursed DRG 237 category (center range, 0%-21%). There was significant variation in hospitals' coding of DRG 237 compared with their expected rates. VQI clinical data accurately predict current DRG coding (C statistic, 0.87). VQI data allow a more precise EVAR cost comparison by identifying comparable clinical groups compared with DRG-based calculations. Total costs exceeded Medicare reimbursement, especially for patients with complications, although this varied by center. Implant costs also varied more than expected between centers for comparable cases. Incorporation of VQI data elements documenting EVAR case complexity into billing data may allow centers to better align respective DRG reimbursement to total costs. Copyright © 2017 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Accuracy of Administrative Billing Codes to Detect Urinary Tract Infection Hospitalizations

PubMed Central

Hall, Matthew; Auger, Katherine A.; Hain, Paul D.; Jerardi, Karen E.; Myers, Angela L.; Rahman, Suraiya S.; Williams, Derek J.; Shah, Samir S.

2011-01-01

BACKGROUND: Hospital billing data are frequently used for quality measures and research, but the accuracy of the use of discharge codes to identify urinary tract infections (UTIs) is unknown. OBJECTIVE: To determine the accuracy of International Classification of Diseases, 9th revision (ICD-9) discharge codes to identify children hospitalized with UTIs. METHODS: This multicenter study conducted in 5 children's hospitals included children aged 3 days to 18 years who had been admitted to the hospital, undergone a urinalysis or urine culture, and discharged from the hospital. Data were obtained from the pediatric health information system database and medical record review. With the use of 2 gold-standard methods, the positive predictive value (PPV) was calculated for individual and combined UTI codes and for common UTI identification strategies. PPV was measured for all groupings for which the UTI code was the principal discharge diagnosis. RESULTS: There were 833 patients in the study. The PPV was 50.3% with the use of the gold standard of laboratory-confirmed UTIs but increased to 85% with provider confirmation. Restriction of the study cohort to patients with a principle diagnosis of UTI improved the PPV for laboratory-confirmed UTI (61.2%) and provider-confirmed UTI (93.2%), as well as the ability to benchmark performance. Other common identification strategies did not markedly affect the PPV. CONCLUSIONS: ICD-9 codes can be used to identify patients with UTIs but are most accurate when UTI is the principal discharge diagnosis. The identification strategies reported in this study can be used to improve the accuracy and applicability of benchmarking measures. PMID:21768320

[Prevalence of Cardiovascular Risk Factors at The Population Level: A Comparison of Ambulatory Physician-Coded Claims Data With Clinical Data From A Population-Based Study].

PubMed

Angelow, Aniela; Reber, Katrin Christiane; Schmidt, Carsten Oliver; Baumeister, Sebastian Edgar; Chenot, Jean-Francois

2018-06-04

The study assesses the validity of ICD-10 coded cardiovascular risk factors in claims data using gold-standard measurements from a population-based study for arterial hypertension, diabetes, dyslipidemia, smoking and obesity as a reference. Data of 1941 participants (46 % male, mean age 58±13 years) of the Study of Health in Pomerania (SHIP) were linked to electronic medical records from the regional association of statutory health insurance physicians from 2008 to 2012 used for billing purposes. Clinical data from SHIP was used as a gold standard to assess the agreement with claims data for ICD-10 codes I10.- (arterial hypertension), E10.- to E14.- (diabetes mellitus), E78.- (dyslipidemia), F17.- (smoking) and E65.- to E68.- (obesity). A higher agreement between ICD-coded and clinical diagnosis was found for diabetes (sensitivity (sens) 84%, specificity (spec) 95%, positive predictive value (ppv) 80%) and hypertension (sens 72%, spec 93%, ppv 97%) and a low level of agreement for smoking (sens 18%, spec 99%, ppv 89%), obesity (sens 22%, spec 99%, ppv 99%) and dyslipidemia (sens 40%, spec 60%, ppv 70%). Depending on the investigated cardiovascular risk factor, medication, documented additional cardiovascular co-morbidities, age, sex and clinical severity were associated with the ICD-coded cardiovascular risk factor. The quality of ICD-coding in ambulatory care is highly variable for different cardiovascular risk factors and outcomes. Diagnoses were generally undercoded, but those relevant for billing were coded more frequently. Our results can be used to quantify errors in population-based estimates of prevalence based on claims data for the investigated cardiovascular risk factors. © Georg Thieme Verlag KG Stuttgart · New York.

Rising Billing for Intermediate Intensive Care among Hospitalized Medicare Beneficiaries between 1996 and 2010

PubMed Central

Valley, Thomas S.; Prescott, Hallie C.; Wunsch, Hannah; Iwashyna, Theodore J.; Cooke, Colin R.

2016-01-01

Rationale: Intermediate care (i.e., step-down or progressive care) is an alternative to the intensive care unit (ICU) for patients with moderate severity of illness. The adoption and current use of intermediate care is unknown. Objectives: To characterize trends in intermediate care use among U.S. hospitals. Methods: We examined 135 million acute care hospitalizations among elderly individuals (≥65 yr) enrolled in fee-for-service Medicare (U.S. federal health insurance program) from 1996 to 2010. We identified patients receiving intermediate care as those with intensive care or coronary care room and board charges labeled intermediate ICU. Measurements and Main Results: In 1996, a total of 960 of the 3,425 hospitals providing critical care billed for intermediate care (28%), and this increased to 1,643 of 2,783 hospitals (59%) in 2010 (P < 0.01). Only 8.2% of Medicare hospitalizations in 1996 were billed for intermediate care, but billing steadily increased to 22.8% by 2010 (P < 0.01), whereas the percentage billed for ICU care and ward-only care declined. Patients billed for intermediate care had more acute organ failures diagnoses codes compared with general ward patients (22.4% vs. 15.8%). When compared with patients billed for ICU care, those billed for intermediate care had fewer organ failures (22.4% vs. 43.4%), less mechanical ventilation (0.9% vs. 16.7%), lower mean Medicare spending ($8,514 vs. $18,150), and lower 30-day mortality (5.6% vs. 16.5%) (P < 0.01 for all comparisons). Conclusions: Intermediate care billing increased markedly between 1996 and 2010. These findings highlight the need to better define the value, specific practices, and effective use of intermediate care for patients and hospitals. PMID:26372779

Rising Billing for Intermediate Intensive Care among Hospitalized Medicare Beneficiaries between 1996 and 2010.

PubMed

Sjoding, Michael W; Valley, Thomas S; Prescott, Hallie C; Wunsch, Hannah; Iwashyna, Theodore J; Cooke, Colin R

2016-01-15

Intermediate care (i.e., step-down or progressive care) is an alternative to the intensive care unit (ICU) for patients with moderate severity of illness. The adoption and current use of intermediate care is unknown. To characterize trends in intermediate care use among U.S. hospitals. We examined 135 million acute care hospitalizations among elderly individuals (≥65 yr) enrolled in fee-for-service Medicare (U.S. federal health insurance program) from 1996 to 2010. We identified patients receiving intermediate care as those with intensive care or coronary care room and board charges labeled intermediate ICU. In 1996, a total of 960 of the 3,425 hospitals providing critical care billed for intermediate care (28%), and this increased to 1,643 of 2,783 hospitals (59%) in 2010 (P < 0.01). Only 8.2% of Medicare hospitalizations in 1996 were billed for intermediate care, but billing steadily increased to 22.8% by 2010 (P < 0.01), whereas the percentage billed for ICU care and ward-only care declined. Patients billed for intermediate care had more acute organ failures diagnoses codes compared with general ward patients (22.4% vs. 15.8%). When compared with patients billed for ICU care, those billed for intermediate care had fewer organ failures (22.4% vs. 43.4%), less mechanical ventilation (0.9% vs. 16.7%), lower mean Medicare spending ($8,514 vs. $18,150), and lower 30-day mortality (5.6% vs. 16.5%) (P < 0.01 for all comparisons). Intermediate care billing increased markedly between 1996 and 2010. These findings highlight the need to better define the value, specific practices, and effective use of intermediate care for patients and hospitals.

Medicare's "Global" terrorism: where is the pay for performance?

PubMed

Reed, R Lawrence; Luchette, Fred A; Esposito, Thomas J; Pyrz, Karen; Gamelli, Richard L

2008-02-01

Medicare and Medicaid Services (CMS) payment policies for surgical operations are based on a global package concept. CMS' physician fee schedule splits the global package into preoperative, intraoperative, and postoperative components of each procedure. We hypothesized that these global package component valuations were often lower than comparable evaluation and management (E&M) services and that billing for E&M services instead of the operation could often be more profitable. Our billing database and Trauma Registry were queried for the operative procedures and hospital lengths of stay for trauma patients during the past 5 years. Determinations of preoperative, intraoperative, and postoperative payments were calculated for 10-day and 90-day global packages, comparing them to CMS payments for comparable E&M codes. Of 90-day and 10-day Current Procedural Terminology codes, 88% and 100%, respectively, do not pay for the comprehensive history and physical that trauma patients usually receive, whereas 41% and 98%, respectively, do not even meet payment levels for a simple history and physical. Of 90-day global package procedures, 70% would have generated more revenue had comprehensive daily visits been billed instead of the operation ($3,057,500 vs. $1,658,058). For 10-day global package procedures, 56% would have generated more revenue with merely problem-focused daily visits instead of the operation ($161,855 vs. $156,318). Medicare's global surgical package underpays E&M services in trauma patients. In most cases, trauma surgeons would fare better by not billing for operations to receive higher reimbursement for E&M services that are considered "bundled" in the global package payment.

Abortion bills introduced to Western Australian parliament.

PubMed

Loff, B; Cordner, S

1998-03-21

Police charges against two doctors who were involved in an abortion in West Australia in February 1998 prompted the introduction of two bills to the state's Legislative Assembly and Upper House. West Australia's Attorney-General, Peter Foss, introduced a bill to the Legislative Assembly which permits induced abortion if a pregnancy is causing serious danger to the mother's physical or mental health; if serious danger to her physical or mental health will result if the abortion is not performed; if the woman will otherwise experience serious personal, family, social, or economic consequences; or if she gives informed consent. Informed consent is defined as consent given by the woman after she has received counseling about the consequences of an induced abortion. This bill can allow for either no change in the current framework or abortion upon demand since the Attorney has stated that members may accept all or none of the options, or something in between. Debate began on March 17 and will probably be heated. A Private Member's Bill was introduced into the West Australian Upper House which would repeal the sections of the Criminal Code on abortion. As such, abortion would become a matter to be determined by only a woman and her doctor.

77 FR 37446 - Advisory Committee on the Medical Uses of Isotopes: Meeting Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-21

...; and (6) update on domestic production of molybdenum-99. The regular meeting agenda is subject to..., Advisory Committee Management Officer. [FR Doc. 2012-15173 Filed 6-20-12; 8:45 am] BILLING CODE 7590-01-P ...

76 FR 79656 - Notice of Meeting

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2011-12-22

... buildings, parks and memorials. Draft agendas and additional information regarding the Commission are available on our Web site: www.cfa.gov . Inquiries regarding the agenda and requests to submit written or... Filed 12-21-11; 8:45 am] BILLING CODE 6330-01-M ...

To amend title 40, United States Code, to provide additional authority and definitions relating to public utility contracts.

THOMAS, 111th Congress

Rep. Schiff, Adam B. [D-CA-29

2009-01-06

House - 02/24/2009 Referred to the Subcommittee on Government Management, Organization, and Procurement. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

76 FR 42733 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-19

... hearings, as follows: Thursday, July 28, 2011: 10 a.m. Claim No. LIB-II-125, Claim No. LIB-II-126 and Claim... H. Lock, Executive Officer. [FR Doc. 2011-18198 Filed 7-15-11; 11:15 am] BILLING CODE 4410-BA-P ...

78 FR 36011 - Notice of Senior Executive Service Performance Review Board Membership

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2013-06-14

... Min* Van Nguyen DeBorah Russell Vance Teel Amy Thompson* Laura Train* *New Member Reginald F. Wells, Deputy Commissioner for Human Resources. [FR Doc. 2013-14200 Filed 6-13-13; 8:45 am] BILLING CODE 4191-02...

77 FR 55481 - Withdrawal of Approval of New Animal Drug Applications; Chorionic Gonadotropin; Naloxone...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-10

... Medicine (HFV-212), Food and Drug Administration, 7519 Standish Pl., Rockville, MD 20855, 240-453-6843... Dunham, Director, Center for Veterinary Medicine. [FR Doc. 2012-22195 Filed 9-7-12; 8:45 am] BILLING CODE...

75 FR 38540 - Notice of Filing of Plats of Survey, Alaska

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-02

...: Stephen B. Hamrick, 907-271-5481, fax 907-271-4549, e-mail [email protected] . SUPPLEMENTARY INFORMATION.... Stephen B. Hamrick, Chief Cadastral Surveyor. [FR Doc. 2010-16220 Filed 7-1-10; 8:45 am] BILLING CODE 4310...

75 FR 3197 - Tri-County Advisory Committee Meeting

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2010-01-20

..., 2010, from 5 p.m. until 8 p.m. ADDRESSES: The meeting will be held at the USDA building located 1002.... Myers, Designated Federal Official. [FR Doc. 2010-812 Filed 1-19-10; 8:45 am] BILLING CODE 3410-11-M ...

75 FR 74678 - Bureau for Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace Announcement...

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2010-12-01

... Democracy, Conflict and Humanitarian Assistance; Office of Food for Peace Announcement of Request for..., Conflict and Humanitarian Assistance. [FR Doc. 2010-30195 Filed 11-30-10; 8:45 am] BILLING CODE P ...

77 FR 26583 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Petroleum...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-04

... are: ExxonMobil Research and Engineering Company, Fairfax, VA; BP Products North America Inc... of Civil Enforcement, Antitrust Division. [FR Doc. 2012-10803 Filed 5-3-12; 8:45 am] BILLING CODE P ...

77 FR 38776 - Reestablishment of the Agricultural Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-29

.... All comments must be submitted in English, or if not, accompanied by an English translation. Comments... Advisory Committee will operate for two years from the date of renewal unless, before the expiration of...-12; 8:45 am] BILLING CODE P ...

75 FR 14429 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 11 a.m., Friday April 23, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 14429 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting Time and Date: 11 a.m., Friday, April 9, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status: Closed...-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 38087 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday July 30, 2009. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-29-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 29995 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., June 18, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed. MATTERS...-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 7568 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-22

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday March 12, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-18-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 29995 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, June 4, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-26-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 29995 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday June 25, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-26-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 14429 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 11 a.m., Friday, April 2, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 14429 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 11 a.m., Friday April 30, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 38087 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., July 16, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed. MATTERS...-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 38086 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday, July 2, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status: Closed...-29-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 7568 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-22

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday March 5, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-18-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 29996 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday, June 11, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status: Closed...-26-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 38086 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday, July 9, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status: Closed...-29-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 7568 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-22

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday March 26, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-18-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 38087 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday July 23, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status: Closed...-29-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 4355 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 11 a.m., February 19, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS: Closed...-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

77 FR 64810 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Senior...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-23

... reports the number of active volunteers, issues and inquiries received, other SMP program outreach... Assistant Secretary for Aging. [FR Doc. 2012-26091 Filed 10-22-12; 8:45 am] BILLING CODE 4154-01-P ...

77 FR 45357 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Senior...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-31

... information collection reports the number of active volunteers, issues and inquiries received, other SMP... and Assistant Secretary for Aging. [FR Doc. 2012-18645 Filed 7-30-12; 8:45 am] BILLING CODE 4154-01-P ...

77 FR 73637 - Alliance Pipeline L.P.; Notice of Application

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-11

... Pipeline L.P.; Notice of Application Take notice that on November 26, 2012, Alliance Pipeline L.P..., Manager, Regulatory Affairs, Alliance Pipeline Ltd. on behalf of Alliance Pipeline L.P., 800, 605-5 Ave...] BILLING CODE 6717-01-P ...

76 FR 44963 - Committee Management; Renewals

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-27

... NATIONAL SCIENCE FOUNDATION Committee Management; Renewals The NSF management officials having... USC 1861 et seq. This determination follows consultation with the Committee Management Secretariat... Management Officer. [FR Doc. 2011-18934 Filed 7-26-11; 8:45 am] BILLING CODE 7555-01-P ...

77 FR 74028 - Hearing of the Judicial Conference Advisory Committee on Rules of Evidence; Federal Register...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-12

... CONTACT: Benjamin J. Robinson, Deputy Rules Officer and Counsel, Administrative Office of the United.... Robinson, Rules Committee Deputy and Counsel. [FR Doc. 2012-29958 Filed 12-11-12; 8:45 am] BILLING CODE...

76 FR 54197 - Membership of the Office of the Secretary Performance Review Board

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-31

..., Director, Office of Executive Resources, Office of Human Resources Management, Office of the Director, 14th..., Office of Executive Resources. [FR Doc. 2011-22101 Filed 8-30-11; 8:45 am] BILLING CODE 3510-BS-M ...

77 FR 543 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-05

... the docket number for this notice. Note that DOT posts all comments received without change to http... continues to meet the vision exemption requirements. These factors provide an adequate basis for predicting...:45 am] BILLING CODE 4910-EX-P ...

76 FR 29026 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-19

... include the Agency name and the docket number for this notice. Note that DOT posts all comments received... continues to meet the vision exemption standards. These factors provide an adequate basis for predicting... am] BILLING CODE 4910-EX-P ...

75 FR 32459 - Notice Announcing Preliminary Permit Drawing

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-08

... accordingly. \\2\\ 18 CFR 4.37 (2009). See, e.g., BPUS Generation Development, LLC, 126 FERC ] 61,132 (2009). On... drawing. Kimberly D. Bose, Secretary. [FR Doc. 2010-13559 Filed 6-7-10; 8:45 am] BILLING CODE 6717-01-P ...

78 FR 2950 - Opportunity To Comment on the Applicants for the Indianapolis, Indiana Area

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-15

...; Johnson; Madison, west of State Route 13 and south of State Route 132; Marion; Monroe; Morgan; and Shelby... Administration. [FR Doc. 2013-00676 Filed 1-14-13; 8:45 am] BILLING CODE 3410-KD-P ...

75 FR 52527 - New York Independent System Operator, Inc. Notice of Filings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-26

... Compliance Filing, New York Independent System Operator, Inc., 132 FERC 61,031 (July 15, 2010). Any person.... Kimberly D. Bose, Secretary. [FR Doc. 2010-21167 Filed 8-25-10; 8:45 am] BILLING CODE 6717-01-P ...

76 FR 6309 - Establishment of the President's Council on Jobs and Competitiveness

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-03

... healthy functioning of the economy and other factors that may contribute to the sustainable growth and... HOUSE, January 31, 2011. [FR Doc. 2011-2577 Filed 2-2-11; 11:15 am] Billing code 3195-W1-P ...

Unpaid hospital bills: evidence from Florida.

PubMed

Campbell, E S

1992-01-01

Most of what we know about the population generating uncompensated care is inferred from data on the uninsured population. The use of insurance status as an indicator for potential charity patients is justifiable considering the lack of alternative information. This study directly examines uncompensated hospital care using a unique data set generated from a special survey conducted in Florida. A selection model estimated using these data explains who is likely to default on their bill and what amount will be left unpaid. The results provide a clearer picture of the uncompensated hospital care problem.

Voting on Embryonic Stem Cell Research: Citizens More Supportive than Politicians.

PubMed

Stadelmann, David; Torgler, Benno

2017-01-01

As the public debate over stem cell research continues, the observable voting behaviour in Switzerland offers a unique opportunity to compare the voting behaviour of politicians with that of voters. By analysing the outcomes of a referendum on a liberal new bill regulating such research, we reveal an about 10 percentage point lower conditional probability of the bill being accepted by politicians than by voters. Whereas the behaviour of politicians is driven almost entirely by party affiliation, citizen votes are driven not only by party attachment but also by church attendance. Seldom or never attending church increases the probability of bill acceptance by over 15 percentage points, while supporting the Liberal Party and the Social Democratic Party instead of the Christian Democratic Party makes supporting the bill more likely for voters, suggesting that religious observance is important. The observance of these tendencies in Switzerland-an environment that promotes discussion through direct democratic rights-strongly suggests that citizens see the benefits of stem cell research.

EMPHASIS(TM)/Nevada UTDEM User Guide Version 2.1.1.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Turner, C. David; Pasik, Michael F.; Pointon, Timothy D.

The Unstructured Time - Domain ElectroMagnetics (UTDEM) portion of the EMPHASIS suite solves Maxwell's equations using finite - element techniques on unstructured meshes. This document provides user - specific information to facilitate the use of the code for ap plications of interest. Acknowledgement The authors would like to thank all of those individuals who have helped to bring EMPHASIS/Nevada to the point it is today, including Bill Bohnhoff, Rich Drake, and all of the NEVADA code team.

76 FR 22162 - Sixteenth Meeting: EUROCAE WG-72: RTCA Special Committee 216: Aeronautical Systems Security...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-20

... meeting held January 18-21, 2011. Report on the PMC/ICC Action on TOR. RTCA Specific Publication Progress... Advisory Committee. [FR Doc. 2011-9489 Filed 4-19-11; 8:45 am] BILLING CODE 4910-13-P ...

76 FR 65183 - National Oceanic and Atmospheric Administration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-20

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration National Climate Assessment... Oceanic and Atmospheric Administration (NOAA), Department of Commerce (DOC). ACTION: Notice of open..., National Oceanic and Atmospheric Administration. [FR Doc. 2011-27113 Filed 10-19-11; 8:45 am] BILLING CODE...

77 FR 44704 - Generalized System of Preferences (GSP): Notice of Initiation of the 2012 Annual GSP Product and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-30

... Sanford, Assistant U.S. Trade Representative for Small Business, Market Access & Industrial Competitiveness,Office of the U.S. Trade Representative. [FR Doc. 2012-18426 Filed 7-27-12; 8:45 am] BILLING CODE...

77 FR 54946 - Advisory Board; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-06

... interested public but limited to the space available. With the approval of the Acting Administrator, members... contact, not later than Friday, October 19, 2012, Anita K. Blackman, Chief of Staff, Saint Lawrence Seaway...-12; 8:45 am] BILLING CODE 4910-61-P ...

To amend subtitle IV of title 40, United States Code, regarding county additions to the Appalachian region.

THOMAS, 113th Congress

Rep. Blackburn, Marsha [R-TN-7

2013-01-03

House - 01/04/2013 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To amend subtitle IV of title 40, United States Code, regarding county additions to the Appalachian region.

THOMAS, 111th Congress

Rep. Davis, Lincoln [D-TN-4

2010-03-24

House - 03/25/2010 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To amend subtitle IV of title 40, United States Code, regarding county additions to the Appalachian region.

THOMAS, 112th Congress

Rep. Blackburn, Marsha [R-TN-7

2011-01-05

House - 01/06/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

78 FR 27369 - Procurement List; Additions and Deletion

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-10

..., Sleeping NSN: 8415-00-890-2099 NSN: 8415-00-890-2100 NSN: 8415-00-890-2101 NSN: 8415-00-890-2102 NSN: 8415.... Lineback, Director, Business Operations. [FR Doc. 2013-11157 Filed 5-9-13; 8:45 am] BILLING CODE 6353-01-P ...

75 FR 7568 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-22

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 2 p.m., Wednesday March 17, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Filed 2-18-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 4356 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 11 a.m., Friday, February 12, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Filed 1-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 51016 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Tuesday, August 31, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Filed 8-16-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 14429 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-25

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting Time and Date: 2 p.m., Wednesday, April 21, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status... Filed 3-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 38087 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-01

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 2 p.m., Wednesday, July 21, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Filed 6-29-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 4356 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meeting TIME AND DATE: 2 p.m., Wednesday, February 17, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Filed 1-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

78 FR 66373 - Office of the Director, National Institutes of Health; Amended Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-05

... of the Office of Research Infrastructure Programs Special Emphasis Panel, October 09, 2013, 08:00 a.m... Advisory Committee Policy. [FR Doc. 2013-26434 Filed 11-4-13; 8:45 am] BILLING CODE 4140-01-P ...

75 FR 19674 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-15

... posts all comments received without change to http://www.regulations.gov , including any personal... applicant continues to meet the vision exemption standards. These factors provide an adequate basis for...-8646 Filed 4-14-10; 8:45 am] BILLING CODE 4910-EX-P ...

77 FR 14339 - Notice of Intent To Request Approval To Establish a New Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-09

... level is needed to augment these reports. Estimate of Burden: DOCE estimates that an average of 20..., Education, and Economics. [FR Doc. 2012-5796 Filed 3-8-12; 8:45 am] BILLING CODE 3410-22-P ...

48 CFR 1845.7101-2 - Transfers of property.

Code of Federal Regulations, 2010 CFR

2010-10-01

... items are recorded (including Federal Supply Classification group (FSC) codes for equipment), unit... appropriate such as manufacturing or engineering records used for work control and billing purposes. Shipping... from another contractor that is identified on the shipping document as equipment, but that the...

76 FR 41859 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-15

.... Estimated Average Burden per Response: 22 hours. Estimated Total Annual Burden: 100,132 hours. ADDRESSES... Business Services Division, AES-300. [FR Doc. 2011-17209 Filed 7-14-11; 8:45 am] BILLING CODE 4910-13-P ...

To amend title 18, United States Code, to prohibit former Members of Congress from engaging in lobbying contacts.

THOMAS, 113th Congress

Rep. Cicilline, David N. [D-RI-1

2014-02-06

House - 03/20/2014 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

[Data coding in the Israeli healthcare system - do choices provide the answers to our system's needs?].

PubMed

Zelingher, Julian; Ash, Nachman

2013-05-01

The IsraeLi healthcare system has undergone major processes for the adoption of health information technologies (HIT), and enjoys high Levels of utilization in hospital and ambulatory care. Coding is an essential infrastructure component of HIT, and ts purpose is to represent data in a simplified and common format, enhancing its manipulation by digital systems. Proper coding of data enables efficient identification, storage, retrieval and communication of data. UtiLization of uniform coding systems by different organizations enables data interoperability between them, facilitating communication and integrating data elements originating in different information systems from various organizations. Current needs in Israel for heaLth data coding include recording and reporting of diagnoses for hospitalized patients, outpatients and visitors of the Emergency Department, coding of procedures and operations, coding of pathology findings, reporting of discharge diagnoses and causes of death, billing codes, organizational data warehouses and national registries. New national projects for cLinicaL data integration, obligatory reporting of quality indicators and new Ministry of Health (MOH) requirements for HIT necessitate a high Level of interoperability that can be achieved only through the adoption of uniform coding. Additional pressures were introduced by the USA decision to stop the maintenance of the ICD-9-CM codes that are also used by Israeli healthcare, and the adoption of ICD-10-C and ICD-10-PCS as the main coding system for billing purpose. The USA has also mandated utilization of SNOMED-CT as the coding terminology for the ELectronic Health Record problem list, and for reporting quality indicators to the CMS. Hence, the Israeli MOH has recently decided that discharge diagnoses will be reported using ICD-10-CM codes, and SNOMED-CT will be used to code the cLinical information in the EHR. We reviewed the characteristics, strengths and weaknesses of these two coding systems. In summary, the adoption of ICD-10-CM is in line with the USA decision to abandon ICD-9-CM, and the Israeli heaLthcare system could benefit from USA heaLthcare efforts in this direction. The Large content of SNOMED-CT and its sophisticated hierarchical data structure will enable advanced cLinicaL decision support and quality improvement applications.

Workforce Investment for Unique Populations in Hawaii and Alaska Act of 2011

THOMAS, 112th Congress

Sen. Inouye, Daniel K. [D-HI

2011-07-28

Senate - 07/28/2011 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Wound center facility billing: A retrospective analysis of time, wound size, and acuity scoring for determining facility level of service.

PubMed

Fife, Caroline E; Walker, David; Farrow, Wade; Otto, Gordon

2007-01-01

Outpatient wound center facility reimbursement for Medicare beneficiaries can be a challenge to determine and obtain. To compare methods of calculating facility service levels for outpatient wound centers and to demonstrate the advantages of an acuity-based billing system (one that incorporates components of facility work that is non-reimbursable by procedure codes and that represents an activity-based costing approach to medical billing), a retrospective study of 5,098 patient encounters contained in a wound care-specific electronic medical record database was conducted. Approximately 500 patient visits to the outpatient wound center of a Texas regional hospital between April 2003 and November 2004 were categorized by service level in documentation and facility management software. Visits previously billed using a time-based system were compared to the Centers for Medicare and Medicaid Services' proposed three-tiered wound size-based system. The time-based system also was compared to an acuity-based scoring system. The Pearson correlation coefficient between billed level of service by time and estimated level of service by acuity was 0.442 and the majority of follow-up visits were billed as Level 3 and above (on a time level of 1 to 5) , confirming that time is not a surrogate for actual work performed. Wound size also was found to be unrelated to service level (Pearson correlation = 0.017) and 97% of wound areas were < 100 cm2. The acuity-based scoring system produced a near-normal distribution of results, producing more mid-range billings than extremes; no other method produced this distribution. Hospital-based outpatient wound centers should develop, review, and refine acuity score-based models on which to determine billed level of service.

Identifying Vasopressor and Inotrope Use for Health Services Research

PubMed Central

Fawzy, Ashraf; Bradford, Mark; Lindenauer, Peter K.

2016-01-01

Rationale: Identifying vasopressor and inotrope (vasopressor) use from administrative claims data may provide an important resource to study the epidemiology of shock. Objectives: Determine accuracy of identifying vasopressor use using International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) coding. Methods: Using administrative data enriched with pharmacy billing files (Premier, Inc., Charlotte, NC), we identified two cohorts: adult patients admitted with a diagnosis of sepsis from 2010 to 2013 or pulmonary embolism (PE) from 2008 to 2011. Vasopressor administration was obtained using pharmacy billing files (dopamine, dobutamine, epinephrine, milrinone, norepinephrine, phenylephrine, vasopressin) and compared with ICD-9-CM procedure code for vasopressor administration (00.17). We estimated performance characteristics of the ICD-9-CM code and compared patients’ characteristics and mortality rates according to vasopressor identification method. Measurements and Main Results: Using either pharmacy data or the ICD-9-CM procedure code, 29% of 541,144 patients in the sepsis cohort and 5% of 81,588 patients in the PE cohort were identified as receiving a vasopressor. In the sepsis cohort, the ICD-9-CM procedure code had low sensitivity (9.4%; 95% confidence interval, 9.2–9.5), which increased over time. Results were similar in the PE cohort (sensitivity, 5.8%; 95% confidence interval, 5.1–6.6). The ICD-9-CM code exhibited high specificity in the sepsis (99.8%) and PE (100%) cohorts. However, patients identified as receiving vasopressors by ICD-9-CM code had significantly higher unadjusted in-hospital mortality, had more acute organ failures, and were more likely hospitalized in the Northeast and West. Conclusions: The ICD-9-CM procedure code for vasopressor administration has low sensitivity and selects for higher severity of illness in studies of shock. Temporal changes in sensitivity would likely make longitudinal shock surveillance using ICD-9-CM inaccurate. PMID:26653145

Use of administrative and electronic health record data for development of automated algorithms for childhood diabetes case ascertainment and type classification: the SEARCH for Diabetes in Youth Study

PubMed Central

Zhong, Victor W.; Pfaff, Emily R.; Beavers, Daniel P.; Thomas, Joan; Jaacks, Lindsay M.; Bowlby, Deborah A.; Carey, Timothy S.; Lawrence, Jean M.; Dabelea, Dana; Hamman, Richard F.; Pihoker, Catherine; Saydah, Sharon H.; Mayer-Davis, Elizabeth J.

2014-01-01

Background The performance of automated algorithms for childhood diabetes case ascertainment and type classification may differ by demographic characteristics. Objective This study evaluated the potential of administrative and electronic health record (EHR) data from a large academic care delivery system to conduct diabetes case ascertainment in youth according to type, age and race/ethnicity. Subjects 57,767 children aged <20 years as of December 31, 2011 seen at University of North Carolina Health Care System in 2011 were included. Methods Using an initial algorithm including billing data, patient problem lists, laboratory test results and diabetes related medications between July 1, 2008 and December 31, 2011, presumptive cases were identified and validated by chart review. More refined algorithms were evaluated by type (type 1 versus type 2), age (<10 versus ≥10 years) and race/ethnicity (non-Hispanic white versus “other”). Sensitivity, specificity and positive predictive value were calculated and compared. Results The best algorithm for ascertainment of diabetes cases overall was billing data. The best type 1 algorithm was the ratio of the number of type 1 billing codes to the sum of type 1 and type 2 billing codes ≥0.5. A useful algorithm to ascertain type 2 youth with “other” race/ethnicity was identified. Considerable age and racial/ethnic differences were present in type-non-specific and type 2 algorithms. Conclusions Administrative and EHR data may be used to identify cases of childhood diabetes (any type), and to identify type 1 cases. The performance of type 2 case ascertainment algorithms differed substantially by race/ethnicity. PMID:24913103

78 FR 4170 - Sunshine Act Meetings: January 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-18

... NATIONAL LABOR RELATIONS BOARD Sunshine Act Meetings: January 2013 TIME AND DATES: All meetings..., Deputy Executive Secretary. (202) 273-3737. Dated: January 16, 2013. Gary Shinners, Deputy Executive Secretary. [FR Doc. 2013-01203 Filed 1-16-13; 4:15 pm] BILLING CODE 7545-01-P ...

78 FR 72719 - Sunshine Act Meetings: December 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-03

... NATIONAL LABOR RELATIONS BOARD Sunshine Act Meetings: December 2013 TIME AND DATES: All meetings..., Associate Executive Secretary, (202) 273-2917. Dated: November 27, 2013. William B. Cowen, Solicitor. [FR Doc. 2013-29025 Filed 11-29-13; 4:15 pm] BILLING CODE 7545-01-P ...

75 FR 55847 - Fourteenth Meeting: EUROCAE WG-72: RTCA Special Committee 216: Aeronautical Systems Security...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

..., (RTCA Paper No. 137-10/SC216-029). Report on the PMC/ICC action on TOR: Publication Progress and Update... Advisory Committee. [FR Doc. 2010-22879 Filed 9-13-10; 8:45 am] BILLING CODE 4910-13-P ...

77 FR 3030 - Twenty-Eighth Meeting: RTCA Special Committee 206: Aeronautical Information and Meteorological...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-20

... and normal definitions Review proposed TOR changes ConUse Review February 7, 2012 ConUse Review... proposed TOR changes and new or modified Sub-groups' roles and responsibilities Decision to release ConUse...] BILLING CODE 4910-13-P ...

75 FR 8363 - Meeting of the National Biodefense Science Board

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-24

... the Secretary on other matters related to public health emergency preparedness and response... Public Health Emergency Medical Countermeasure Enterprise (PHEMCE). Availability of Materials: The... Preparedness and Response. [FR Doc. 2010-3670 Filed 2-23-10; 8:45 am] BILLING CODE 4150-37-P ...

77 FR 16022 - Agency Information Collection Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-19

... DEPARTMENT OF ENERGY Office of Energy Efficiency and Renewable Energy Agency Information Collection Extension AGENCY: Office of Energy Efficiency and Renewable Energy, U.S. Department of Energy... Renewable Energy. [FR Doc. 2012-6546 Filed 3-16-12; 8:45 am] BILLING CODE 6450-01-P ...

75 FR 61415 - Admiralty National Monument: Tongass National Forest; Alaska; Expansion of Tailings Disposal...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-05

... Samuelson, Interdisciplinary Team Leader, Tongass National Forest Minerals Program Leader, 8510 Mendenhall...'' including wetlands, habitat, and the intrinsic characteristics that warranted the Monument's initial... Doc. 2010-24907 Filed 10-4-10; 8:45 am] BILLING CODE 3410-11-P ...

76 FR 36168 - Agency Information Collection Activities: Requests for Comments; Clearance of Renewed Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... at the following address: Ms. Carla Scott, Room 336, Federal Aviation Administration, AES-300, 950 L... Business Services Division, AES-200. [FR Doc. 2011-15378 Filed 6-20-11; 8:45 am] BILLING CODE 4910-13-P ...

76 FR 36168 - Agency Information Collection Activities; Requests for Comments; Clearance of Renewed Approval of...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-21

... FAA at the following address: Ms. Carla Scott, Room 336, Federal Aviation Administration, AES-300, 950... Business Services Division, AES-200. [FR Doc. 2011-15405 Filed 6-20-11; 8:45 am] BILLING CODE 4910-13-P ...

To amend title 40, United States Code, to require that restrooms in public buildings be equipped with baby changing facilities.

THOMAS, 111th Congress

Rep. Kildee, Dale E. [D-MI-5

2010-01-27

House - 01/28/2010 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

78 FR 73504 - Procurement List; Proposed Additions

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-06

... Logistics Support Detachment, Undisclosed Location*, Ft. Belvoir, VA. NPA: MVLE, Inc., Springfield, VA. Contracting Activity: Directorate of Contracting Procurement Logistics Support Detachment, Fort Belvoir, VA.... Lineback, Director, Business Operations. [FR Doc. 2013-29139 Filed 12-5-13; 8:45 am] BILLING CODE 6353-01-P ...

Title 44-Is Long Overdue Reform at Hand?

ERIC Educational Resources Information Center

Hernon, Peter; Dugan, Robert E.

1998-01-01

Analyzes aspects of proposed federal legislation which is attempting to reform portions of Title 44, "United States Code". Senate bill S.2288 charges the Government Printing Office (GPO) with responsibility for government printing, procurement, and dissemination. Includes a definition of government publication, GPO's depository-library…

77 FR 24554 - Certification Pursuant to Section 7041(A) of The Department of State, Foreign Operations, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-24

... accompanying Memorandum of Justification, shall be reported to Congress. Dated: March 8, 2012. Hillary Rodham Clinton, Secretary of State. [FR Doc. 2012-9867 Filed 4-23-12; 8:45 am] BILLING CODE 4710-31-P ...

75 FR 2920 - Designations of Foreign Terrorist Organizations; In the Matter of the Designation of: al-Qa'ida...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-19

... INA. This determination shall be published in the Federal Register. December 14, 2009. Hillary Rodham Clinton, Secretary of State, Department of State. [FR Doc. 2010-880 Filed 1-15-10; 8:45 am] BILLING CODE...

78 FR 21411 - National Register of Historic Places; Notification of Pending Nominations and Related Actions

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... for the following resource: NORTH CAROLINA Wake County Jones, Crabtree, House, N. of Raleigh off Old Wake Forest Rd., Raleigh, 73001376 [FR Doc. 2013-08281 Filed 4-9-13; 8:45 am] BILLING CODE 4312-51-P ...

Department of Interior Semiannual Regulatory Agenda

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-26

... INTERIOR (DOI) DEPARTMENT OF THE INTERIOR Office of the Secretary 25 CFR Ch. I 30 CFR Chs. II and VII 36... Plugging and Platform Decommissioning 1010-AD61 Department of the Interior (DOI) Final Rule Stage United...-AX19 BILLING CODE 4310--55--S [[Page 21817

76 FR 65727 - Sunshine Act Meeting Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-24

... be open to the public. The rest of the meeting will be closed to the public. MATTERS TO BE CONSIDERED: Portion Open to the Public: (1) Oral Argument in The North Carolina Board of Dental Examiners, Docket 9343...:45 am] BILLING CODE 6750-01-M ...

To amend the Internal Revenue Code of 1986 to modify and make permanent bonus depreciation.

THOMAS, 113th Congress

Rep. Tiberi, Patrick J. [R-OH-12

2014-05-22

Senate - 07/15/2014 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 465. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

78 FR 63968 - Notice of Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

... COMMODITY FUTURES TRADING COMMISSION Notice of Sunshine Act Meetings AGENCY: Commodity Futures Trading Commission. TIME AND DATE: 10:00 a.m., Friday, November 8, 2013. PLACE: 1155 21st St. NW...-25268 Filed 10-23-13; 11:15 am] BILLING CODE 6351-01-P ...

77 FR 7572 - Alliance Pipeline L.P.; Notice of Application

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-13

...] Alliance Pipeline L.P.; Notice of Application Take notice that on January 25, 2012, Alliance Pipeline L.P... Pipeline Inc., Managing General Partner of Alliance Pipeline L.P., 800, 605--5 Ave. SW., Calgary, Alberta...; 8:45 am] BILLING CODE 6717-01-P ...

75 FR 3278 - Petition for Exemption; Summary of Petition Received

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-20

... Boeing 747-8/8F model airplane. [FR Doc. 2010-927 Filed 1-19-10; 8:45 am] BILLING CODE 4910-13-P .... Petitioner: The Boeing Company. Section of 14 CFR Affected: 14 CFR 25.981(a)(3). Description of Relief Sought...

75 FR 51684 - Magnuson-Stevens Act Provisions; Fisheries Off West Coast States; Pacific Coast Groundfish...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-23

... result of management measures designed to meet the Pacific Coast Groundfish FMP objective of achieving..., subpart G, are revised to read as follows: BILLING CODE 3510-22-P [GRAPHIC] [TIFF OMITTED] TR23AU10.046 [[Page 51687

77 FR 12331 - Committee Management; Notice of Establishment

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-29

... NATIONAL SCIENCE FOUNDATION Committee Management; Notice of Establishment The Director of the... consultation with the Committee Management Secretariat, General Services Administration. Name of Committee... Bolton, Committee Management Officer. [FR Doc. 2012-4758 Filed 2-28-12; 8:45 am] BILLING CODE 7555-01-P ...

77 FR 17034 - Procurement List; Addition

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-23

...: Base Supply Center, National Maritime Intelligence Center/Office of Naval Intelligence, 4251 Suitland... Activity: Dept. of the Navy, Office Of Naval Intelligence, Washington, DC. Barry S. Lineback, Director, Business Operations. [FR Doc. 2012-7006 Filed 3-22-12; 8:45 am] BILLING CODE 6353-01-P ...

75 FR 64396 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-19

... include the Agency name and the docket number for this notice. Note that DOT posts all comments received... meet the vision exemption standards. These factors provide an adequate basis for predicting each driver...-18-10; 8:45 am] BILLING CODE 4910-EX-P ...

75 FR 3443 - Agenda and Notice of Public Meeting of the Nebraska Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-21

... Regional Office and TTY/TDD telephone number, by 4 p.m. on February 22, 2010. Members of the public are... Programs Coordination Unit. [FR Doc. 2010-1060 Filed 1-20-10; 8:45 am] BILLING CODE 6335-01-P ...

To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition.

THOMAS, 113th Congress

Rep. Griffith, H. Morgan [R-VA-9

2013-03-20

House - 04/15/2013 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, And Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

To amend title 18, United States Code, to provide penalties for counterfeiting or selling Presidential inauguration tickets, and for other purposes.

THOMAS, 113th Congress

Rep. Capuano, Michael E. [D-MA-7

2013-01-22

House - 02/28/2013 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, And Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

77 FR 9267 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-16

... Proposed Decisions in claims against Libya. 4:00 p.m.--Oral hearing on Objection to Commission's Proposed.... 2012-3843 Filed 2-14-12; 4:15 pm] BILLING CODE 4410-BA-P ... DEPARTMENT OF JUSTICE Foreign Claims Settlement Commission Sunshine Act Meeting F.C.S.C. Meeting...

75 FR 20031 - Notice of Public Meeting on FY 2011 Refugee Admissions Program

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... must notify the Bureau of Population, Refugees, and Migration at telephone (202) 663-1006 by 5 p.m. on..., Refugees, and Migration, Department of State. [FR Doc. 2010-8785 Filed 4-15-10; 8:45 am] BILLING CODE 4710...

76 FR 37372 - Notice of Proposed Withdrawal Extension and Notification of a Public Meeting; Montana

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-27

... DEPARTMENT OF THE INTERIOR Bureau of Land Management [61510-8451-0000; MTM 80092] Notice of Proposed Withdrawal Extension and Notification of a Public Meeting; Montana AGENCY: Bureau of Land...; 8:45 am] BILLING CODE 4310-55-P ...

Association between Health Information Technology and Case Mix Index.

PubMed

Park, Young-Taek; Lee, Junsang; Lee, Jinhyung

2017-10-01

Health information technology (IT) can assist healthcare providers in ordering medication and adhering to guidelines while improving communication among providers and the quality of care. However, the relationship between health IT and Case Mix Index (CMI) has not been thoroughly investigated; therefore, this study aimed to clarify this relationship. To examine the effect of health IT on CMI, a generalized estimation equation (GEE) was applied to two years of California hospital data. We found that IT was positively associated with CMI, indicating that increased IT adoption could lead to a higher CMI or billing though DRG up-coding. This implies that hospitals' revenue could increase around $40,000 by increasing IT investment by 10%. The positive association between IT and CMI implies that IT adoption itself could lead to higher patient billings. Generally, a higher CMI in a hospital indicates that the hospital provides expensive services with higher coding and therefore receives more money from patients. Therefore, measures to prevent upcoding through IT systems should be implemented.

Mining Peripheral Arterial Disease Cases from Narrative Clinical Notes Using Natural Language Processing

PubMed Central

Afzal, Naveed; Sohn, Sunghwan; Abram, Sara; Scott, Christopher G.; Chaudhry, Rajeev; Liu, Hongfang; Kullo, Iftikhar J.; Arruda-Olson, Adelaide M.

2016-01-01

Objective Lower extremity peripheral arterial disease (PAD) is highly prevalent and affects millions of individuals worldwide. We developed a natural language processing (NLP) system for automated ascertainment of PAD cases from clinical narrative notes and compared the performance of the NLP algorithm to billing code algorithms, using ankle-brachial index (ABI) test results as the gold standard. Methods We compared the performance of the NLP algorithm to 1) results of gold standard ABI; 2) previously validated algorithms based on relevant ICD-9 diagnostic codes (simple model) and 3) a combination of ICD-9 codes with procedural codes (full model). A dataset of 1,569 PAD patients and controls was randomly divided into training (n= 935) and testing (n= 634) subsets. Results We iteratively refined the NLP algorithm in the training set including narrative note sections, note types and service types, to maximize its accuracy. In the testing dataset, when compared with both simple and full models, the NLP algorithm had better accuracy (NLP: 91.8%, full model: 81.8%, simple model: 83%, P<.001), PPV (NLP: 92.9%, full model: 74.3%, simple model: 79.9%, P<.001), and specificity (NLP: 92.5%, full model: 64.2%, simple model: 75.9%, P<.001). Conclusions A knowledge-driven NLP algorithm for automatic ascertainment of PAD cases from clinical notes had greater accuracy than billing code algorithms. Our findings highlight the potential of NLP tools for rapid and efficient ascertainment of PAD cases from electronic health records to facilitate clinical investigation and eventually improve care by clinical decision support. PMID:28189359

77 FR 73051 - Agency Information Collection Activities; Proposed Collection; Comments Requested: Claims of U.S...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-07

... Justice. (4) Affected public who will be asked or required to respond, as well as a brief abstract: Primary: Individuals. Other: None. Information will be used as a basis for the Commission to receive...] BILLING CODE 4410-BA-P ...

77 FR 17462 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-26

... DEPARTMENT OF DEFENSE Department of the Army [Docket ID USA-2012-0006] Proposed Collection..., Department of Defense. [FR Doc. 2012-7074 Filed 3-23-12; 8:45 am] BILLING CODE 5001-06-P ... of 1995, the Department of the Army announces a proposed public information collection and seeks...

76 FR 8743 - Proposed Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-15

....: New Collection. Billing Accounting Code (BAC): 418423 (CAN G999916). Description: The Administration... available resources for understanding how families use, seek, and cope with the ECE/SA choices that are available to them. Perhaps most significantly, the NSECE will allow the policy and research communities to...

78 FR 76715 - Presidential Determination Pursuant to Section 1245(d)(4)(B) and (C) of the National Defense...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-18

... National Defense Authorization Act for Fiscal Year 2012, Public Law 112-81, and consistent with my... HOUSE, Washington, November 29, 2013. [FR Doc. 2013-30276 Filed 12-17-13; 11:15 am] Billing code 4710-10 ...

77 FR 8842 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-15

... DEPARTMENT OF DEFENSE Department of the Army [Docket ID USA-2008-0006] Proposed Collection... effort as a useful self-assessment, self-improvement, and benchmarking tool, while ensuring that data..., Department of Defense. [FR Doc. 2012-3506 Filed 2-14-12; 8:45 am] BILLING CODE 5001-06-P ...

75 FR 55625 - Occupational Information Development Advisory Panel Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-13

... claims; occupational analysis, including definitions, ratings and capture of physical and mental... should contact the Panel staff by any one of these three methods: Mail: Occupational Information... Federal Officer. [FR Doc. 2010-22711 Filed 9-10-10; 8:45 am] BILLING CODE 4191-02-P ...

76 FR 38604 - Southern Montana Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-01

... Resource Advisory Committee will meet in Big Timber, Montana. The committee is meeting as authorized under... be held at the Carnegie Public Library, 34 McLeod Street, Big Timber, MT. Written comments should be...-16557 Filed 6-30-11; 8:45 am] BILLING CODE 3410-11-P ...

78 FR 64014 - Importer of Controlled Substances; Notice of Application; United States Pharmacopeial Convention

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

... authority of section 1002(a)(2)(B) of the Act (21 U.S.C. 952(a)(2)(B)) may, in the circumstances set forth... Administration. [FR Doc. 2013-25073 Filed 10-24-13; 8:45 am] BILLING CODE 4410-09-P ...

Revenue sources for financing transportation safety activities in Virginia : phase two, state sources.

DOT National Transportation Integrated Search

1980-01-01

Senate Bill 85, an action of the 1978 General Assembly, amended the Code of Virginia to provide, in part, that the Division of Highway Safety be succeeded by the newly created Department of Transportation Safety effective July 1, 1978. In its Declara...

75 FR 9997 - Determination and Waiver Regarding the Sixth Proviso under the Heading “Economic Support Funds...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-04

... reported to the Congress promptly and published in the Federal Register. Dated: October 15, 2009. Hillary Rodham Clinton, Secretary of State. [FR Doc. 2010-4604 Filed 3-3-10; 8:45 am] BILLING CODE 4710-17-P ...

75 FR 1015 - Directing Certain Actions with Respect to Acquisition and Use of Thomson Correctional Center to...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-08

... findings in, and interagency Review established by, Executive Order 13492 of January 22, 2009. [[Page 1016... HOUSE, Washington, December 15, 2009 [FR Doc. 2010-227 Filed 1-7-10; 8:45 am] Billing code 5001-06-M ...

76 FR 2721 - Affirmative Decisions on Petitions for Modification Granted in Whole or in Part

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-14

...-2010-004-C FR Notice: 75 FR 12796 March 17, 2010). Petitioner: Jim Walter Resources, Inc., P.O. Box 133... W. Silvey, Certifying Officer. [FR Doc. 2011-686 Filed 1-13-11; 8:45 am] BILLING CODE 4510-43-P ...

To amend title 40, United States Code, to eliminate the leasing authority of the Securities and Exchange Commission, and for other purposes.

THOMAS, 112th Congress

Rep. Norton, Eleanor Holmes [D-DC-At Large

2011-06-24

House - 06/27/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

77 FR 12077 - Meeting of the Judicial Conference Advisory Committee on Rules of Evidence

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-28

... Evidence. ACTION: Notice of open meeting. SUMMARY: The Advisory Committee on Rules of Evidence will hold a one- day meeting. The meeting will be open to public observation but not participation. DATES: October...; 8:45 am] BILLING CODE 2210-55-P ...

75 FR 81589 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, January 7, 2011. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-32780 Filed 12-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 51016 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday September 17, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status.... [FR Doc. 2010-20600 Filed 8-16-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 72816 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-26

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday December 3, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-29904 Filed 11-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 81589 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, January 14, 2011. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-32781 Filed 12-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 81589 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, January 28, 2011. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-32783 Filed 12-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 51016 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday September 24, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-20605 Filed 8-16-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 66074 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, November 26, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-27324 Filed 10-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 66074 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, November 19, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-27326 Filed 10-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 57457 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, October 22, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-23649 Filed 9-17-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 66074 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, November 12, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-27327 Filed 10-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 57457 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, October 8, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-23647 Filed 9-17-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 57457 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday October 15, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-23648 Filed 9-17-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 43941 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, August 14, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-18493 Filed 7-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 72816 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-26

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday December 24, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-29901 Filed 11-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 51016 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday September 10, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status.... [FR Doc. 2010-20598 Filed 8-16-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 43941 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, August 28, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-18488 Filed 7-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 66074 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, November 5, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-27329 Filed 10-25-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 81589 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday January 21, 2011. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-32782 Filed 12-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 57457 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday, October 1, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status.... [FR Doc. 2010-23645 Filed 9-17-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 29995 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 2 p.m., Wednesday, June 16, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. [[Page.... [FR Doc. 2010-13084 Filed 5-26-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 72816 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-26

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday December 31, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-29899 Filed 11-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 43941 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, August 21, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-18491 Filed 7-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 72816 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-26

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings Time and Date: 11 a.m., Friday December 10, 2010. Place: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. Status.... [FR Doc. 2010-29903 Filed 11-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 43941 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-27

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, August 7, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-18494 Filed 7-23-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 72816 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-26

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday December 17, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-29902 Filed 11-23-10; 11:15 am] BILLING CODE 6351-01-P ...

75 FR 51016 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-18

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday September 3, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS.... [FR Doc. 2010-20597 Filed 8-16-10; 4:15 pm] BILLING CODE 6351-01-P ...

75 FR 57457 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... COMMODITY FUTURES TRADING COMMISSION Sunshine Act Meetings TIME AND DATE: 11 a.m., Friday, October 29, 2010. PLACE: 1155 21st St., NW., Washington, DC, 9th Floor Commission Conference Room. STATUS... Commission. [FR Doc. 2010-23650 Filed 9-17-10; 4:15 pm] BILLING CODE 6351-01-P ...

78 FR 39286 - Information Collection(s) Being Submitted for Review and Approval to the Office of Management and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-01

...); 465, 466, 466-A and 467. Type of Review: Revision of a currently approved collection. Respondents... Secretary, Office of Managing Director. [FR Doc. 2013-15585 Filed 6-28-13; 8:45 am] BILLING CODE 6712-01-P ...

77 FR 59203 - Critical Infrastructure Partnership Advisory Council (CIPAC)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-26

... Infrastructure Partnership Advisory Council. [FR Doc. 2012-23666 Filed 9-25-12; 8:45 am] BILLING CODE 9910-9P-P ... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2012-0051] Critical Infrastructure Partnership... meeting. SUMMARY: The Critical Infrastructure Partnership Advisory Council (CIPAC) Plenary Meeting will be...

76 FR 79760 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-22

... posts all comments received without change to http://www.regulations.gov , including any personal... each applicant continues to meet the vision exemption requirements. These factors provide an adequate... Policy. [FR Doc. 2011-32710 Filed 12-21-11; 8:45 am] BILLING CODE 4910-EX-P ...

75 FR 27622 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-17

... and the docket number for this Notice. Note that DOT posts all comments received without change to... applicant continues to meet the vision exemption standards. These factors provide an adequate basis for...-11713 Filed 5-14-10; 8:45 am] BILLING CODE 4910-EX-P ...

78 FR 57677 - Qualification of Drivers; Exemption Applications; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-19

... posts all comments received without change to http://www.regulations.gov , including any personal... continues to meet the vision exemption requirements. These factors provide an adequate basis for predicting... Policy. [FR Doc. 2013-22775 Filed 9-18-13; 8:45 am] BILLING CODE 4910-EX-P ...

75 FR 17710 - Agency Information Collection Activities OMB Responses

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-07

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9134-4] Agency Information Collection Activities OMB...-0635; expires on 03/31/2013; Approved without change. EPA ICR Number 1060.15; NSPS for Steel Plants... Division. [FR Doc. 2010-7873 Filed 4-6-10; 8:45 am] BILLING CODE 6560-50-P ...

77 FR 48550 - Investigations Regarding Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-14

...). 81840 Sykes Enterprise Langhorne, PA 08/01/12 07/31/12 (Workers). 81841 Heidtman Steel Baltimore, MD 08..., PA 08/03/12 08/02/12 (Company). [FR Doc. 2012-19915 Filed 8-13-12; 8:45 am] BILLING CODE 4510-FN-P ...

76 FR 76477 - Generalized System of Preferences (GSP): Extension of Deadlines for Filing Petitions for the 2011...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-07

... the U.S. Trade Representative. [FR Doc. 2011-31316 Filed 12-6-11; 8:45 am] BILLING CODE 3190-w2-P ... after the due date. William D. Jackson, Deputy Assistant, U.S. Trade Representative for the Generalized...

76 FR 53697 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-29

...-25-11; 4:15 pm] BILLING CODE 4410-BA-P ... FOREIGN CLAIMS SETTLEMENT COMMISSION [F.C.S.C. Meeting and Hearing Notice No. 8-11] Sunshine Act... Government in the Sunshine Act (5 U.S.C. 552b), hereby gives notice in regard to the scheduling of open...

76 FR 22147 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-20

... 4-18-11; 4:15 pm] BILLING CODE 6770-01-P ... FOREIGN CLAIMS SETTLEMENT COMMISSION [F.C.S.C. Meeting Notice No. 2-11] Sunshine Act Meeting The... the Sunshine Act (5 U.S.C. 552b), hereby gives notice in regard to the scheduling of meetings for the...

78 FR 5558 - Medical Review Board Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-25

... studies the Agency could rely upon in making any future decisions about the HOS requirements applicable to... this Notice. Note that DOT posts all comments without change to http://www.regulations.gov , including.... 2013-01510 Filed 1-24-13; 8:45 am] BILLING CODE 4910-EX-P ...

78 FR 21366 - Ocean Transportation Intermediary License Revocations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

..., CA 91748. Date Revoked: March 26, 2013. Reason: Voluntary Surrender of License. License No.: 022076NF..., 2013. Reason: Voluntary Surrender of License. Vern W. Hill, Director, Bureau of Certification and Licensing. [FR Doc. 2013-08387 Filed 4-9-13; 8:45 am] BILLING CODE 6730-01-P ...

78 FR 30922 - Ocean Transportation Intermediary License Revocations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-23

...: April 26, 2013. Reason: Voluntary Surrender of License. License No.: 021582F. Name: PNGL (USA) Inc. Address: 2730 Monterey Street, Suite 103, Torrance, CA 90503. Date Revoked: April 25, 2013. Reason.... [FR Doc. 2013-12234 Filed 5-22-13; 8:45 am] BILLING CODE 6730-01-P ...

77 FR 55862 - Notice of Lodging of Proposed Consent Judgment Under the Resource Recovery and Conservation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-11

...., Whitestone Gasoline, Inc., Java Gasoline, Inc., BBZZ Equities, Inc., 21st Century Fuel, LLC, A Penny Less..., Environment and Natural Resources Division. [FR Doc. 2012-22273 Filed 9-10-12; 8:45 am] BILLING CODE 4410-15-P ...

77 FR 19649 - Marine Mammals; File No. 17029

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-02

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648- XA938 Marine Mammals; File No. 17029 AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric... Marine Fisheries Service. [FR Doc. 2012-7866 Filed 3-30-12; 8:45 am] BILLING CODE 3510-22-P ...

78 FR 70920 - Marine Mammals; File No. 18182

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-27

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XD002 Marine Mammals; File No. 18182 AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric... Marine Fisheries Service. [FR Doc. 2013-28437 Filed 11-26-13; 8:45 am] BILLING CODE 3510-22-P ...

75 FR 38457 - Marine Mammals; File No. 15511

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-02

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XX14 Marine Mammals; File No. 15511 AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric..., National Marine Fisheries Service. [FR Doc. 2010-16193 Filed 7-1-10; 8:45 am] BILLING CODE 3510-22-S ...

Esophageal function testing: Billing and coding update.

PubMed

Khan, A; Massey, B; Rao, S; Pandolfino, J

2018-01-01

Esophageal function testing is being increasingly utilized in diagnosis and management of esophageal disorders. There have been several recent technological advances in the field to allow practitioners the ability to more accurately assess and treat such conditions, but there has been a relative lack of education in the literature regarding the associated Common Procedural Terminology (CPT) codes and methods of reimbursement. This review, commissioned and supported by the American Neurogastroenterology and Motility Society Council, aims to summarize each of the CPT codes for esophageal function testing and show the trends of associated reimbursement, as well as recommend coding methods in a practical context. We also aim to encourage many of these codes to be reviewed on a gastrointestinal (GI) societal level, by providing evidence of both discrepancies in coding definitions and inadequate reimbursement in this new era of esophageal function testing. © 2017 John Wiley & Sons Ltd.

36 CFR 1237.24 - What are special considerations for storage and maintenance of aerial photographic records?

Code of Federal Regulations, 2014 CFR

2014-07-01

... maintenance of aerial photographic records? (a) Mark each aerial film container with a unique identification code to facilitate identification and filing. (b) Mark aerial film indexes with the unique aerial film identification codes or container codes for the aerial film that they index. Also, file and mark the aerial...

36 CFR § 1237.24 - What are special considerations for storage and maintenance of aerial photographic records?

Code of Federal Regulations, 2013 CFR

2013-07-01

... maintenance of aerial photographic records? (a) Mark each aerial film container with a unique identification code to facilitate identification and filing. (b) Mark aerial film indexes with the unique aerial film identification codes or container codes for the aerial film that they index. Also, file and mark the aerial...

36 CFR 1237.24 - What are special considerations for storage and maintenance of aerial photographic records?

Code of Federal Regulations, 2012 CFR

2012-07-01

... maintenance of aerial photographic records? (a) Mark each aerial film container with a unique identification code to facilitate identification and filing. (b) Mark aerial film indexes with the unique aerial film identification codes or container codes for the aerial film that they index. Also, file and mark the aerial...

36 CFR 1237.24 - What are special considerations for storage and maintenance of aerial photographic records?

Code of Federal Regulations, 2011 CFR

2011-07-01

... maintenance of aerial photographic records? (a) Mark each aerial film container with a unique identification code to facilitate identification and filing. (b) Mark aerial film indexes with the unique aerial film identification codes or container codes for the aerial film that they index. Also, file and mark the aerial...

36 CFR 1237.24 - What are special considerations for storage and maintenance of aerial photographic records?

Code of Federal Regulations, 2010 CFR

2010-07-01

... maintenance of aerial photographic records? (a) Mark each aerial film container with a unique identification code to facilitate identification and filing. (b) Mark aerial film indexes with the unique aerial film identification codes or container codes for the aerial film that they index. Also, file and mark the aerial...

Kaiser Permanente's Convergent Medical Terminology.

PubMed

Dolin, Robert H; Mattison, John E; Cohn, Simon; Campbell, Keith E; Wiesenthal, Andrew M; Hochhalter, Brad; LaBerge, Diane; Barsoum, Rita; Shalaby, James; Abilla, Alan; Clements, Robert J; Correia, Carol M; Esteva, Diane; Fedack, John M; Goldberg, Bruce J; Gopalarao, Sridhar; Hafeza, Eza; Hendler, Peter; Hernandez, Enrique; Kamangar, Ron; Kahn, Rafique A; Kurtovich, Georgina; Lazzareschi, Gerry; Lee, Moon H; Lee, Tracy; Levy, David; Lukoff, Jonathan Y; Lundberg, Cyndie; Madden, Michael P; Ngo, Trongtu L; Nguyen, Ben T; Patel, Nikhilkumar P; Resneck, Jim; Ross, David E; Schwarz, Kathleen M; Selhorst, Charles C; Snyder, Aaron; Umarji, Mohamed I; Vilner, Max; Zer-Chen, Roy; Zingo, Chris

2004-01-01

This paper describes Kaiser Permanente's (KP) enterprise-wide medical terminology solution, referred to as our Convergent Medical Terminology (CMT). Initially developed to serve the needs of a regional electronic health record, CMT has evolved into a core KP asset, serving as the common terminology across all applications. CMT serves as the definitive source of concept definitions for the organization, provides a consistent structure and access method to all codes used by the organization, and is KP's language of interoperability, with cross-mappings to regional ancillary systems and administrative billing codes. The core of CMT is comprised of SNOMED CT, laboratory LOINC, and First DataBank drug terminology. These are integrated into a single poly-hierarchically structured knowledge base. Cross map sets provide bi-directional translations between CMT and ancillary applications and administrative billing codes. Context sets provide subsets of CMT for use in specific contexts. Our experience with CMT has lead us to conclude that a successful terminology solution requires that: (1) usability considerations are an organizational priority; (2) "interface" terminology is differentiated from "reference" terminology; (3) it be easy for clinicians to find the concepts they need; (4) the immediate value of coded data be apparent to clinician user; (5) there be a well defined approach to terminology extensions. Over the past several years, there has been substantial progress made in the domain coverage and standardization of medical terminology. KP has learned to exploit that terminology in ways that are clinician-acceptable and that provide powerful options for data analysis and reporting.

Vision, touch and object manipulation in Senegal parrots Poicephalus senegalus

PubMed Central

Demery, Zoe P.; Chappell, Jackie; Martin, Graham R.

2011-01-01

Parrots are exceptional among birds for their high levels of exploratory behaviour and manipulatory abilities. It has been argued that foraging method is the prime determinant of a bird's visual field configuration. However, here we argue that the topography of visual fields in parrots is related to their playful dexterity, unique anatomy and particularly the tactile information that is gained through their bill tip organ during object manipulation. We measured the visual fields of Senegal parrots Poicephalus senegalus using the ophthalmoscopic reflex technique and also report some preliminary observations on the bill tip organ in this species. We found that the visual fields of Senegal parrots are unlike those described hitherto in any other bird species, with both a relatively broad frontal binocular field and a near comprehensive field of view around the head. The behavioural implications are discussed and we consider how extractive foraging and object exploration, mediated in part by tactile cues from the bill, has led to the absence of visual coverage of the region below the bill in favour of more comprehensive visual coverage above the head. PMID:21525059

77 FR 12826 - Combined Notice of Filings #1

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 1 Take notice...Energy submits FE-AMP Meter Installation & Maintenance Service Agreement No. 3199 to be effective 1/26..., 2012. Nathaniel J. Davis, Sr., Deputy Secretary. [FR Doc. 2012-5065 Filed 3-1-12; 8:45 am] BILLING CODE...

78 FR 20144 - Sunshine Act Meetings: April 2013

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-03

... NATIONAL LABOR RELATIONS BOARD Sunshine Act Meetings: April 2013 TIME AND DATES: All meetings are... INFORMATION: Henry Breiteneicher, Associate Executive Secretary, (202) 273-2917. Dated: April 1, 2013. Henry Breiteneicher, Associate Executive Secretary. [FR Doc. 2013-07881 Filed 4-1-13; 4:15 pm] BILLING CODE 7545-01-P ...

77 FR 72966 - Approval and Promulgation of Air Quality Implementation Plans; Maryland; The 2002 Base Year...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-07

... (VOCs), PM 2.5 , coarse particles (PM 10 ), ammonia (NH 3 ), and sulfur dioxide (SO 2 ). EPA has... ), ammonia (NH 3 ), and sulfur dioxide (SO 2 ). [FR Doc. 2012-29611 Filed 12-6-12; 8:45 am] BILLING CODE 6560...

78 FR 38969 - Agency Information Collection Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... Project Management, 1000 Independence Avenue SW., Washington, DC 20585-0121 or by email at richard.bonnell... Project Management. [FR Doc. 2013-15533 Filed 6-27-13; 8:45 am] BILLING CODE 6450-01-P ... the Office of Management and Budget (OMB). Comments are invited on: (a) Whether the extended...

To amend title 13, United States Code, to provide for the more accurate and complete enumeration of certain overseas Americans in the decennial census.

THOMAS, 111th Congress

Rep. Bishop, Rob [R-UT-1

2009-06-24

House - 10/23/2009 Referred to the Subcommittee on Information Policy, Census, and National Archives. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

78 FR 57807 - Aged Beneficiary Designation Forms

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-20

... received by the TSP record- keeper not more than one year after date of the participant's signature. DATES... after the date of the participant's signature on the form. Regulatory Flexibility Act I certify that... the participant's signature. * * * * * [FR Doc. 2013-22894 Filed 9-19-13; 8:45 am] BILLING CODE 6760...

75 FR 21370 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-23

... public comment on new or revised data collections, the Railroad Retirement Board (RRB) will publish... Charles[email protected] . Comments regarding the information collection should be addressed to Patricia A.... Charles Mierzwa, Clearance Officer. [FR Doc. 2010-9435 Filed 4-22-10; 8:45 am] BILLING CODE 7905-01-P ...

77 FR 76078 - Regular Board of Directors Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-26

..., DC 20005. STATUS: Open. CONTACT PERSON FOR MORE INFORMATION: Erica Hall, Assistant Corporate... Regular Board of Directors Meeting Minutes IV. Approval of the Finance, Budget & Program Committee Meeting... Corporate Secretary. [FR Doc. 2012-31163 Filed 12-21-12; 4:15 pm] BILLING CODE 7570-02-P ...

76 FR 6123 - Notice of Submission for OMB Review

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-03

... DEPARTMENT OF EDUCATION Notice of Submission for OMB Review Correction In notice document 2011-2099 on pages 5356-5357 in the issue of Monday, January 31, 2011, make the following correction: On...''. [FR Doc. C1-2011-2099 Filed 2-2-11; 8:45 am] BILLING CODE 1505-01-D ...

77 FR 24255 - Public Notice for Waiver of Aeronautical Land-Use Assurance; Rickenbacker International Airport...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-23

... having a radius of 115.00 feet, delta angle of 89[deg]59'55'', a chord bearing South 89[deg]23'59'' East... Office, FAA, Great Lakes Region. [FR Doc. 2012-9677 Filed 4-20-12; 8:45 am] BILLING CODE 4910-13-P ...

To amend the Internal Revenue Code of 1986 to provide tax incentives for small business job creation, and for other purposes.

THOMAS, 111th Congress

Rep. Levin, Sander M. [D-MI-12

2010-06-09

House - 06/17/2010 Pursuant to the provisions of H. Res. 1436, H.R. 5486 is laid on the table. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

77 FR 33497 - Sunshine Act; Public Hearing Cancellation Notice; June 6, 2012

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-06

... OVERSEAS PRIVATE INVESTMENT CORPORATION Sunshine Act; Public Hearing Cancellation Notice; June 6, 2012 OPIC's Sunshine Act notice of its Public Hearing in Conjunction with each Board meeting was..., OPIC Corporate Secretary. [FR Doc. 2012-13804 Filed 6-4-12; 11:15 am] BILLING CODE 3210-01-P ...

78 FR 55691 - Advisory Committee on Student Financial Assistance: Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-11

... FURTHER INFORMATION CONTACT: Ms. Janet Chen, Director of Programs, Advisory Committee on Student Financial....ed.gov/ACSFA . Dated: September 5, 2013. William J. Goggin, Executive Director, Advisory Committee on Student Financial Assistance. [FR Doc. 2013-22068 Filed 9-10-13; 8:45 am] BILLING CODE 4000-01-P ...

78 FR 54632 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-05

... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DoD-2013-OS-0189] Proposed Collection...) 372-0857. SUPPLEMENTARY INFORMATION: Title; Associated Form; and OMB Number: Department of Defense... Officer, Department of Defense. [FR Doc. 2013-21582 Filed 9-4-13; 8:45 am] BILLING CODE 5001-06-P ...

76 FR 13990 - Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-15

... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DOD-2011-HA-0033] Proposed Collection; Comment Request AGENCY: Office of the Assistant Secretary of Defense for Health Affairs, DoD. ACTION... Officer, Department of Defense. [FR Doc. 2011-5910 Filed 3-14-11; 8:45 am] BILLING CODE 5001-06-P ...

To amend title 49, United States Code, to require inclusion on the no fly list certain detainees housed at the Naval Air Station, Guantanamo Bay, Cuba.

THOMAS, 111th Congress

Rep. Souder, Mark E. [R-IN-3

2009-05-19

House - 05/26/2009 Referred to the Subcommittee on Transportation Security and Infrastructure Protection. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

77 FR 57091 - Administration on Intellectual and Developmental Disabilities (AIDD); Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-17

... Intellectual and Developmental Disabilities (AIDD); Notice of Meeting AGENCY: President's Committee for People with Intellectual Disabilities (PCPID), HHS. ACTION: Notice of Meeting. DATES: Tuesday, October 16... Intellectual and Developmental Disabilities. [FR Doc. 2012-22830 Filed 9-14-12; 8:45 am] BILLING CODE 4154-01-P ...

To amend title 46, United States Code, to extend the exemption from the fire-retardant materials construction requirement for vessels operating within the Boundary Line.

THOMAS, 113th Congress

Rep. Chabot, Steve [R-OH-1

2013-05-14

Senate - 12/20/2013 Read twice and referred to the Committee on Commerce, Science, and Transportation. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

77 FR 28640 - Federal Prevailing Rate Advisory Committee; Cancellation of Upcoming Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-15

... OFFICE OF PERSONNEL MANAGEMENT Federal Prevailing Rate Advisory Committee; Cancellation of... Prevailing Rate Advisory Committee is issuing this notice to cancel the May 24, 2012, public meeting..., Federal Prevailing Rate Advisory Committee. [FR Doc. 2012-11728 Filed 5-14-12; 8:45 am] BILLING CODE 6325...

78 FR 41962 - Federal Prevailing Rate Advisory Committee; Cancellation of Upcoming Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-12

... OFFICE OF PERSONNEL MANAGEMENT Federal Prevailing Rate Advisory Committee; Cancellation of... Prevailing Rate Advisory Committee is issuing this notice to cancel the July 18, 2013, public meeting... Prevailing Rate Advisory Committee. [FR Doc. 2013-16763 Filed 7-11-13; 8:45 am] BILLING CODE 6325-49-P ...

76 FR 34781 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-14

... discussions on Thursday, June 16, 2011 at the CFTC's headquarters at Three Lafayette Centre, 1155 21st Street... the meeting includes panel discussions concerning the definitions of ``swap dealer,'' ``security-based.... Elizabeth M. Murphy, Secretary. [FR Doc. 2011-14783 Filed 6-10-11; 11:15 am] BILLING CODE 8011-01-P ...

To amend the limitation on liability for certain passenger rail accidents or incidents under section 28103 of title 49, United States Code, and for other purposes.

THOMAS, 111th Congress

Rep. Gallegly, Elton [R-CA-24

2010-09-16

House - 09/17/2010 Referred to the Subcommittee on Railroads, Pipelines, and Hazardous Materials. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

78 FR 780 - Investigations Regarding Certifications of Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-04

... McCann's--a Division of Los Angeles, CA........ 11/29/12 11/28/12 Manitowoc Foodservice (Company). 82191... (Workers)... Sea Tac, WA 11/30/12 11/28/12 [FR Doc. 2012-31663 Filed 1-3-13; 8:45 am] BILLING CODE 4510-FN...

77 FR 23291 - Investigations Regarding Certifications of Eligibility To Apply for Worker Adjustment Assistance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-18

.... Credentialing Administration (Company). [FR Doc. 2012-9247 Filed 4-17-12; 8:45 am] BILLING CODE 4510-FN-P ... DEPARTMENT OF LABOR Employment and Training Administration Investigations Regarding Certifications... Assistance, Employment and Training Administration, has instituted investigations pursuant to Section 221 (a...

76 FR 55882 - Procurement List; Addition

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-09

... Americans to work, earn income and be productive members of society. The AbilityOne Program, which the... Administration, Fort Worth, TX. Coverage: A-List for the Total Government Requirement as aggregated by the... Information Management). [FR Doc. 2011-23107 Filed 9-8-11; 8:45 am] BILLING CODE 6353-01-P ...

76 FR 26737 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-09

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration... Substance Abuse and Mental Health Services Administration (SAMHSA) will publish a summary of information... Operations. [FR Doc. 2011-11198 Filed 5-6-11; 8:45 am] BILLING CODE 4162-20-P ...

77 FR 60143 - Importer of Controlled Substances; Notice of Application; Fisher Clinical Services, Inc.

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-02

... listed in schedules I or II, which fall under the authority of section 1002(a)(2)(B) of the Act [21 U.S.C... Diversion Control, Drug Enforcement Administration. [FR Doc. 2012-24191 Filed 10-1-12; 8:45 am] BILLING CODE...

To amend title 38, United States Code, to specify the responsibilities of the Directors and Assistant Directors of Veterans' Employment and Training.

THOMAS, 113th Congress

Rep. Flores, Bill [R-TX-17

2013-03-21

House - 04/25/2013 Forwarded by Subcommittee to Full Committee in the Nature of a Substitute (Amended) by Voice Vote . (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

77 FR 26543 - UGI Storage Company; Notice of Request Under Blanket Authorization

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-04

... approximately 3,450 horsepower (hp) of gas fired compression at its existing Palmer Station in Tioga County... compressor units and one 690 hp unit at the Palmer Station located at the downstream terminus of the TL-94...-3-12; 8:45 am] BILLING CODE 6717-01-P ...

Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the National Mediation Board relating to representation election procedures.

THOMAS, 111th Congress

Rep. Gingrey, Phil [R-GA-11

2010-09-23

House - 09/24/2010 Referred to the Subcommittee on Railroads, Pipelines, and Hazardous Materials. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A resolution congratulating the American Society of Mechanical Engineers on its 125 years of codes and standards development.

THOMAS, 111th Congress

Sen. Kaufman, Edward E. [D-DE

2009-06-09

Senate - 06/09/2009 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

75 FR 62173 - In the Matter of the Review of the Designation of Jemaah Islamiya (JI and Other Aliases) as a...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-07

... maintained. This determination shall be published in the Federal Register. Dated: September 28, 2010. Hillary Rodham Clinton, Secretary of State. [FR Doc. 2010-25333 Filed 10-6-10; 8:45 am] BILLING CODE 4710-10-P ...

77 FR 11186 - In the Matter of the Review of the Designation of the Islamic Jihad Union; AKA Islamic Jihad...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-24

... maintained. This determination shall be published in the Federal Register. Dated: February 16, 2012. Hillary Rodham Clinton, Secretary of State. [FR Doc. 2012-4334 Filed 2-23-12; 8:45 am] BILLING CODE 4710-10-P ...

75 FR 4582 - Mojave-Southern Great Basin Resource Advisory Council Meetings, Nevada

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-28

... District Office Manager. [FR Doc. 2010-1729 Filed 1-27-10; 8:45 am] BILLING CODE 4310-HC-P ... include, but are not limited to: February 18, BLM Southern Nevada District Office, 4701 N. Torrey Pines Dr... Southern Nevada District Office, 4701 N. Torrey [[Page 4583

To amend the Internal Revenue Code of 1986 to permit the release of information regarding the status of certain investigations.

THOMAS, 113th Congress

Rep. Boustany, Charles W., Jr. [R-LA-3

2014-09-09

Senate - 09/17/2014 Received in the Senate and Read twice and referred to the Committee on Finance. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

78 FR 36113 - Defense Federal Acquisition Regulation Supplement; Technical Amendments

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-17

... Date: June 17, 2013. FOR FURTHER INFORMATION CONTACT: Ms. Kortnee Stewart, Defense Acquisition... 2. Section 222.7404(c) is amended by inserting the words ``and PGI 222.7404(c)'' after the word ``procedures''. [FR Doc. 2013-14295 Filed 6-14-13; 8:45 am] BILLING CODE 5001-06-P ...

75 FR 2538 - Agency Information Collection Activities OMB Responses

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-15

... Municipal Waste Combustion Units Constructed on or before August 30, 1999; 40 CFR part 60, subpart A and 40...; expires on 12/31/2012; Approved with change. EPA ICR Number 2076.03; EPA's National Partnership for.... 2010-733 Filed 1-14-10; 8:45 am] BILLING CODE 6560-50-P ...

78 FR 73915 - Notice of Request for Extension of Currently Approved Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-09

..., Enterprise Information Security & Policy. [FR Doc. 2013-29218 Filed 12-6-13; 8:45 am] BILLING CODE 8120-08-P ... TENNESSEE VALLEY AUTHORITY Notice of Request for Extension of Currently Approved Information... Currently Approved Information Collection. SUMMARY: The information collection described below will be...

75 FR 71670 - Endangered Species; File No. 15606

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-24

... Andre Landry, Ph.D., Texas A&M University at Galveston, Department of Marine Biology, 5007 Avenue U... Species; File No. 15606 AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric..., National Marine Fisheries Service. [FR Doc. 2010-29667 Filed 11-23-10; 8:45 am] BILLING CODE 3510-22-P ...

To amend title 23, United States Code, with respect to United States Route 78 in Mississippi, and for other purposes.

THOMAS, 113th Congress

Rep. Nunnelee, Alan [R-MS-1

2014-03-14

Senate - 05/20/2014 Received in the Senate and Read twice and referred to the Committee on Environment and Public Works. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

75 FR 56994 - Mid-Atlantic Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-17

... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... 21-22, 2010 SSC meeting included the following topics: (1) new SSC member orientation, (2) review..., National Marine Fisheries Service. [FR Doc. 2010-23204 Filed 9-16-10; 8:45 am] BILLING CODE 3510-22-S ...

76 FR 13361 - New England Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-11

... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... 31, 2011 The Scientific and Statistical Committee (SSC) will hold a new member orientation; discuss... Marine Fisheries Service. [FR Doc. 2011-5643 Filed 3-10-11; 8:45 am] BILLING CODE 3510-22-P ...

78 FR 41928 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-12

... Room, Washington, DC. STATUS: The first portion of the meeting will be in Open Session and the remainder of the meeting will be in Closed Session. MATTERS TO BE CONSIDERED: Open Session 1. Briefing on.... [FR Doc. 2013-16798 Filed 7-10-13; 11:15 am] BILLING CODE 6730-01-P ...

75 FR 11134 - Pacific Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-10

... limits (ACL) and accountability measures (AM). This meeting of the SAC is open to the public. DATES: The... with new ACL and AM requirements. The NS1 guidelines include recommendations for establishing several.... [FR Doc. 2010-5086 Filed 3-9-10; 8:45 am] BILLING CODE 3510-22-S ...

75 FR 971 - Pacific Fishery Management Council; Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-07

...) and accountability measures (AM). This meeting of the SAC is open to the public. DATES: The meeting... with new ACL and AM requirements. The NS1 guidelines include recommendations for establishing several.... [FR Doc. E9-31427 Filed 1-6-10; 8:45 am] BILLING CODE 3510-22-S ...

78 FR 14141 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-04

... Commission will hold an Open Meeting on Wednesday, March 6, 2013 at 10:00 a.m., in the Auditorium, Room L-002. The subject matter of the Open Meeting will be: The Commission will consider whether to propose... Filed 2-28-13; 11:15 am] BILLING CODE 8011-01-P ...

76 FR 5411 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-31

... Commission will hold an Open Meeting on February 2, 2011 at 10 a.m., in the Auditorium, Room L-002. The subject matter of the Open Meeting will be: The Commission will consider whether to propose rules and a... Filed 1-27-11; 11:15 am] BILLING CODE 8011-01-P ...