Eli's Hospice Insider
OIG Keeps Pressure On Home Health, Hospice
PDF
Don’t expect the feds to ease up on hospices any time soon. In its latest “Top Management & Performance Challenges” report, the HHS Office of Inspector General highlights hospice fraud concerns.
The OIG cites “insufficient monitoring of hospice service use, as well as inadequate oversight of hospice certification surveys and hospice-worker licensure requirements” as top problems.
The OIG lauds hospice fraud-fighting measures including ramping up hospice quality reporting and starting work on hospice payment reform. It also praises the IMPACT Act’s new requirements that Medicare survey hospices at least every three years and increase medical review of hospices with long-stay patients.
Resource: See the report at http://go.usa.gov/sNTF.
Eli's Hospice Insider
- Reimbursement:
Beware Cap Calculations Set To Include Sequestration Dollars Medicare Never Paid You
Overpayments will be based on reimbursement you never received, CMS confirms. Hospices skirting their per [...] - Hospice Item Set:
Hundreds Of Hospices Lag On HIS Submission
NOE billing, CAHPS also addressed in Open Door Forum. You’d better get on the stick [...] - Billing:
How It Works: Notice Of Election Billing
For a reminder on how you can qualify for an exception to the five-day Notice [...] - Studies & Surveys:
Another Study Proves Hospice Saves Money
75 percent of non-hospice patients died in facilities vs. 14 percent of hospice patients. Giving [...] - Lawsuits:
Hospice Employee Whistleblowers Rake In Millions
Feds keep the heat on hospice providers in recent weeks. A whistleblower in the case [...] - Fraud & Abuse:
Watch For New Ways To Yank Your Medicare Billing Privileges
Providers may live in fear of arbitrary decision-making by CMS. Take extra care with your [...] - Compliance:
These 6 Factors May Make Or Break Your Billing Under New Anti-Fraud Rule
New providers will be at a disadvantage. Medicare will use these six factors to decide [...] - Enrollment:
CMS Will Use New Criteria To Deny, Revoke Enrollment
Plus: Your prior Medicare debt history will count against you. In addition to the revocation [...] - Hospice News:
Master Tricky Drug Reporting On Hospice Claims With This MAC's Tips
Medication reporting errors mess up hospice claims processing. Starting back in April, Medicare has required [...] - Hospice News:
OIG Keeps Pressure On Home Health, Hospice
Don’t expect the feds to ease up on hospices any time soon. In its latest [...] - Hospice News:
Know What To Include In Your ADR Response
How much is too much, not enough or just right? One Medicare Administrative Contractor hopes [...]