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CMS Seeks Answers on Hospice Utilization Trends, Spending

Hospice News

Centers for Medicare & Medicaid Services (CMS) is seeking answers from the hospice community — including some around utilization patterns and non-hospice spending. The recently proposed 2024 hospice payment rule contained a 2.8% In Fiscal Year 2022, routine home care accounted for 98.8%

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CMS Proposes ‘36-Month Rule’ to Curb Hospice License ‘Flipping’

Hospice News

The practice appears to stem from a rash of newly licensed hospices that have emerged in California, Nevada, Texas and Arizona. Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation. In that time frame, Nevada saw 56 newly certified hospices, and 369 emerged in Texas.

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Congress Grills HHS on Hospice Program Integrity

Hospice News

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Some of these providers engaged in referral kickback schemes, enrolled patients who were not eligible for hospice and lied to them about being terminally ill. of hospices) 2024 (No.

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For-Profit or Nonprofit, Hospice Is Not a ‘Hustle’

Hospice News

Even when a hospice plays by the rules, death does not. When the Medicare Hospice Benefit became a permanent program in 1982, its parameters were designed specifically for cancer patients. Longer lengths of stay do generate higher margins , the Medicare Payment Advisory Commission (MedPAC) reported in 2019. population.

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