Draft bill could repeal Medicare Part B Therapy Caps by January 2018

Therapy caps were first established by the Balanced Budget Act of 1997 and limit the amount of therapy services a beneficiary can receive in a year, regardless of their condition. The 2017 therapy cap limits are:

$1,980 for physical therapy (PT) and speech-language pathology (SLP) services combined
$1,980 for occupational therapy (OT) services

On Thursday, October 26, Congress issued a draft bill to permanently repeal therapy cap limits, which are considered to be a long-standing problem for Medicare …

Dying At Home In An Opioid Crisis: Hospices Grapple With Stolen Meds

The following is republished with permission from the author, Melissa Bailey, Kaiser Health News.
Nothing seemed to help the patient — and hospice staff didn’t know why.
They sent home more painkillers for weeks. But the elderly woman, who had severe dementia and incurable breast cancer, kept calling out in pain.
The answer came when the woman’s daughter, who was taking care of her at home, showed up in the emergency room with a life-threatening overdose of …

2018 hospice final rule increases payments by $180 million

by: Josh Poltilove

The following is from Home Health Line. For more news and information on home health and hospice, visit homehealthline.decisionhealth.com.

Medicare’s hospice payments, adjusted for inflation and other factors, will rise an estimated 1% in 2018, according to the final hospice payment rule posted Aug. 1.

 That’s a $180 million increase.

 By comparison, the 2017 final rule included a 2.1% increase — $350 million — in payments.

The dropoff is largely due to a one-time reduction in the …

Six ways to maximize your clinical and operational outcomes

Managed care organizations (MCO) are breaking new ground when it comes to controlling and reducing long-term healthcare costs, changing the way care is delivered in today’s skilled nursing facility (SNF). With the number of managed care beneficiaries increasing every year and continual changes in how care is administered and reimbursed, it’s essential that SNFs understand best practices for optimizing managed care partnerships to increase their revenue and avoid losing substantial sums of money. The following …