CMS has issued new Interpretive Guidelines for nursing homes which will be implemented on November 28th. Regarding the use of anti-psychotic medications, it states "PRN orders for anti-psychotic drugs are limited to 14 days and cannot be renewed unless the attending physician or prescribing practitioner evaluates the resident." The required evaluation before writing a new PRN order entails a DIRECT examination.
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CMS has prepared a public data set, the Hospice Utilization and Payment Public Use File (PUF), with information on services provided to Medicare beneficiaries by hospice providers.
The Hospice PUF contains information on utilization, payment (Medicare payment and standard payment), submitted charges, primary diagnoses, sites of service, and hospice beneficiary demographics organized by CMS Certification Number and state.
Beginning January 2016 two new Current Procedural Terminology (CPT) codes for Advance Care Planning (ACP) became effective. Here’s what your hospice agency needs to know:
The New Codes
99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, fami...