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MDS information is transmitted electronically by nursing homes to the MDS database in their respective states. MDS information from the state databases is captured into the national MDS database at Centers for Medicare and Medicaid Services (CMS). Sections of MDS (Minimum Data Set): Identification Information; Hearing, Speech and Vision
In geology, a graded bed is a bed characterized by a systematic change in grain or clast size from bottom to top of the bed. Most commonly this takes the form of normal grading, with coarser sediments at the base, which grade upward into progressively finer ones. Such a bed is also described as fining upward. [1]
The U.S. hospice industry has quadrupled in size since 2000. Nearly half of all Medicare patients who die now do so as a hospice patient — twice as many as in 2000, government data shows. Since 2006, the U.S. government has accused nearly every major for-profit hospice company of billing fraud.
VITAS® Healthcare is a provider [1] of end-of-life care in the United States. Operating 53 hospice programs in 15 states and the District of Columbia, [2] VITAS employs 11,000 professionals and serves an average daily census of more than 21,000 patients, according to the company's website.
Over the last decade, the hospice industry has quadrupled in size. There are now more than 4,000 hospices in the U.S., serving more than 1 million patients a year. A majority of hospices are now operated as for-profit entities, a departure from hospice’s beginning as a niche service offered by charitable concerns.
According to the UK's Help the Hospices, in 2011 UK hospice services consisted of 220 inpatient units for adults with 3,175 beds, 42 inpatient units for children with 334 beds, 288 home care services, 127 hospice at-home services, 272 day care services, and 343 hospital support services. [55]
General inpatient care is an intensive level of care which may be provided in a nursing home, a specially contracted hospice bed or unit in a hospital, or in a free-standing hospice unit. [65] General inpatient criterion is for patients who are experiencing severe symptoms which require daily interventions from the hospice team to manage. [ 60 ]
The National Correct Coding Initiative (NCCI) is a Centers for Medicare & Medicaid Services (CMS) program designed to prevent improper payment of procedures that should not be submitted together. There are two categories of edits: