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Dramatic Changes Ahead for Medical Claims Evaluation

 

 

Dramatic Changes Ahead for Medical Claims Evaluation

Contributed by AADEP Faculty David J. Depaolo JD and Robert J. Barth Ph.D.

AADEP is pleased to announce that WorkCompCentral CEO David Depaolo has agreed to speak at the Annual Scientific Session. Mr. Depaolo will address the radical changes that lie ahead for the evaluation of medical claims, due to federal health care reform.

Fed by the hysteria of the general media and partisan politics, the focus of the health-care debate has been on the more recent passage of Health Care and Education Reconciliation Act of 2010, but health-care reform (and what really concerns the medical claims evaluator), began the moment President Obama took the oath of the Office of the President followed by the first law passed under his presidency, HR1.

HR1 was reported in the media as a monumental government financial stimulus package promising millions of dollars in various public works projects, but fully one-third of the bill was dedicated to the most important piece of the health care reform puzzle - the part that doesn't deal with insurance or Medicare: electronic health records and outcomes-based objective health care standards.

For the first time in this nation's history the health records of every person living in America will become "public knowledge" to every health-care provider who has authorization; and for the first time in this nation's history there will be a mandate of treatment protocols that will drive standards based medicine. The dramatic implications of these developments for medical claims evaluations will be the focus of Mr. Depaolo’s presentation.

These mostly uncontested provisions of the law are having a profound effect on the health-care industry, and will significantly impact the way that the medical claim evaluator conducts his or her practice, and interacts with the applicable medical claims system - be it workers' compensation, personal injury courts, Social Security, private disability insurance, or any other system.

Mr. DePaolo, president of WorkCompCentral, a workers' compensation news and education service, will be presenting "What Healthcare Reform, and the Future in General, Means to the Medical Claims Evaluator." Having studied HR1 from the outset, Mr. DePaolo will provide insight into the provisions of HR1 that will impact your practice, and will provide his forecast into the future of medical claims evaluation based on the realities of the provisions of HR1 and subsequent health-care reform law.

Click HERE to register online.

 


Click HERE to view the Annual Meeting brochure.

Nov 16, 2010 2:22 PM |Add a comment |Comments (1)
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David is a dynamic individual with a message that all physicians need to understand. The provisions of HR1 have been relegated to the lower totem pole regions because of the media frenzy given to the healthcare reform act. Even the AMA and most specialty organizations fail to understand its implications. If you don't "get it" on how comparative research panels and oversight committees will change your practice, then you better listen to what Mr. Depaolo will tell you. You must, borrowing from an organization celebrating its 100th birthday this year, "BE PREPARED".

Doug Martin, MD, FAADEP | martindw@stlukes.org | Nov 17, 2010 10:01 AM
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