BestKeptSecrets · September 17, 2020 at 6:44 pm
The public needs to become aware of the importance of Medicare DRGs and how the lump sums are paid to hospitals. If you go to the hospital and are diagnosed with congestive heart failure, a DRG is assigned for payment. The hospital gets a lump sum payment per this DRG if complications or co morbidities are not noted. This means hospitals get paid the same whether you stay one day or 50 days. So hospitals use to discharge patients asap with home care or to a local nursing home if you had a qualifying three day stay. Hospitals started to get dinged for discharging you too soon and started having to share some of this lump sum payment with home care or the nursing home. After this occurred, hospitals just started discharging without these resources or would order one of their own home care or nursing homes to care for you so they could keep it in the family. Medicare started dinging hospitals for readmissions. They now have to eat the costs if you are readmitted with the same diagnosis. So they started to put you in an observation status, outpatient Medicare B would get charged and they would not get dinged. Hospitals started to drive down the costs of your stay by decreasing resources used or hiring one year degreed nurses or two year degree and paying them less. Or better yet hiring immigrants who are often oppressed and won't speak up about their heavier case loads often causing mistakes. 5000 deaths a week in our nation's hospitals due to medical errors and negligence. Hospitals also get dinged for poor customer service scores. Fauquier Hospital is listed as a 2 starred hospital on Medicare.gov hospital compare. And these ratings are collected specifically from codes used in billing and poor customer scores. Let's see if the new COO can improve the quality of care by hiring competent, educated staff who are permitted to speak up when their are mistakes occurring. Change their culture so their ratings improve. Warren Memorial Hospital in Front Royal has a 4 star rating. They also have better senior resources to include affordable assisted living, senior housing and care. Fauquier County does not have affordable assisted living or any that accepts Medicaid. THis is a direct result of permitting facilities to build in the county without mandating they accept seniors on fixed incomes. Be the voice for this community. If you are admitted to the hosptial and you experience a complication from lack of care, report it to JACHO and if you have Medicare, report it to them or your private insurance Medical Director for review. God Bless our residents. Demand better care.