4 ms·
> In cases where a definite diagnosis of COVID–19 cannot be made, but it is suspected or likely (e.g., the circumstances are compelling within a reasonable degr
by nickysielicki 6y ago
> In cases where a definite diagnosis of COVID–19 cannot be made, but it is suspected or likely (e.g., the circumstances are compelling within a reasonable degree of certainty), it is acceptable to report COVID–19 on a death certificate as “probable” or “presumed.” In these instances, certifiers should use their best clinical judgement in determining if a COVID–19 infection was likely.
source: https://www.cdc.gov/nchs/data/nvss/vsrg/vsrg03-508.pdf https://www.cdc.gov/nchs/data/nvss/vsrg/vsrg03-508.pdf
> The Centers for Medicare & Medicaid Services (CMS) yesterday released new guidance implementing several provisions included in the Coronavirus Aid, Relief, and Economic Security (CARES) Act. These provisions include:
> + A Medicare add-on payment of 20% for both rural and urban inpatient hospital COVID-19 patients;
> + Waiver of the long-term care hospital (LTCH) site-neutral policy for COVID-19 patients;
> + Waiver of the LTCH “50% Rule” for COVID-19 patients; and
> + Waiver of the inpatient rehabilitation facility (IRF) “3-hour Rule” for COVID-19 patients.
source: https://www.aha.org/advisory/2020-04-16-coronavirus-update-cms-releases-guidance-implementing-cares-act-provisions https://www.aha.org/advisory/2020-04-16-coronavirus-update-c...
It's very clear that this is potentially happening on a mass scale. There is nothing preventing it from happening, at least, and the hospitals are under serious financial pressure due to the inability to perform elective surgeries. You cannot invalidate what he's saying. It's easy to chalk that up as yet another conspiracy theory. But at the same time, why wouldn't a hospital take advantage of programs like this? There's very little threat of it coming back to bite them -- there's no enforcement.
- dmode 6y agoI don't understand this accusation. There should be a very easy way to see if COVID deaths are over-reported by comparing with last year's death numbers, isn't it ? Unless, we believe magically more people are dying this year due to heart attacks or respiratory diseases https://www.nytimes.com/interactive/2020/04/21/world/coronavirus-missing-deaths.html https://www.nytimes.com/interactive/2020/04/21/world/coronav...
- nickysielicki 6y ago> Unless, we believe magically more people are dying this year due to heart attacks or respiratory diseases I wouldn't say it's "magic" but I do think that this year has been very abnormal to the point that mortality rates aren't directly comparable. Nobody is saying coronavirus isn't real. A lot of people are dying from it, but that doesn't mean it can't be overreported.
- dmode 6y agoIf you are trying to say that there is a global conspiracy across multiple nations to over count COVID deaths, you have do better than say "this year has been weird" to account for excessive deaths.
- nickysielicki 6y agoA "global conspiracy"? I feel like you're arguing in bad faith.
- nitwit005 6y agoIt would be rather mysterious why absolutely none of the hospital staff are reporting this widespread fraud to the press or government. They pay people for reporting Medicare or Medicaid fraud now, so even if the staff at the hospitals had no ethics what-so-ever, they have considerable financial motive to report it.
- misiti3780 6y agoone data point: i live in a small rural town with a hospital under serious final distress and it is for sure happening here.