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Hospice Capacity to Provide General Inpatient Care: Emergency Department Utilization and Live Discharge Among Cancer Patients
Am J Hosp Palliat Care. 2023 Apr 23:10499091231170598. doi: 10.1177/10499091231170598. Online ahead of print.ABSTRACTGeneral inpatient (GIP) hospice care is used only minimally for hospice patients, and more than a quarter of Medicare hospice facilities do not provide GIP care. To determine the impact of hospices' capacity to provide on emergency department use during hospice enrollment and live discharge from hospice, we used Surveillance, Epidemiology, and End Results-Medicare linked data and CMS Provider of Services data from 2007 to 2013 from ten states and two metropolitan regions. Grouping hospices into three GIP car...
Source: The American Journal of Hospice and Palliative Care - April 23, 2023 Category: Palliative Care Authors: Kyusuk Chung M Courtney Hughes Sara Rahmanian Koushkaki Mia Richelle Risberg Michelle Alcantara Jennifer M Amico Source Type: research

Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs

Repeat Resection in Recurrent Glioblastoma (3rGBM) Trial: a randomized care trial
DISCUSSION: The 3rGBM trial is a modern transparent care research framework with no additional risks, tests, or visits other than what patients would encounter in normal care. The burden of proof remains on repeat surgical management of recurrent GBM, because this management has yet to be shown beneficial. The trial is designed to help patients and surgeons manage the uncertainty regarding optimal care.CLINICAL TRIAL REGISTRATION: http://www.clinicaltrials.gov. Unique identifier: NCT04838782.PMID:34534565 | DOI:10.1016/j.neuchi.2021.09.001
Source: Neuro-Chirurgie - September 17, 2021 Category: Neurosurgery Authors: Mukt Patel Karolyn Au Jacob C Easaw Faith G Davis Kelvin Young Vivek Mehta Greg N Bowden Michael B Keough Tejas Sankar Felix Scholtes Miguel Chagnon Georges L'Esp érance Yan Yuan Guylaine Gevry Jean Raymond Tim E Darsaut Source Type: research

New and Established Patient E/M Definitions (CMS vs. CPT ®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient. Identifying the correct classification will prevent delays or denials of payment.  Many evaluation and management (E/M) codes are by definition described as new or established.  This lecture will attempt to explain various important clinical aspects related to this determination. Keep in mind while the Centers For Medicare& Medicaid Services (CMS) uses Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT ® definitions. This discre...
Source: The Happy Hospitalist - February 27, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs

New and Established Patient E/M Definitions (CMS vs. CPT®)
I get lot of requests from readers of The Happy Hospitalist asking how to know if a patient is a new or established patient.  Identifying the correct classification will prevent delays or denials of payment.  Many evaluation and management (E/M) codes are by definition described as new or established.  This lecture will attempt to explain various important clinical aspects related to this determination.  Keep in mind while the Centers For Medicare & Medicaid Services (CMS) uses  Current Procedural Terminology (CPT) codes, CMS definitions do not always agree with CPT® definitions.  This di...
Source: The Happy Hospitalist - February 27, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs

Besecker to exit as Hospice CEO
The Center for Hospice and Palliative Care, parent company of Hospice Buffalo, will begin a search for a new CEO after ending a contract this week with Flint Besecker. Besecker, 46, was appointed to the post following a national search in October 2010 and after serving on the board for 16 years in various leadership positions. At the time of his appointment, he was lauded for national executive positions in the for-profit healthcare industry, including serving as president of CIT Healthcare and…
Source: bizjournals.com Health Care:Physician Practices headlines - January 17, 2013 Category: American Health Authors: Tracey Drury Source Type: research