The OIG continues to recommend that CMS increase the frequency of hospice recertification surveys. On August 29, 2013 the OIG published a new hospice report (OEI-06-13-00130) entitled the Frequency of Medicare Certification Surveys is Unimproved.
Discussion of PAD is an energy-consuming, yet potentially enriching part of the doctor–patient relationship. Legal guidelines may help to provide structure and support for physicians when patients broach the topic of PAD.
Quebec’s end-of-life bill makes palliative care more transparent
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Question: What was August 26, 2013?
Answer: The deadline for compliance with new CMS regulations pertaining to the provision of hospice care in contracted Long Term Care (LTC) facilities.
To the man stranded in the hospital with a pelvic fracture, I wanted to say I’m sorry. Contrary to what you have been told, it was not I who gave the order to make your admission an observation. In fact, I did just the opposite. I had clicked the full admission order while doing the requisite computer work after seeing you that first night in the hospital. But the next day, I received a call from a physician in a distant city who has been paid by the medical center to review such cases. Although he reluctantly admitted that he is a pediatrician who doesn’t even take care of adults, he has been given the power to interpret Medicare rules and has decided that you don’t qualify for inpatient status. Unfortunately it is of little interest to Medicare, or this physician, that you are non ambulatory and that your wife is to frail to lift you. If you want to go to a skilled facility to strengthen before returning home, you’ll have to pay for it yourself.
This final rule updates the hospice payment rates and the wage index for fiscal year (FY) 2014, and continues the phase out of the wage index budget neutrality adjustment factor (BNAF).
Navigating these new mandates may pose administrative and technical challenges for covered entities and for business associates. The Department of Health and Human Services has estimated that the cost of implementation ranges from $114 million to $225 million in the first year and approximately $14.5 million each year thereafter.1 Many companies, however, maintain that the amount reported by the Department of Health and Human Services significantly underestimates the actual compliance costs.4 This conundrum is particularly true for mobile health companies in a rapidly expanding HIT industry.
Jonathan Ellis, Director of Public Policy and Parliamentary Affairs at Help the Hospices, the national charity for hospice care. Jonathan explains how new healthcare reforms are having an adverse affect on hospices in the UK and what the charity recommends to ensure that the new structures work better for hospices and patients.
A controversial new state law seeks to prevent health care providers from denying care to the elderly, disabled or dying.