This large retrospective cohort of medicare beneficiaries >age 65 found that utilization of LTACs (long term acute care hospitals) after a critical illness increased from 39 to 100 (per 100,000) from 1997 to 2006 (and the number of LTAC facilities increased 9% per year). Annual cost of this care increased from $484 million to $1.325 billion. The 1 year mortality was relatively unchanged throughout the study period, ranging 51-52%. LTAC utilization and cost has dramatically increased in elderly patients post critical illness, and these patients have >50% mortality at 1 year. These patients have a poor prognosis and should be identified and treated as such (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 […]