Hospitals that receive Medicare payments are required to accept them for the full value of the care and cannot bill the patients for the difference between Medicareâs reimbursement and the billed charges, meaning that the hospitals are implicitly willing to accept the amount paid by Medicare for the services rendered.
Acute disseminated encephalomyelitis, or acute demyelinating encephalomyelitis, is a rare autoimmune disease marked by a sudden, widespread attack of inflammation in the brain and spinal cord. As well as causing the brain and spinal cord to become inflamed, ADEM also attacks the nerves of the central nervous system and damages their myelin insulation, which, as a result, destroys the white matter. It is often triggered after the patient has received a viral infection or, perhaps exceedingly rare
The diagnosis and documentation of encephalopathy can be confusing and controversial. Clinicians struggle with, for example, the distinction between delirium and encephalopathy, and with recognizing encephalopathy when a patient with dementia seems to have an acute alteration in baseline mental status.A specific, authoritative definition of encephalopathy is hard to come by.his is why the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), classifies acute toxic and metabolic encephalopathic states as delirium and does not use encephalopathy in its definitions.