Optum360 coding books logo
Optum360Coding.com
    Contact Us   (7 a.m.–7 p.m. CST)
  Home > Coding Central Articles > Coding Central Articles  
Coding Central
Coding Central Home
Inside Track to ICD-10
Coding Central Articles
Code This!
Case Studies
Chargemaster Corner

Articles for:
January 25, 2018


Four Tests Added to List of CLIA Waived Tests

In early January, the Centers for Medicare and Medicaid Services (CMS) announced new waived tests... Learn More


New and Revised Vaccine Codes Added to 2018 CPT Code Book

The American Medical Association (AMA) added and revised several vaccine CPT codes for its 201... Learn More


OIG Recommends Measures for Curbing Opioid Misuse and Fraud

Office of Inspector General testimony before the House Committee on Ways and Means in January ... Learn More


View Article Archive

Subscribe:
To subscribe, paste this link into your preferred feedreader, or click on one of the buttons below:
 

Medical Coding News Archives

Hospitalization Rates Drop Among LTC Patients

 
February 27, 2017:

The Centers for Medicare and Medicaid Services (CMS) had good news to report in January: The hospitalization rate of long-term care (nursing home) patients dually eligible for Medicare and Medicaid fell by 13 percent between 2010 and 2015. The improvement in the hospitalization rate for avoidable conditions had an even more dramatic drop—31 percent.

By “avoidable conditions,” CMS is referring to bacterial pneumonia, urinary tract infections, congestive heart failure, dehydration, chronic obstructive pulmonary disease or asthma, and skin ulcers. Of the 270,000 dually-eligible beneficiaries in long-term care facilities who were hospitalized in 2015, 80,000 of these admissions were prompted by one of these conditions. The improvement occurred in all 50 states, CMS reports.

The agency credits several factors for helping to lower the number of hospitalizations among this vulnerable group of beneficiaries. For example, the CMS Innovation Center and partners launched an initiative in 2011 in seven sites across the nation to lower avoidable hospitalizations among long-term care residents. In addition, the Agency for Healthcare and Research Quality Safety Program for Long-Term Care focused on reducing the incidence of urinary tract infections due to catheters at LTC facilities. CMS also gives a nod to the Hospital Readmission Reduction Program, accountable care organizations, and various other industry-led efforts to focus on quality improvement.

CMS notes that fewer hospitalizations indicate that LTC dually-eligible beneficiaries are receiving better preventive care. These lower rates also mean lower expenses for Medicare and Medicaid.

 

 
Sign in to
Your Account
USERNAME
Forgot your username?
PASSWORD
Forgot your password?
Don't have an account?
It's easy to create one.
Promo code

Have a promotional source code? Enter it here:


What is this?