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Monday, September 30, 2013
  Clinical Accuracy Spoken Here  

EOL: Access to Palliative Care

Palliative care is not readily accessible to all Americans. It is offered primarily in hospital settings. Once informed of palliative care, 92% of Americans would embrace access to palliative care programs in hospitals. This would result in an increase in quality of care and a decrease in costs.

The Institute of Medicine (IOM) estimated that with palliative care teams fully integrated into hospitals total savings could exceed $6 billion per year.

[Reference: EOL & Palliative Care, Module D, Regs and Reimbursement]

  Excellence in Case Mgmt  

EOL: Patients Must "Elect" Hospice Benefit

For both CMS and commercial insurers, hospice care is provided under separate reimbursement formulas. As patients frequently transition in and out of hospice care it is critical to monitor eligibility criteria and be certain that patients are covered for the type of care being provided.

Beneficiaries must "elect" the Medicare hospice benefit; in so doing, they agree to forgo Medicare coverage for intensive conventional treatment for the terminal illness. Medicare continues to cover items and services unrelated to the terminal illness.

[Reference: EOL, Module D, Regs and Reimbursement]

  Improving Patient Care...  

EOL: Domains of Palliative Care

The existence of an interdisciplinary team is at the core of the first National Consensus Project (NCP) palliative care domain.

[Reference: EOL, Module E, CM Role]


Tom RasmussenTom Rasmussen
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