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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. Lynn Flint, told Palliative Care News. In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia.

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Therapy teams take note: CY 2023 Medicare Physician Fee Schedule Final Rule

Rehab Realities by Renee Kinder

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. In the proposed rule, CMS presented two new G-codes for RTM services for use under the MPFS. Renee Kinder. Ready to learn more?

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CareConnectMD Building Hospice Network as Footprint Grows

Hospice News

We contract with [the Center for Medicare & Medicaid Innovation (CMMI)] as a direct contracting entity, and our job is to coordinate a network of providers, called DCE participants, and then also preferred providers, which would be hospices, home health agencies that can help coordinate the care as the patients move into the home setting.”.

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How CON Laws Influence Hospice Quality, Program Integrity

Hospice News

Florida is among the states with hospice CON laws in place, while Georgia’s CON programs predominantly pertain to other health care facility types such as hospitals and long-term care facilities. Operating in both regulatory climates has come with challenges around program integrity, Ponder-Stansel indicated.

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Finding your PAC

Rehab Realities by Renee Kinder

Last week we as an industry saw RTI International release a report titled: CMS Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care Analysis and Development of the Prototype Unified PAC Prospective Payment System Called for in the IMPACT Act. Is UPAC a new term to you? Let’s start with some background here.

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Avoiding the Pitfalls of Involuntary Nursing Home Discharges/Transfers in Missouri

Healthcare Law Insights blog

Many long-term care residents live in Missouri nursing homes for years. The appeal process itself can be complicated, and an attorney can be very helpful in sorting through the evidence, questioning witnesses, and presenting the case during the appeal hearing. 19 CSR 30-82.050(2)(A)-(F). 19 CSR 30-82.050(4)(B).

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Impact of Section GG, ANAs and Social Risk Factors (SRFs) on PAC outcomes

Rehab Realities by Renee Kinder

The specificity and care taken to create these lists must mean that without them, the kids are all sure to fail! The Centers for Medicare & Medicaid Services has contracted with Acumen LLC and Abt Associates to develop quality and cost measures for use in the IRF, LTCH, SNF, and HH QRPs and the Nursing Home Quality Initiative (NHQI).

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