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Category \ Clinical


The Hospice Item Set (HIS) is one aspect of the Hospice Quality Reporting Program (HQRP) that was mandated by the Affordable Care Act of 2010 and set under section 1814(i)(5) of the Social Security Act. The HQRP is an initiative … Keep Reading
Given the complex medical needs and necessary equipment, transporting developmentally delayed or medically challenged pediatric patients to and from outpatient therapy clinics is a difficult, if not impossible, task for many families. Easy transportation, coupled with care efficiencies and associated … Keep Reading
Amyotrophic Lateral Sclerosis (ALS) is a neurological disease with severe functional, respiratory, and nutritional deficits. While the disease takes a few years for death to occur, the Medicare Administrative Contractors (MACs) Cigna Government Services (CGS) and National Government Services (NGS) … Keep Reading
Not every patient has the same opportunities presented to them in their healthcare journey. It is our responsibility as healthcare leaders to share our experiences, educate and empower the patients we serve. The weight of accomplishing these objectives often proves … Keep Reading
The Medicare Administrative Contractors (MACs) Cigna Government Services (CGS) and National Government Services (NGS) have set hospice eligibility criteria for patients with cancer as their terminal diagnosis that include assessing the non-disease-specific criteria alongside the disease-specific criteria. As with all … Keep Reading
The Medicare Administrative Contractors (MACs) Cigna Government Services (CGS), National Government Services (NGS), and Palmetto set disease-specific criteria for eligibility for Human Immunodeficiency Virus (HIV) disease that include assessing the non-disease specific criteria alongside the disease-specific criteria. As with all … Keep Reading
The Medicare Administrative Contractors (MACs) Cigna Government Services (CGS), National Government Services (NGS), and Palmetto set disease-specific eligibility criteria for Alzheimer’s Disease and related disorders that include assessing the non-disease specific criteria alongside the disease-specific criteria. With Alzheimer’s Disease and … Keep Reading
Approximately 13.3 million children (or 18% of all children in the United States) have special healthcare needs. As of 2017, about half of those children received support services that were provided by Medicaid. Children with special healthcare needs are medically … Keep Reading
Medication management is very important to the health and safety of our patients and clients. Here are five questions to assist caregivers with making sure clients and their families stay safe using and being around medications. Did You Know? Medication … Keep Reading
The Medicare Administrative Contractors (MACs) Palmetto, Cigna Government Services (CGS) and National Government Services (NGS) set disease-specific criteria for eligibility for cardiac disease that include assessing the non-disease specific criteria alongside the disease-specific criteria. As with all diagnoses for hospice … Keep Reading
The Patient-Driven Groupings Model (PDGM) is a payment reimbursement model that was introduced to the home health industry in 2020, an impactful revision on a system that hadn’t been altered in 20 years. This change did not affect the Conditions … Keep Reading
A Do Not Resuscitate (DNR) order is not required to be enrolled in hospice care. However, many providers believe it to be the most appropriate treatment choice for patients, given the severity of their condition. Hospice patients and family members … Keep Reading

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