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Hospice Insider
Hospice Insider
Hospice Insider - 2011; Volume 4, Number 12
Reimbursement:
It's Time To Elect Your Hospice Cap Method
Choices differ for this year versus next year. At least one HHH MAC is ready to accept yo...
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Regulations:
Use This New ABN Starting Jan. 1
Do you know when to issue the ABN -- and when not to? Be sure your paperwork is up t...
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Billing:
You Can't Submit Late Charge Claims Starting April 1
Hospices are nearly the last to use these types of claims. Get ready to make a hospice bi...
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Fraud & Abuse:
OIG Cracks Down On Hospice Medicaid Payments
State claims processing system at fault, new report says. More evidence that the feds are...
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Enrollment:
Revalidation Delay Applies Only To Some Hospices
Tip: Failing to send in your CHOW information ASAP is a big mistake. Hospices have won a ...
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Quality:
Get Ready To Submit Your Voluntary Quality Data
You can start working now on the data that you may submit Jan. 1. If you want to submit y...
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Hospice News:
Give Your Bottom Line The Gift Of Claims Accuracy
Watch out for physician signature problems. Don't let technicalities result in your hospi...
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Hospice News:
Use Doc Billing Training To Improve Referrals
You may boost your hospice referrals if you help your referring physicians learn to navig...
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Hospice News:
NGS To Become Jurisdiction 6 HHH MAC
Home health agencies who have NHIC as their HHH MAC and deal with National Government Ser...
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Hospice News:
Marketing To SNFs, GIP Under OIG's Microscope
Hospices see relatively light action in the HHS Office of Inspector General's new work pl...
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Hospice News:
You're On The Hook For Care When F2F Is Missed
CMS has put some of its face-to-face billing guidance for hospices in a more official for...
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Hospice News:
Hospice Owner Charged With $14M Fraud
Hospices aren't immune from the feds' crackdown on Medicare fraudsters. Matthew Kolodesh,...
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Hospice News:
Use These New Addresses To Avoid Claims Delays
Just when you've gotten used to sending your documents to one mailing address for new HHH...
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Reader Question:
Get The Right Physician On Your Claim With Revised CMS Guidance
Here's how to handle a change in the attending or certifying physician. Question: How do ...
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Hospice Insider - 2011; Volume 4, Number 11
Medical Review:
8 Ways To Improve Your Documentation And Fend Off Denials -- Or Worse
Tip: Focus less on what your staff does and more on what your patient needs. At least 10 ...
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Contractors:
Beware These Eyes Looking Over Your Shoulder
States are looking at hospice-nursing home relationships. It's not just intermediaries an...
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Reimbursement:
More Changes Come To Hospice Cost Report Form
There are more changes in addition to the instructions issued earlier this summer. Get re...
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Budget:
MedPAC Wants Reimbursement Cuts For Nursing Home Patients
Copays, pay updates and hospice in SNFs feature in advisory body's latest suggestions. O...
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Patient Privacy:
HIPAA Compliance Should Zero In On Portable Devices
Hospices face special privacy risks. With HIPAA enforcement looking to ramp up in the near...
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Compliance:
6 Tips To Boost Your HIPAA Compliance
The majority of home care providers are out of compliance, expert believes. Smart hospices...
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HIPAA:
Drive Home Facebook No-No's To Staff
Employees have a right to use social media, but must protect identifiable patient informa...
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Reimbursement:
Keep An Eye Out For Hospice Cap Selection Deadline
Don't contact your HHH MAC quite yet. Give your hospice cap methodology selection careful...
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Hospice News:
End-Of-Life Discussions Don't Impact Survival, Study Says
Living wills also don't change survival rates. Open dialog about hospice use and other end...
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Hospice News:
Check Out Quality Reporting Forms
You can take a look at the proposed forms for the voluntary hospice quality reporting peri...
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Hospice News:
Hospice Ponies Up $36K Fine For Excluded Employee
Check and double check your employees for exclusion from federal health care programs. Tha...
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Hospice Insider - 2011; Volume 4, Number 10
Referrals:
Market Smarter And Grow Your Business With This Expert Advice
Sending out a nurse with donuts just isn't enough anymore. If you aren't employing dedica...
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Fraud & Abuse:
Non-Employee Marketers Pose Big Compliance Risks
Don't risk long-term compliance for short-term gains in referrals. Once you've decided to...
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Marketing:
A Marketer By Any Other Name Would Be As Effective
There are two main types of liaisons, marketing expert explains. What type of marketing s...
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Compliance:
Use These 8 Tips To Protect Yourself From Nursing Home-Related Scrutiny
When's the last time you updated your compliance plan? Smart hospices will be correcting ...
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Quality:
Watch For Quality Reporting Details In November
Vital hospice instructions about the new requirement are coming soon. The deadline for su...
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Hospice News:
Missed Your Patient's F2F? Get A New Election Statement
Don't overlook this item that can torpedo your payment. Don't believe everything you hear ...
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Hospice News:
Tap These Free Tools To Master Billing Topics
Looking for help with your hospice billing? New HHH Medicare Administrative Contractor CG...
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Hospice News:
Keep An Eye On Compliance Hot Spots
Want to see what CMS and the OIG are keeping tabs on? You can tune in to CMS's Provider C...
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Hospice News:
Health Care Fraud Prosecutions Skyrocket This Year
It's not just your imagination; health care fraud busts are way up this year. Data obtain...
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Hospice News:
Here's How To Bill Claims Across The ICD-10 Implementation Date
One more piece of the ICD-10 puzzle is now in place. The Centers for Medicare & Medic...
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Hospice News:
Newspaper Shines Spotlight On Hospice Fraud, Lobbying
The hospice industry is getting a bad rap in a widely read national newspaper. USA Today ...
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Reader Question:
Don't Add Extra Therapy Billing Burden
Keep an eye out for whether these codes become mandatory in the future. Question: Do we n...
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Hospice Insider - 2011; Volume 4, Number 9
Reimbursement:
Hospice Payment Rates To Increase 2.5% In October
Plus: Soon you'll need to make your hospice cap calculation decision. Hospices will have ...
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Face-To-Face:
Know New Hospice F2F Ropes Or Risk Compliance, And Reimbursement
CMS clarifies what to do when the face-to-face requirement isn't fulfilled. Complying wit...
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Quality:
Hospice Quality Reporting Starts In January
The two initially reported measures are just the beginning, CMS says. The hospice 2012 wa...
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Fraud & Abuse:
Brace Yourself For Increased Scrutiny Of Nursing Facility Residents
Hospices with lots of nursing home patients are suspicious, new OIG report says. You may ...
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Know Your Facts:
Medicare's Hospice Spending For Nursing Home Patients Grows 70%
For-profits receive more reimbursement per beneficiary than non-profits. Here are the 200...
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Hospice News:
Is Your Claim Coding Messing Up Beneficiaries' Enrollment Periods?
CMS issues revised instructions for hospice discharge billing. You need to use the correct...
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Hospice News:
Don't Date Stamp Hospice Terminal Illness Certs Unless You Want Denials
Put away those date stamps for your hospice patients' terminal illness certification, or r...
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Hospice News:
Multiple Regions See Hospice Inpatient Units Opening Their Doors
Hospice inpatient units continue to proliferate. Pikes Peak Hospice & Palliative Care ...
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Hospice Insider - 2011; Volume 4, Number 8
Survey & Certification:
Hospices Must Shoulder New SNF Crime Reporting Burden
Watch out for retaliation against your hospice if an employee reports. Get ready to add a...
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Compliance:
Use These 6 Tips To Navigate New SNF Reporting Requirement
Craft Your Policies & Procedures Carefully Use these expert tips to make sure you're ...
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Regulations:
Beware These Crime Reporting-Related Deficiencies
Be prepared to pass a surveyor's test. Long-term care facilities aren't the only ones who...
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Medical Review:
Scrutinize Charges Unrelated To Hospice Terminal Diagnosis -- Before Reviewers Do
Use 3 tips to survive the feds' new focus. The cost of caring for your hospice patients m...
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Audits:
RACs May Bite On Hospice Unrelated Charges
Data-driven review lends itself to terminal diagnosis issue. Recovery Audit Contractors h...
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Reimbursement:
Note These Changes To The Hospice Cost Report Form
CMS wants to know more about your ancillary costs during inpatient stays. The hospice cos...
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Hospice News:
Pre-Pay Claims Review Heats Up
Predictive modeling could target your claims. Get ready for more scrutiny of your claims b...
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Hospice News:
Aide Retention Tough, New CDC Report Says
The need for home care aides is rising, but drawbacks to the job may make recruiting incre...
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Hospice News:
Know Your FISS Status Codes To Speed Claims Payment
Wondering what's going on with a claim you submitted? Check out your Fiscal Intermediary S...
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Hospice News:
Do Your HEAT Compliance Training In Small Pieces
Don't have the time to sit through the nearly fourhour HEAT training session the HHS Offic...
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Hospice News:
Watch Out For Closed Medicare Bank Accounts
If you get a Medicare check returned with an "account closed" message, don't panic. CMS ha...
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Hospice News:
Step Up To The Plate For PS&R Reports
If you fail to download your PS&R report from the new system, it will be you that's on...
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Hospice Insider - 2011; Volume 4, Number 7
Regulations:
F2F Hammer Continues To Pound Hospices
Obtaining timely benefit period information is a huge obstacle to face-to-face compliance...
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Eligibility:
Slow CWF Information Trips Up Hospices
Watch for coming CMS transmittal on how to handle missed F2F encounters. Another major ob...
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Fraud & Abuse:
Get Ready For Mandatory Compliance Plans
Plus: OIG plans to crack down on documentation requirements. Home care providers are in t...
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Education:
Get Training On Volunteer Requirements, Compliance Strategies, And More
Check out Eli audioconferences on hospice physician billing, troubleshooting your hospic...
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Reimbursement:
Here's A Sneak Peek At Your 2011 Cap Amount
Use the info to make cap appeals decisions. Hospices have a lot of decisions to make this...
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Hospice News:
Don't Leave NPI Field Blank On Claims
Notice of Election workaround does not apply to claims. Just because you can leave the "OT...
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Compliance:
7 Elements CMS Wants In Your Compliance Plan
"While the specifics are still being ironed out through the regulatory process, we do know...
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Hospice Insider - 2011; Volume 4, Number 6
Reimbursement:
Hospices To See 2.3% Pay Bump Starting This Fall
But BNAF wage index reduction takes $80 million out of hospices' pockets. Hospices should...
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Regulations:
Will Hospice Face-To-Face Change Ease Your Burden?
CMS proposes loosening up who can make the F2F visit for hospice patients. Your hospice f...
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Budget:
Reimbursement Cuts, SNF Scrutiny May Come Your Way This Year
Don't be surprised if a hospice copayment proposal rears its ugly head. If you're wonderi...
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Know Your Facts:
Hospice Numbers Surge Since 2000
Average LOS soars, but median LOS remains steady. The Medicare Payment Advisory Commissio...
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Appeals:
CMS Backtracks On Hospice Cap Appeals
Don't miss your opportunity to appeal an unfavorable cap calculation. The cap choices tha...
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Legislation:
Bill Allowing PAs As Hospice Attendings Would Increase Access
Hospices may see more Medicare beneficiaries on their rolls if legislation to improve acc...
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Hospice News:
Use This Workaround To Sidestep Hospice NOE Glitch
Hosipices have received some good news -- one nagging claims system error is resolve...
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Hospice Insider - 2011; Volume 4, Number 5
Regulations:
Face It: F2F Is Here To Stay
Despite much uproar and tons of advocacy against it, the physician face-to-face encounter...
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Legislation:
Lawmakers Take Aim at Hospice's F2F Challenges
If your hospice is like most, you don't have the time or money to lobby for F2F reform. B...
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Trends:
Get Ready To Fight For Patient Services Unrelated To Terminal Dx
Plus: CMS ramping up hospice complaint surveys, concurrent care demonstrations, and more....
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Compliance:
F2F Enforcement Is Here, But Advocates Still Working For Reform
Industry groups tracking F2F results to gather evidence against the requirement. Just bec...
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Strategies:
You Can Help Docs With F2F Documentation, CMS Says
But don't try to do the documentation for them. With the April 1 deadline for the physici...
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Reimbursement:
75% Of Your Long-Stay Hospice Claims Will Be Denied
Documentation is the key in getting reimbursed for long stays. Hospices that aren't docum...
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News:
Expect More Scrutiny If OIG Gets Its Way
Nursing home-hospice interactions could raise red flags. If you receive more outlier paym...
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Replace Your Medicare Policy Manual With This Update
Here's where you'll find everything you need to ensure compliance. You now have an update...
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Hospice Claim Glitch Is All Patched Up, CMS Says
But don't expect automatic release of claims held in error. A fix is finally scheduled fo...
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Hospice Insider - 2011; Volume 4, Number 4
Regulations:
Hospices Still Wrangling With Physicians As FFE Enforcement Looms
Inconsistent messages keeping docs from understanding -- and complying with -- the face-t...
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Strategy:
Tame The FFE Requirement With These 12 Tips
Make sure you reach out to a variety of sources for education. The new face-to-face encou...
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Coding:
Want To Ease ICD-10 Transition? Try Diagnosis Crosswalks
Good: You're going to like the new code set, which includes 2011 diagnoses. If you're lik...
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Compliance:
Privacy Breaches Will Cost You Big, HHS Proves
Beware 'willful neglect' penalties up to $50,000 per violation now in effect. If you thin...
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News:
Dementia Patients Receiving Increased Hospice Benefits
Policymakers could drive a wedge between patients and their needed services. A growing nu...
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Court Rules Medicare Hospice Cap Invalid
But don't expect a big payout -- Medicare has another trick up its sleeve. A recent feder...
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Offer Caregivers A New Tool For Managing Medications
Here's how to get a handle on what's in patients' medicine cabinets. If your patients' ca...
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Reader Questions:
481 or 485? Count Lobes To Clear Up Pneumonia Confusion
Look for changes coming this October. Question: What is the difference between "lobar pne...
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Reader Questions:
Create A Compliance Culture With This Advice
Here's how to get employees on board with your compliance efforts. Any hospice working to...
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Hospice Insider - 2011; Volume 4, Number 3
Proposals:
Prepare To Add Yet Another Form To Patients' Paperwork Mountain
Make sure patients know QIOs are looking out for their quality concerns. If your patients...
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Regulations:
Don't Waste Your Face To Face Encounter Delay Time
Just because CMS postponed enforcement doesn't mean you get a free pass. Working the kink...
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Gain Physician Buy-In With These Tips
Here's how to overcome one of the biggest FFE hurtles. Surprise, surprise -- hospice...
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Compliance:
Don't Expect An Exception To FFE Rules
Make sure your policies address these potential pitfalls. Think the face to face encounte...
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Research:
New Study Puts Bull's Eye On For-Profit Hospices' Backs
Findings draw firm line through the hospice industry. A new article in the Journal of the...
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Coding:
Tackle Your ICD-10 Transition Today, Experts Say
Expect the process to be extensive and all-encompassing. You have a lot on your plate, bu...
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Industry Notes:
Cross Your Fingers: A 1% Pay Increase Could Be Headed Your Way
Medicare hospice spending has increased 300% over seven years. Hospices would see a 1 per...
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Industry Notes:
Double Check Your Documentation Before Billing
An FFE mistake could leave you holding the payment bag. If you bill for an episode withou...
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Industry Notes:
Tune Into This FFE Education Opportunity
Get the answers you need -- before the deadline hits. The face to face encounter ...
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Hospice Insider - 2011; Volume 4, Number A
Regulations:
Worried About FFE? CMS Offers Hospices Good News
Just when you thought there was no hope, CMS grants hospices an 11th hour reprieve. If...
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Education:
Smooth Out Your FFE Transition With These 6 Sites
CMS, NAHC, and others offer free guidance for cash- and time-strapped agencies. You don't...
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Compliance:
Remove FFE From Your MA Patients' Schedules
New CMS FAQs shed light on thorny face to face encounter issues. Your Medicare Advantage ...
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Sample Document:
Standardize Your Recert Process With This Tool
You can ensure that you cover all the recertification bases -- here's how. You must ...
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Fraud & Abuse:
OIG Cracks Down On Hospices' Billing Practices
Watchdog agency is on the lookout for double payment for end-of-life services. In its lat...
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Assessment:
Hospice Versus VA Benefits? Let Veterans Make The Choice
You must educate patients on what is covered by each program. If you've been wondering ho...
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News:
NY Providers Must Educate Patients On End-of-Life Care
New state law puts onus on docs and nurses -- not patients -- to discuss hospic...
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Reader Question:
Look to Co-Morbid Conditions For Alzheimer's Patients' Eligibility
Don't get so caught up in ambulation that you miss other key criteria. Question: In readin...
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