New Medicare regulations went into effect on January 1, 2017, which require compensation for physicians who spend time working in teams to improve care for seniors with chronic illnesses. These care coordination teams, which often consist of doctors, nurses, social workers, and psychiatrists, focus on high-need patients who suffer from hypertension, diabetes, depression, anxiety, and heart failure. These patients often have multiple medical conditions that put them at a much higher risk of disability, hospitalization, and premature death.
One major purpose of these regulations is to focus on reducing the costs of those whom tend to be the costliest of all patients in the American health care system. The reality is that 10% of patients account for 65% of the nation’s total health care spending. Under these new Medicare regulations, complex chronic care management now is reimbursable at higher rates on a more frequent basis. This type of care management will include services such as transitioning seniors between hospital and home or hospital and rehabilitation center, arranging home-based services, and providing patients and caregivers with resources. The hope is that medical practices now will be able to hire care coordinators to continue to reduce the costs of medical care for these high-risk seniors.
Studies have found that primary care physicians often do not diagnose dementia on a timely basis. Medicare now has made enhanced reimbursement rates for comprehensive cognitive examinations that incorporate ten distinct elements. If the examination reveals dementia, then the physician’s office must create a care plan to address the patient’s needs and goals. Additional funds are available from Medicare for the care planning process. Plus, doctors will now receive reimbursement for patient care performed in between visits, such as after-hours phone calls and reviews of medical records.
The Wisconsin long-term care abuse lawyers of Boller & Vaughan know how to protect your loved ones’ rights, no matter what the situation may be. Our law firm handles these cases on a regular basis and is experienced in advocating on behalf of clients just like you. We are here to help you fight back against any healthcare facility that causes harm to your loved one, and get any compensation to which you are entitled.
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We live in Friendship, Wisconsin, and Boller & Vaughan came to our doorstep to discuss our mother’s wrongful death claim on a Saturday morning. Not only were we pleased with the large recovery, we were so thankful to have lawyers who were willing to explain to us every twist and turn along the way. It is great to know there is a law firm that will fight for the rights of elderly people all over Wisconsin.
Mr. Boller and Ms. Vaughan were incredible in working on my case and my daughter’s case. I was out of work and in the hospital with a new baby. Mr. Boller and Ms. Vaughan protected our rights and it was a pleasure to work with them. I hope never to be in another motor vehicle accident, however, if I am and I am injured, I will contact Boller & Vaughan immediately.
I was referred to Michelle through a friend. I have never had a better experience. It took a little over a year to get my settlement but the staff there stayed in constant contact and kept me in the loop. Oh, and Michelle actually got me MORE money than we discussed. I will refer anyone to this firm. Words cannot do justice the thanks that I have for Michelle and her staff (Mary especially) thank you guys so much!
After my husband died as a result of a motor vehicle accident, Boller & Vaughan spent countless hours talking with me, meeting with me in person, and making sure that I was okay. The drunk driver who hit us did not have any insurance, and we had to make a claim through our own insurance. Boller & Vaughan was fantastic at explaining the law to me and the handling of our claims.
After my son was injured in a daycare setting, Ms. Vaughan took the time to thoroughly investigate our case and my son’s injuries. Michele was approachable and had answers to our questions. Talking with her helped to relieve many of our anxieties.