McKnight's November 10, 2023
The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of neglect and abuse.
The Health and Human Services Office of Inspector General on Thursday posted a report showing that 93 of 100 sampled medical records “contained evidence of potential abuse or neglect’ of Medicare patients. That abuse or neglect was indicated by use of at least 1 of 64 related diagnosis codes across medical settings.
Among the 93 potential abuse cases, 14 were allegedly perpetrated by healthcare workers and 17 were related to incidents that occurred in medical facilities. Extrapolating that, the OIG said 27,522 of...
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