Remove codes savings-code
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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

million in improper payments to providers, Medicare beneficiaries could have saved $43.6 Medicare contractors also often did not conduct prepayment or postpayment reviews. In addition to the $190.1 million in deductibles and co-insurance that may have been improperly collected, according to OIG.

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CMS Finalizes 2.9% Cut in Physician Payments for 2025, Including for Palliative Care

Hospice News

The final rule also includes a new coding and payment for caregiver training, which can be done via telehealth or in person. Fee-for-service Medicare continues to pay for the bulk of palliative care delivered to seniors in the United States, using the rates established in the physician fee schedule final rule.

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How Value-Based Models Can Aid Palliative Care Team Recruitment

Hospice News

The value in palliative care is cost savings. The program places a greater focus on addressing health care disparities, the agency indicated, as well as a stronger emphasis on screening and monitoring of model participants to foster transparency and prevent inappropriate coding and risk score growth.

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How CMS Proposed ACO Advance Payment Policies Could Impact Palliative Care

Hospice News

The agency’s 2025 Physician Fee Schedule proposed rule contains a provision that would establish a new “prepaid shared savings” option for Medicare Shared Savings Program (MSSP) participants.

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The Value of Palliative Care Consults in the Hospital Emergency Department

Hospice News

Among the patients who received the consults, 49% had a changed code status; 11% were admitted to a lower level of care, and 11% avoided hospitalization. The consults yielded $5,974 in median direct cost savings for index hospitalization, per patient. day reduction in their hospital stay, generating $9,332 in savings per patient.

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The Benefits of Deploying Palliative Care Social Workers in Hospital Emergency Departments

Hospice News

The Journal of Palliative Medicine study indicated that among the patients who received the consults, 49% had a changed code status; 11% were admitted to a lower level of care, and 11% avoided hospitalization. The consults yielded $5,974 in median direct cost savings for index hospitalization, per patient. “We Again, research agrees.

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How CMS’ 2024 Risk Adjustment Rules May Affect Palliative Care Companies

Hospice News

The nuts and bolts of risk adjustment In a nutshell, the agency is transitioning the code system from Internal Classification of Diseases (ICD)-9 to ICD-19. It also removed more than 2,000 of the diagnosis codes that MA plans use. The affected codes “focused on conditions that are subject to more coding variation,” according to CMS.