This large retrospective cohort of Medicare Fee For Service beneficiaries found from 2000 to 2009, fewer patient died in acute care (33% vs 25%), and hospice use at the time of death increased (22% vs 28%) but ICU use in the last month of life increased from 24% to 29%, and the number experiencing a care transition in the last 3 days of life increased from 10% to 14%. Although patients are now more likely to die out of the hospital and in hospice care, they are more likely to utilize ICU care and be transitioned around, shortly before death (abstract).
“Membership in the American Academy of Professional Coders has risen to more than 170,000 today from roughly 70,000 in 2008.” “The AMA owns the copyright to CPT, the code used by doctors. It publishes coding books and dictionaries. It also creates new codes when doctors want to charge for a new procedure. It levies a […]
Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason. A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing. First, to declare my priors. I will take an IMG to work by my side any day of the week. You need […]
The Centers for Medicare & Medicaid Services (CMS) has not updated its rules (“conditions for participation”) for nursing homes in twenty-five years. Late last year they finally did. Many of the changes will have an impact on the daily lives of NH residents but are far removed from hospital medicine. Think a resident’s ability to […]