Eli's Hospice Insider
Reader Question:
Beware Claiming Therapy As Unrelated To Hospice
Published on Tue Mar 13, 2012
Reviewers are cracking down on what's considered unrelated to the terminal diagnosis. Question:
Answer:
"Although it is allowable to provide Part B therapy to hospice patients, I think it's very difficult to meet the Medicare regulatory requirements outside the hospice benefit," says attorney Roshunda Drummond-Dye with the American Physical Therapy Association.Consultant
Beth Carpenter says "it's increasingly become hard for medical reviewers who review charts to believe everything isn't related to the hospice diagnosis. For example, if the person has cancer metastasis and breaks a bone, the medical reviewer will say the fracture is related to the medication the person is receiving or the hospice diagnosis," adds Carpenter, with Beth Carpenter and Associates in Lake Barrington, Ill.Other Articles in this issue of
Eli's Hospice Insider
- Medical Review:
Beware These Medical Review Red Flags
Expect the number of whistleblower suits aimed at hospices to rise. Recent action by the [...] - Fraud & Abuse:
Gentiva Agrees To $25 Million Settlement Over Odyssey Continuous Care Fraud Charges
Five-year corporate integrity agreement requires education, audits. Another fraud settlement regarding hospice services shows how [...] - Documentation:
Make Improvements In Your Charting To Protect Against Increased Scrutiny
Use these 7 tips to keep your rightful hospice reimbursement. Chances are a reviewer's going [...] - Quality:
Address This Major Unmet Need For Hospice Patients In SNFs
Don't fall short in managing shortness of breath in terminally ill patients. Hospices serving large [...] - Hospice News:
CMS Limits Hospice Quality Data Reporting To 2 Measures -- For Now
You must submit quality data by next January or take a pay cut. Keep your [...] - Hospice News:
NQF Approves 14 Hospice Quality Measures
You can get a sneak peek at hospice quality measures Medicare is likely to require [...] - Hospice News:
Hospice Medical Director Target Of FBI Raid
It's not just hospices feeling the effects of a crackdown on the industry. The feds [...] - Hospice News:
Zone 3 ZPIC Launches
Hospices located in ZPIC Zone 3 can stop wondering who their Zone Program Integrity Contractor [...] - Hospice News:
SoCal VNA Begins Work On Inpatient Hospice Facility
A new hospice inpatient facility is coming to Claremont, Calif. The Visiting Nurses Association and [...] - Reader Question:
Know When You're On The Hook For Ambulance Payment -- And When You're Not
Time of admission is a determining factor, Medicare contractor explains. Question: Is my hospice responsible [...] - Reader Question:
Beware Claiming Therapy As Unrelated To Hospice
Reviewers are cracking down on what's considered unrelated to the terminal diagnosis. Question: Will Part [...]
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