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An OIG study of hospice billing claims submitted during 2012 found that 31% of the GIP claims that providers submitted to CMS were inappropriately billed to the tune of an estimated $268 million that year alone. The industry will also likely see efforts continue to combat fraud, including the aforementioned audits and medical reviews.
By 2007, the Washington State Agency MedicalDirectors Group (AMDG), which included several eventual PROP members (23), published an “Interagency Guideline on Opioid Dosing for Chronic Non-Cancer Pain (26) that introduced the concept of hard dosing thresholds for opioid analgesics, which was later incorporated into the 2016 Guideline (2, 3).
Should these patients qualify for medical aid in dying medications? Hope is a palliative care doc and hospice medicaldirector at Evergreen Health up near Seattle, Washington. And so I think of it as more like the patient who’s on document dialysis, who. Hope Wechkin brought this topic to us.
Ann Merkel and some of the group of original High Peaks Hospice founders gathered to create a video to document the story of High Peaks Hospice’s beginnings. Dr. Merkel engaged with his partner Dr. Robert Kasulke to spear head the medical care. Dr. David Merkel served as MedicalDirector of Hospice until his death in 2012.
Chou had originally announced his intention to help influence opioid policy in a 2011 article that he co-authored with PROP’s founders (5), and he was a bold signatory to PROP’s 2012 Petition to the Food and Drug Administration (FDA) to change opioid labeling (6; See Figures 1a and 1b: First page and signatory page.)
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