Home Health & Hospice Week
CMS Shirks Fraud-Fighting Duties, Providers Gripe
Medicare needs to do more to boot fraudsters out of the system, attendees of the National Association for Home Care & Hospice’s March on Washington conference told a top Centers for Medicare & Medicaid Services official.
CMS isn’t using its data resources to target hospices who are flouting the rules for financial gain, one attendee told CMS Deputy Administrator Sean Cavanaugh in an April 4 session.
CMS seems to not use information it gathers in the survey process to target potential bad actors, another attendee said in a separate session.
Medicare isn’t doing its part “to help the industry get rid of … the bad apples,” another attendee told Cavanaugh. For example, CMS has yet to instruct its contractors to put hospice providers with long lengths of stay under medical review as spelled out in the Affordable Care Act.
Program integrity activities are “important,” Cavanaugh assured listeners. But he urged the “good guys” in the industry to think more about the overall direction the hospice benefit should move in the future.
Home Health & Hospice Week
- Regulations:
Hundreds Of Commenters Slam Prior Authorization Demo
‘Scary,’ ‘appalled’ and ‘ridiculous’ are just a few of the harsh words industry used for [...] - Quality:
Hospital Readmissions Will Soar Under Prior Authorization Demo
SNF and rehab facility use would go up too. Medicare says reducing rehospitalizations is one [...] - Fraud & Abuse:
Prior Auth Not A Good Fraud-Fighting Tool, Commenters Insist
If Medicare wants to adopt stiffer fraud-fighting activities, it should at least choose ones that [...] - Hospice:
Alternative Payment Model Push To Affect Hospices Too
Managed care may be in hospices’ future. As Medicare talks about ramping up hospice participation [...] - Reimbursement:
Hospices Look For NOE Filing Solution
Electronic submission a must, industry rep tells top CMS official. Your NOE deadline headaches may [...] - OASIS:
OASIS-C2 Paves Way For VBP
Stay tuned for final form. If you reviewed the new OASIS-C2 form when Medicare issued [...] - Industry Note:
Educate Referring Docs On New ACP Billing Clarifications
CMS issues Care Planning billing FAQ. Physicians who refer patients to your hospice can now [...] - Industry Note:
OASIS Denials, Surety Bonds Stressed In OIG Report
As budget negotiations start to kick into gear for 2017, the HHS Office of Inspector [...] - Industry Note:
OIG Targets Hospice Patients In ALFs, Nursing Homes
The HHS Office of Inspector General would like to see some reimbursement-lowering mechanisms put in [...] - Industry Note:
Newest Hospice PEPPER Reports Available
You can take a look at the latest set of benchmarks in your hospice PEPPER [...] - Industry Note:
Companionship Exemption Case Stalls At Supreme Court
The vacancy on the U.S. Supreme Court is not good news for home care providers. [...] - Industry Note:
CMS Shirks Fraud-Fighting Duties, Providers Gripe
Medicare needs to do more to boot fraudsters out of the system, attendees of the [...]
