decisionhealth Newsletters, Part B News - 2015 Issue 8 (August)
Hospice patients in wide-ranging CMS demo will retain Part B benefits
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Article Overview
This article covers a new CMS demonstration tied to hospice and Medicare, including how the model is intended to affect patient access to curative and palliative care while enrolled in hospice. It is relevant to physicians, hospice administrators, coders, and reimbursement professionals who need to understand the broad operational and billing implications of the program, as well as the patient populations and care settings involved.
Why This Topic Matters
The article highlights a Medicare policy change that may alter how services for hospice patients are coordinated and billed. It matters to healthcare organizations and coding staff that work with hospice, palliative care, and Medicare reimbursement processes.
Article Sections
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Patient encounters
Introduces the demonstration and its potential impact on hospice patient access to concurrent care. It also frames the billing and care-coordination issues discussed later in the article.
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Some already provide curative care
Describes existing examples of concurrent care in certain state and pediatric hospice programs. It also outlines broader supportive services and coordination practices mentioned in the article.
What You Will Learn
- The purpose and scope of the CMS hospice demonstration
- How concurrent care relates to hospice coverage and Medicare billing
- Which broad patient groups are included in the model
- How hospice and palliative care programs may coordinate services
- Why the policy may matter to physicians and reimbursement staff
Who Should Read This
- Physicians
- Hospice administrators
- Medical coders
- Billing staff
- Reimbursement professionals
- Palliative care program staff
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