that serve mostly high acuity patients, is evolving to enhance its specialized function, and leaders in the space believe it will be a replacement – or at least a supplement – for long-term acute care hospitals (LTACHs) and inpatient rehabilitation facilities (IRFs). The latest changes […...
Acute care hospitals. Critical access hospitals. Inpatient rehabilitation facilities. Inpatient psychiatric facilities. Long-term care hospitals. Inpatient care as part of a qualifying clinical research study. Compare Medigap plans Insurance companyNerdWallet rating Plan types offered NAIC complaint rate Premi...
21 We further excluded visits resulting in discharge to a nursing or rehabilitation facility (680 064). We adhered to all Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline for observational studies.22 The Harvard T.H. Chan School of Public Health ...
Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: a secondary analysis of administrative data. PLoS Med. 2018;15(6):e1002592. doi:10.1371/journal.pmed.1002592...
Inpatient Rehabilitation FacilityHealth ReformSkilled Nursing FacilityCenters for Medicare and Medicaid ServicesObjectiveIfejika, Nneka L.Vahidy, FarhaanReeves, MathewXian, YingLiang, LiMatsouaka, RolandFonarow, Gregg C.Savitz, Sean, IUT Southwestern Med Ctr Dept Phys Med &American Journal of Physical...
code or codes that correctly describe the health care services provided. UnitedHealthcare Medicare Advantage reimbursement policies use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS), or other coding guidelines. References to CPT or other sources are for ...
There is evidence to suggest that MA stroke patients are less likely to receive inpatient rehabilitation facility (IRF) based care in favor of home health. To evaluate potential gaps in quality of care, we compared post-acute care use patterns following hospitalization for acute stroke between TM...
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Thirty-day readmissions have become an increasingly used metric for performance evaluations and reimbursement guidelines. The readmission rate, which varied less by state, was highest in Florida (127 per 1000 hospitalizations), and greater than 115 per 1000 hospitalizations in the District of Columbia,...
C. BLUE CROSS shall validate PARTICIPATING MEDICAL GROUP’s development and implementation of the Quality Management Program through regular audit activities in accordance with the Operations Manual, the BLUE CROSS Quality Management and Credentialing guidelines and as follows: (1) The BLUE CROSS Quality...