York County Medicine Winter 2019 - 25

YO R K C O M E D S O C . O R G

IN THE COMMUNITY:
knows them better (medically) than anyone else-to determine
the specific medical needs that will be addressed in their
individual plan of care.
"Sometimes, we even schedule a meeting with all of us
together-my patient, me, and the Hospice & Community
Care team," shared Dr. Harberger. "Basically, we're all focused
on getting the patient and their family whatever is needed and
Hospice & Community Care and I work together to make
sure that's what happens. It's really remarkable to see how this
teamwork benefits my patients. Interacting with Hospice &
Community Care is always a bright spot in my day."

THE DOSE

MEDICARE PREMIUMS &
DEDUCTIBLES
CMS Announces 2020 Medicare
Premiums and Deductibles
Find out the Medicare Part A and Medicare Part B
premiums and deductibles that will be in effect for
beneficiaries in 2020. Learn More > https://www.
pamedsoc.org/home/pamed-news/articles/medicarepremiums-deductibles?utm_source=MagnetMail&utm_
medium=email&utm_term=Torres&utm_
campaign=Dose.11.14.19

Making a Referral
Often, a physician is the first to mention the possibility of
hospice care; however, some physicians hesitate to bring it up
because they sincerely want to preserve hope for a cure. Frequently,
physicians will continue to pursue treatment because they think
that is what the patient and family want. Hospice is an option for
comfort, and it is important that patients and their doctors talk
openly and share the same goals for maintaining quality of life.
"As a former primary care physician, I understand how
difficult and oftentimes heartbreaking it can be to share with your
patient that he/she is dying," commented Dr. Smith. "I have seen
physicians second guess whether their predicted terminal prognosis
is correct or delay referral searching for one more life-prolonging
therapy that they can offer their patient to extend hope.
"I also hear from physicians that when the idea of a hospice
referral is presented, patients may become resistant because of what
it might represent to them, a loss of hope or a hastening of death.
"However, involving hospice is not representative of a loss of
hope, but rather providing a support system for these patients to
find a new hope and focus on achieving what is most important to
them through the end of their lives."
Because hospices consistently hear from their patients and
families that they wish they would have sought them out sooner: it
is a good idea for patients to let their physicians know at the time
of diagnosis that they are open to discussing end-of-life care at the
appropriate time. It's important to know that patients and families
have a choice in their hospice care provider.

2020 OPPS/ASC PAYMENT
SYSTEM
CMS Finalizes 2020 OPPS/ASC Payment
System Rule
The Centers for Medicare and Medicaid Services (CMS)
released the 2020 Medicare Hospital Outpatient
Prospective Payment System (OPPS) and Ambulatory
Surgery Center (ASC) Payment System final rule. Get
details on provisions like new ASC covered procedures.
Learn More > https://www.pamedsoc.org/home/pamednews/articles/2020-opps-asc-payment-proposal?utm_
source=MagnetMail&utm_medium=email&utm_
term=Torres&utm_campaign=Dose.11.14.19
Medicare Physician Fee Schedule (MPFS): If you missed
PAMED's overview of the 2020 MPFS, check it out
here. https://www.pamedsoc.org/home/pamed-news/
articles/Medicare-Physician-Fee-Schedule-2020?utm_
source=MagnetMail&utm_medium=email&utm_
term=Torres&utm_campaign=Dose.11.14.19
WINTER 2019 | York County Medicine

25


http://www.YORKCOMEDSOC.ORG https://www https://www.pamedsoc.org/home/pamed-news/articles/medicare-premiums-deductibles?utm_source=MagnetMail&utm_medium=email&utm_term=Torres&utm_campaign=Dose.11.14.19 https://www.pamedsoc.org/home/pamed-news/articles/2020-opps-asc-payment-proposal?utm_source=MagnetMail&utm_medium=email&utm_term=Torres&utm_campaign=Dose.11.14.19 https://www.pamedsoc.org/home/pamed-news/articles/Medicare-Physician-Fee-Schedule-2020?utm_source=MagnetMail&utm_medium=email&utm_term=Torres&utm_campaign=Dose.11.14.19

York County Medicine Winter 2019

Table of Contents for the Digital Edition of York County Medicine Winter 2019

York County Medicine Winter 2019 - 1
York County Medicine Winter 2019 - 2
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https://www.nxtbook.com/hoffmann/YorkCounty_Medicine/YorkCountyMedicineSummer2020
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https://www.nxtbook.com/hoffmann/YorkCounty_Medicine/YorkCountyMedicineSpring2019
https://www.nxtbook.com/hoffmann/YorkCounty_Medicine/YorkCountyMedicineWinter2018
https://www.nxtbook.com/hoffmann/YorkCounty_Medicine/YorkCountyMedicineFall2018
https://www.nxtbook.com/hoffmann/YorkCounty_Medicine/ycm_summer18
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