Eli's Hospice Insider
Court Rules Medicare Hospice Cap Invalid
But don't expect a big payout -- Medicare has another trick up its sleeve.
A decision handed down Feb. 28 by the U.S. District Court for the Northern District of Oklahoma, declared the hospice cap regulation invalid. In fact, there have been numerous cases on this issue, and "every court that has considered the issue has held that 42 C.F.R. §418.309(b)(1) is invalid," notes U.S. District Judge Gregory Frizzell in the opinion in Infinity Care of Tulsa v. Sebelius (Case No. 09-CV-723-GKF-FHM).
Background: In 2007, Infinity Care of Tulsa received about $5.2 million in Medicare payments, according to the decision. But Medicare demanded recoupment of about $1 million based on the per beneficiary cap.
Eli's Hospice Insider
- Regulations:
Hospices Still Wrangling With Physicians As FFE Enforcement Looms
Inconsistent messages keeping docs from understanding -- and complying with -- the face-to-face requirement. Getting [...] - 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 [...] - 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 [...] - Compliance:
Privacy Breaches Will Cost You Big, HHS Proves
Beware 'willful neglect' penalties up to $50,000 per violation now in effect. If you think [...] - 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 pneumonia" and "lobular [...] - 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 [...] - News:
Dementia Patients Receiving Increased Hospice Benefits
Policymakers could drive a wedge between patients and their needed services. A growing number of [...] - Court Rules Medicare Hospice Cap Invalid
But don't expect a big payout -- Medicare has another trick up its sleeve. A [...] - 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' [...]
