It’s Time to Change the Medicare Hospice Dementia Criteria

It is time for Medicare to change its hospice criteria for people with dementia.  The current criteria isn’t reflective of the progression of many dementia patients with other chronic illnesses.  It can be difficult to get  dementia patients accepted to hospice because either they haven’t lost 10% of their weight or still speak more than…

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Nursing Home Use Of Antipsychotics: A Boston Globe Series

I want to thank the Boston Globe writers, Kay Lasar and Matt Carroll, for doing the series on the use of anti-psychotic medications to treat Alzheimer’s disease  and persons without a mental illness called “A Rampant Prescription, A Hidden Peril.”  I applaud them for their research and investigation into the over use of these drugs in…

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Another Made Up HIPAA Barrier:Will It Ever End?

I am, once again, befuddled by the obstacles institutions create to withhold medical records.  Today, I experienced  the absolute nonsense of a nursing home to block handing over medical notes to a family member who is the designated healthcare proxy. The story goes like this.  The daughter, who is the healthcare proxy, over a month…

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Family Frustration: Nursing Home Medical Care

Several of my clients are in skilled nursing facilities (SNF) or nursing homes.  One of the complaints I frequently hear is, why can’t I see my own doctor?  In order to be seen by your own MD/NP, they need to be credentialed with the facility.  This means the MD/NP have to submit their credentials for…

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MD/DO/NP: Have You Actually Read A HIPAA Form?

Yesterday, I had a new client which meant I needed to send HIPAA release forms to all involved medical professionals.  Tedious but necessary in order to get medical records or talk to anyone. My forms are standard with all the necessary information mandated by the federal government.  No matter what facility you go to, the…

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