If you want to avoid hospice audits from the Centers for Medicare & Medicaid Services, you'd be wise to shore up policies and procedures in risk areas that are catching the feds' attention. Medical reviewers are targeting continuous home care (CHC), invalid hospice elections due mainly to lack of supporting documentation, too-early admissions, long lengths of stay (exceeding 110 days), and irregular billing such as billing more than once a month, said CMS'
CMS recently moved its medical review division from the program integrity department to the compliance group, Walker explained to NAHC meeting attendees.