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Home Health & Hospice Week

Hospice:

GIP Hospice Care Under Fire

Published on Thu Jun 14, 2012

MAC denies majority of claims with 7 or more general inpatient days.Scrutiny of hospice general inpatient care days is on the rise. Will your GIP claims pass muster?The feds are turning up the heat on GIP billing this year. The HHS Office of Inspector General included the topic in its 2012 work plan. "We will review hospice medical records to address concerns that this level of hospice care is being misused," the OIG pledged in the plan.And Department of Justice officials have announced a string of GIP-related fraud settlements. Last December, Hospice Home Care Inc. in Ar-kansas agreed to pay $2.7 million for allegedly billing for GIP care when the patients received only routine care. And in February, the owner of Good Samaritan Hospice USA Inc. in Muscle Shoals, Ala., pled guilty to Medicare fraud for submitting claims for GIP care when GSH actually provided routine home care. Jackie Randolph [...]
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