“Finally Friday!” How to Handle Outpatient-in-a-Bed?

FRIDAY January 30, 2015:

Outpatient in a Bed:
How Do You Handle This?

We Discuss Practicality vs. Legality

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Frailty – How to care for this and how to get paid?

This week, we saw some lively discussion on the Google Group, rac-relief, about how to deal with situations where a patient is seen as too risky to send home, yet also not quite in need of hospital services right now… or at least not the kind that their payor will pay for… maybe or maybe not. The rules according to CMS are at least (sort-of) well defined (if not exactly understandable) (and how the heck would you describe it?), yet they leave something to be desired when it comes to considering the “frailty” of a patient and their social situation.

How do you take into account the risk of an adverse event occurring if you send them “home” to a marginally “safe” environment? And even if you had such a measure, how do you convince their insurer to pay for them to remain under professional care?

AND – What do you do if you judge that the patient still needs care, even if you aren’t sure you can get paid for it?

Dr. Mike Salvatore of Beebe Medical Center in Delaware, a frequent national speaker on Physician Advisor activities.

Dr. Mike Salvatore of Beebe Medical Center in Delaware, a frequent national speaker on Physician Advisor activities.

To discuss this, we invited a frequent speaker on our show to be a panelist this week, Dr. Mike Salvatore, a working Physician Advisor from Beebe Medical Center, a hospital located in Lewes, Delaware.

We’ve also invited some others and will list them here as they confirm their attendance. Suffice it to say, we are bound to have a lively discussion…

 

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Handouts for This Week's Show

Included in the Handouts:
PowerPoint Slides for the Show [PDF]
Appeal Academy Q&A for Bagnall Appeal Opinion [PDF]
Appeal Academy Q&A for Bagnall Appeal Opinion[Word docx]

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REPLAY of This Week's Show

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