Home Health & Hospice Week
OIG Targets Hospice Patients In ALFs, Nursing Homes
The HHS Office of Inspector General would like to see some reimbursement-lowering mechanisms put in place for hospices as well, it notes in its newly released annual report on unimplemented recommendations.
For example: The Centers for Medicare & Medicaid Services “should modify the payment system for hospice care in nursing facilities, seeking statutory authority, if necessary,” the OIG says. The same goes for Assisted Living Facilities, the OIG says in a separate recommendation.
And it should impose a hospital DRG proration penalty when a hospital discharges a patient early to hospice, the OIG adds. The agency judges that about 30 percent of all hospital discharges to hospice care are early discharges. Implementing this change would cut about $602 million in spending, the OIG estimates.
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 [...]
