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At least 631 records · Page 35Linked to original sources
PubMed2001

Medicaid program; Medicaid managed care. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.

This final rule with comment period amends the Medicaid regulations to implement provisions of the Balanced Budget Act of 1997 (BBA) that allow the States greater flexibility by permitting them to amend their State plan to require certain categories of Medicaid beneficiaries to enroll in managed care entities without obtaining waivers if beneficiary choice is provided; establish new beneficiary protections in areas such as quality assurance, grievance rights, and coverage of emergency services; eliminate certain requirements viewed by State agencies as impediments to the growth of managed care programs, such as the enrollment composition requirement, the right to disenroll without cause at any time, and the prohibition against enrollee cost-sharing. In addition, this final rule expands on regulatory beneficiary protections provided to enrollees of prepaid health plans (PHPs) by requiring that PHPs comply with specified BBA requirements that would not otherwise apply to PHPs.

Budgets↗
PubMed2001

Medicaid program; use of restraint and seclusion in psychiatric residential treatment facilities providing psychiatric services to individuals under age 21. Health Care Financing Administration (HCFA), HHS. Interim final rule with comment period.

This interim final rule with comment period establishes a definition of a "psychiatric residential treatment facility" that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. This rule also sets forth a Condition of Participation (CoP) that psychiatric residential treatment facilities that are not hospitals must meet to provide, or to continue to provide, the Medicaid inpatient psychiatric services benefit to individuals under age 21. Specifically, this rule establishes standards for the use of restraint or seclusion that psychiatric residential treatment facilities must have in place to protect the health and safety of residents. This CoP acknowledges a resident's right to be free from restraint or seclusion except in emergency safety situations. We are requiring psychiatric residential treatment facilities to notify a resident (and, in the case of a minor, his or her parent(s) or legal guardian(s)) of the facility's policy regarding the use of restraint or seclusion during an emergency safety situation that occurs while the resident is in the program. We believe these added requirements will protect residents against the inappropriate use of restraint or seclusion.

Adolescent↗
PubMed1996

Abul Fatah - a commentator of "Al-Qanoon".

The Commentator of "Al-Qanoon" (Canon of Avicenna) Abul Fatah known as "Maseehuddin" also was a native of Gilan. He migrated to India during Akbar's period (1556-1605 A.D.). The emperor honoured him by confering Sadarat of Delhi, Malwa and Gujarat and bestowed upon him the title of Hasht Sadi. His commentary on the Canon is known as "Fatahi", in which he explained various problems elaborately. He was well versed in anatomy and connoisseur of Prose and Poetry. He had made a good change in Huble-Buble and he was the first who had made the inhailing of smoke less harmful. He died on 20th June, 1580 A.D.

Arab World↗
PubMed2001

Medicare program; provisions of the Benefits Improvement and Protection Act of 2000; inpatient payments and rates and costs of graduate medical education. Interim final rule with comment period.

This interim final rule with comment period implements, or conforms the regulations to, certain statutory provisions relating to Medicare payments to hospitals for inpatient services that are contained in the Medicare, Medicaid, and SCHIP (State Children's Health Insurance Program)Benefits Improvement and Protection Act of 2000 (BIPA). Many of the provisions of BIPA modify changes to the Social Security Act made by the Balanced Budget Refinement Act of 1999 or the Balanced Budget Act of 1997 or both. Some of the provisions of BIPA have effective dates that are prior to its passage on December 21, 2000.

Education, Medical, Graduate↗
PubMed2001

Medicare program; civil money penalties, assessments, and revised sanction authorities. Final rule with comment period.

This final rule with comment period is a technical rule that updates our civil money penalty (CMP) regulations to add CMP authorities already enacted as part of the Balanced Budget Act of 1997 (BBA) and delegated to us. The rule delineates our authority to assess penalties for: failure to bill outpatient therapy services or comprehensive outpatient rehabilitation services (CORS) on an assignment-related basis, failure to bill ambulance services on an assignment-related basis, failure to provide an itemized statement for Medicare items and services to a Medicare beneficiary upon his/her request, and failure of physicians or nonphysician practitioners to provide diagnostic codes for items or services they furnish or failure to provide this information to the entity furnishing the item or service ordered by the practitioner. The rule also contains technical changes to further conform our current CMP rules to changes in the statute enacted by the BBA.

Ambulances↗
PubMed2000

[Some comments on ecological field].

Based on the data of plant ecological field studies, this paper reviewed the conception of ecological field, field eigenfunctions, graphs of ecological field and its application of ecological field theory in explaining plant interactions. It is suggested that the basic character of ecological field is material, and based on the current research level, it is not sure whether ecological field is a kind of specific field different from general physical field. The author gave some comments on the formula and estimation of parameters of basic field function-ecological potential model on ecological field. Both models have their own characteristics and advantages in specific conditions. The author emphasized that ecological field had even more meaning of ecological methodology, and applying ecological field theory in describing the types and processes of plant interactions had three characteristics: quantitative, synthetic and intuitionistic. Field graphing might provide a new way to ecological studies, especially applying the ecological field theory might give an appropriate quantitative explanation for the dynamic process of plant populations (coexistence and interference competition).

Ecology↗
PubMed2001

Medicare and Medicaid programs; physicians' referrals to health care entities with which they have financial relationships: partial delay of effective date. Interim final rule with comment period; partial delay in effective date.

This interim final rule with comment period delays for 1 year the effective date of the last sentence of 42 CFR 411.354(d)(1). Section 411.354(d)(1) was promulgated in the final rule entitled "Medicare and Medicaid Programs; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships," published in the Federal Register on January 4, 2001 (66 FR 856). A 1-year delay in the effective date of the last sentence in Section 411.354(d)(1) will give Department officials the opportunity to reconsider the definition of compensation that is "set in advance" as it relates to percentage compensation methodologies in order to avoid unnecessarily disrupting existing contractual arrangements for physician services. Accordingly, the last sentence of Section 411.354(d)(1), which would have become effective January 4, 2002, will not become effective until January 6,2003.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2001

Medicare and Medicaid programs; emergency recertification for coverage for organ procurement organizations (OPOs). Interim final rule with comment period.

This interim final rule with comment period recertifies the existing designated organ procurement organizations (OPOs) that meet, or have met, the standards for a qualified OPO within a 4 year period ending December 31, 2001 and have current agreements with the Secretary that are scheduled to terminate on July 31, 2002. Those agreements will be extended to July 31, 2006. The Organ Procurement Organization Certification Act of 2000 amended the Public Health Service Act to require CMS to increase the certification cycle for OPOs from 2 years to at least 4 years. We are issuing this interim final rule to establish a 4 year recertification cycle and to permit payments to continue to be made to all 59 OPOs after January 1, 2002.

Certification↗
PubMed1975

[Comments on problems of uretero-ileo-cystoplasty (author's transl)].

Referring to six cases of our own we comment on indication and operative procedures with uretero-ileo-cystoplasty. Postoperative complications as stone-formation, urinary infection, stenosis of anastomosis etc. are discussed. In spite of vesico-renal reflux with every case longterm-results seem rather sufficient in four of our cases.

Adult↗
PubMed2002

Medicare program; criteria for submitting supplemental practice expense survey data under the physician fee schedule. Interim final rule with comment period.

This interim final rule revises criteria that we apply to supplemental survey information supplied by physician, non-physician, and supplier groups for use in determining practice expense relative value units under the physician fee schedule. This interim final rule solicits public comments on the revised criteria for supplemental surveys.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed2002

[Post-traumatic anosmia: description of a clinical case, proposal of a standardized protocol and medico-legal comments].

Man's olfactory perception is considerably limited compared to that of other animals; this sense is, however, extremely important in our social lives: it helps us to "savour" our food, it enables us to appreciate perfumes and, even more important, to pick up smells that signal a danger, such as a gas leak or a fire. We describe the clinical case of a patient with anosmia and hypogeusia that appeared immediately after suffering a concussive head injury. We go through the diagnostic protocol for medico-legal assessment of hypoanosmias previously described in the literature, which includes a clinical and an imaging section. In 9% of all anosmic patients, a traumatic event precedes the onset of the disorder, with repercussions on the olfactory channels and centres of the peripherical and/or central nervous system. The overall rate of anosmia following head injury is estimated to be around 7.5%. Among the principal causes of anosmia, those of medico-legal interest constitute 35% of the total. On the basis of our personal experience and of clinical studies conducted by other Authors, we propose that a bioptic investigation of the olfactory mucosa be added to the existing protocol. The olfactory neuroepithelium of patients suffering from post-traumatic anosmia, in fact, evidences some characteristic degenerative aspects. In conclusion, we report several comments regarding the quantification of the reduction of the olfactory function in different areas of medico-legal interest.

Adult↗
PubMedDate not supplied

[Genetic comment on patenting of biotechnology inventions in the adaptation of the Spanish Patenting Law to the European framework].

The author comments on article 1 (Patentability) of Law 10/2002, 29 April, which modifies the country's existing Patent Law (11/1986, 20 March) to incorporate into Spanish legislation the provisions of EU Directive 98/44. The author compares the new Law and the Directive and gives a historical overview and ethical evaluation of the subject of the patentability of human genes.

Bioethical Issues↗
PubMedDate not supplied

Alauddin Qarshi: a commentator of many classical treatises.

This article deals with the life and work of a commentator of six authentic works. He was a discoverer of pulmonary circulation of blood. He described it more or less accurately, almost three centuries before Harvey (1578-1657). The views of medical historians about this scholar have been given in this article.

Arab World↗
PubMed2000

The first year of the Oregon Death with Dignity Act: responses to the commentators.

This reaction article begins by differentiating the authors' data from the official Oregon Health Division Report on the Death with Dignity Act and then provides comments in response to each of the authors/teams who analyzed the original article. The authors use this opportunity to clear up some apparent misunderstandings, to highlight commonalities, and to emphasize a few fundamental differences of opinion.

Empirical Research↗
PubMed2000

Guidelines for assessments: reactions to the commentators.

In this short article, the authors respond to the critiques of the four commentators on the original "Guidelines" article. They highlight areas of agreement and disagreement with the other authors in an effort to move the discussion forward.

Coercion↗