{"id":116,"date":"2018-03-30T07:00:02","date_gmt":"2018-03-30T07:00:02","guid":{"rendered":"https:\/\/advantagehcconsulting.com\/blog\/?p=116"},"modified":"2018-03-23T15:50:48","modified_gmt":"2018-03-23T15:50:48","slug":"utilization-rn-visits-tick-up-under-payment-reform","status":"publish","type":"post","link":"https:\/\/advantagehcconsulting.com\/blog\/2018\/03\/30\/utilization-rn-visits-tick-up-under-payment-reform\/","title":{"rendered":"Utilization: RN Visits Tick Up Under Payment Reform"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-117\" src=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing.jpg\" alt=\"\" width=\"1200\" height=\"627\" srcset=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing.jpg 1200w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing-300x157.jpg 300w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing-768x401.jpg 768w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing-1024x535.jpg 1024w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/03\/Nursing-210x110.jpg 210w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<p><span style=\"color: #ffffff;\"><strong><em>Social worker visits remain virtually unchanged under SIA policy.<\/em><\/strong><\/span><\/p>\n<p>The jury is still out on whether Medicare\u2019s hospice payment reform model implemented last year is fixing the benefit\u2019s perceived problems, but the latest MedPAC report contains one encouraging statistic.<\/p>\n<p>In 2016, Medicare paid hospice providers roughly $120 million for registered nurse and social worker visits in the last seven days of life, the\u00a0<strong>Medicare Payment Advisory Commission\u00a0<\/strong>notes in its annual report to Congress released March 15. Medicare makes those payments under the Service Intensity Addon provision that began in January 2016.<\/p>\n<p>\u201cThe average number of nurse visits per day appears to have increased slightly (from 0.59 visits per day to 0.61 visits per day) during the last 7 days of life,\u201d the advisory body to Congress notes in the report.<\/p>\n<p><strong><span style=\"color: #ffffff;\">Caveat:<\/span>\u00a0<\/strong>Nurse visits MedPAC used included both registered nurse and licensed practical nurse visits, the report explains. \u201cAlthough the new payment system makes additional payments only for RN (not LPN) visits in the last days of life, we have included both types of visits in this chart because data specific to RNs are not available for 2015,\u201d the report says.<\/p>\n<p>While nurse visits increased slightly, \u201cat the same time, the average length of nurse visits during the last days of life appears to have declined slightly,\u201d from about 75 minutes to 72 minutes per visit, MedPAC points out.<\/p>\n<p>\u201cSocial worker visits in the last days of life were less frequent and changed little during this period,\u201d MedPAC adds.<\/p>\n<p><a href=\"https:\/\/www.supercoder.com\/coding-newsletters\/my-homecare-week-alert\/utilization-rn-visits-tick-up-under-payment-reform-157203-article\"><i><span style=\"font-weight: 400;\">Source- SuperCoder<\/span><\/i><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Social worker visits remain virtually unchanged under SIA policy. The jury is still out on whether Medicare\u2019s hospice payment reform model implemented last year is fixing the benefit\u2019s perceived problems, &hellip; <a class=\"readmore\" href=\"https:\/\/advantagehcconsulting.com\/blog\/2018\/03\/30\/utilization-rn-visits-tick-up-under-payment-reform\/\">Continue Reading &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":117,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[11,12,13,14],"class_list":["post-116","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-utilization","tag-home-care","tag-hospice","tag-ltc","tag-snf"],"_links":{"self":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/comments?post=116"}],"version-history":[{"count":1,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/116\/revisions"}],"predecessor-version":[{"id":118,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/116\/revisions\/118"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media\/117"}],"wp:attachment":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media?parent=116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/categories?post=116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/tags?post=116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}