http://www.medicareadvocacy.org/hidden/highlight-improvment-standard/
Often times, we see patients that are needing further skilled services but because they have reached the plateau, Medicare stops paying. Pretty soon this line " for as long as you show improvement, Medicare will continue to pay for your services" will be changed to "Medicare will pay for you're maintenance therapy". This Proposed Settlement Agreement will hopefully stop CMS from denying patients with chronic conditions the appropriate care they need to continue living a quality life. This will hopefully decrease hospital re-admissions and eventually save us health care dollars.
Thursday, October 25, 2012
Thursday, October 18, 2012
Happy Case Management Week!
Don't forget to join us tomorrow as we toast to our accomplishments! Send us your pictures !
(On Friday, October 19, 2012 at 1 PM ET, 12 Noon CT, 11 AM MT and 10 AM PT, CMSA President Nancy Skinner would like you to join her in toasting the individual and collective accomplishments of the case manager. Choose your beverage, set the alarm on your smart phone and put it on your calendar! ) from www.cmsa.org
Tell Us What You Think
https://docs.google.com/spreadsheet/viewform?formkey=dHA4dncwVzA0Z0VoTEVyTFh6Z2pkMUE6MQ#gid=0
We would like to improve our online registration. Please take a moment to take the survey. Follow the link above. Thank you!
We would like to improve our online registration. Please take a moment to take the survey. Follow the link above. Thank you!
Monday, October 8, 2012
Medicare's 3-Day Stay Rule Doesn't Make Sense
http://seniorhousingnews.com/2012/08/08/medicares-3-day-stay-rule-for-skilled-nursing-coverage-ripe-for-elimination/
I am dissappointed to learn that this bill (H.R. 1543 Improving Access to Medicare Coverage Act of 2011) which will eliminate the 3day Inpatient stay rule before SNF admissions only has 1% chance to pass. We need to keep trying because it does not make sense for some patients who does not fall into the 3 day category to waste healthcare dollars.
I am dissappointed to learn that this bill (H.R. 1543 Improving Access to Medicare Coverage Act of 2011) which will eliminate the 3day Inpatient stay rule before SNF admissions only has 1% chance to pass. We need to keep trying because it does not make sense for some patients who does not fall into the 3 day category to waste healthcare dollars.
New Jersey Death With Dignity Act
http://www.nj.com/politics/index.ssf/2012/09/controversial_bill_would_allow.html#incart_river_default
This is a very controversial bill that if passed, New Jersey could be the third state (next to Oregon and Washington) that will allow patients to self administer life-ending drugs. This will elicit a lot of discussions, I'm sure. Let us know what you think!
This is a very controversial bill that if passed, New Jersey could be the third state (next to Oregon and Washington) that will allow patients to self administer life-ending drugs. This will elicit a lot of discussions, I'm sure. Let us know what you think!
Monday, October 1, 2012
Medicare to Fine Hospitals For Readmissions
http://m.yahoo.com/w/legobpengine/news/medicare-fines-over-hospitals-readmitted-patients-084816882.html?orig_host_hdr=news.yahoo.com&.intl=US&.lang=en-US
It's coming! Medicare will start to penalize hospitals for readmissions. Penalty will be as low as 1% and is expected to go up to 3%. This is part of the Health Care Reform ...transforming Health Care from fragmented care to continuing care. This will make healthcare providers to be more vigilant in ensuring that patients follow up with their doctors after discharge. What do we do with non-compliant ones? It will be a challenge to drag them to their appointments. I can almost foresee hospitals forming initiatives in attempt to reduce readmissions. This could be a good thing!
It's coming! Medicare will start to penalize hospitals for readmissions. Penalty will be as low as 1% and is expected to go up to 3%. This is part of the Health Care Reform ...transforming Health Care from fragmented care to continuing care. This will make healthcare providers to be more vigilant in ensuring that patients follow up with their doctors after discharge. What do we do with non-compliant ones? It will be a challenge to drag them to their appointments. I can almost foresee hospitals forming initiatives in attempt to reduce readmissions. This could be a good thing!
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