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29-10-2020, 01:32 PM
#18531
Just want to emphasise:
From the CMS Glossary of terms:
....
MEDICALLY NECESSARY
Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren't mainly for the convenience of you or your doctor.
...
The "standards of good medical practice" are those set by the AUA
The AUA do not recommend the use of Urinary biomarkers. It is a big step for either Kaiser or CMS to rely on something that is not endorsed by the Clinical guidelines.
1 in 10? Don't think so.. Not yet..
Last edited by psychic; 29-10-2020 at 01:37 PM.
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29-10-2020, 02:01 PM
#18532
Originally Posted by psychic
Just want to emphasise:
From the CMS Glossary of terms:
....
MEDICALLY NECESSARY
Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren't mainly for the convenience of you or your doctor.
...
The "standards of good medical practice" are those set by the AUA
The AUA do not recommend the use of Urinary biomarkers. It is a big step for either Kaiser or CMS to rely on something that is not endorsed by the Clinical guidelines.
1 in 10? Don't think so.. Not yet..
Seems a fairly broad definition overall. One in which it's application could be bent to suit ones agenda...
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29-10-2020, 02:08 PM
#18533
No, the standards of good medical practice are not arbitrary in the US. Law suits follow...
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29-10-2020, 02:09 PM
#18534
Member
I wonder how to justify this company worth 500m market cap now?
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29-10-2020, 02:11 PM
#18535
Just wait to the 26th Nov and the first 6 months of financial year will all be revealed and touch wood some answers to all the above. Remember under promise over deliver...
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29-10-2020, 02:18 PM
#18536
Originally Posted by Greekwatchdog
Just wait to the 26th Nov and the first 6 months of financial year will all be revealed and touch wood some answers to all the above. Remember under promise over deliver...
Too early
Only been going with CMS for three months and Kaiser hasnt started yet
Try full year results May 2021 for a better indication.
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29-10-2020, 02:26 PM
#18537
At least there may be some answers to all those questions that are going around.
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29-10-2020, 02:28 PM
#18538
Originally Posted by psychic
Just want to emphasise:
From the CMS Glossary of terms:
....
MEDICALLY NECESSARY
Services or supplies that: are proper and needed for the diagnosis or treatment of your medical condition, are provided for the diagnosis, direct care, and treatment of your medical condition, meet the standards of good medical practice in the local area, and aren't mainly for the convenience of you or your doctor.
...
The "standards of good medical practice" are those set by the AUA
The AUA do not recommend the use of Urinary biomarkers. It is a big step for either Kaiser or CMS to rely on something that is not endorsed by the Clinical guidelines.
1 in 10? Don't think so.. Not yet..
AUA seem to be about 2 years behind as usual.
With the advent of Covid and a requirement for patient care outside of the normal facilities where possible, common sense would indicate that operating under the old guidelines, when a perfectly good alternative to accommodate that is available, might be grounds for litigation as well
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29-10-2020, 03:12 PM
#18539
Just what is it you know that the AUA do not Miner?
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29-10-2020, 03:15 PM
#18540
Originally Posted by Justin
I wonder how to justify this company worth 500m market cap now?
With an extraordinary amount of blind faith
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