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Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. These “unrelated” payments have been soaring.

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SCAN Group CEO Sachin Jain: Medicare Could Use a Major Facelift

Hospice News

The mission and function of the Medicare program have evolved over time, and the agency that runs it also may need to adapt to the new ways that health care organizations are doing business, according to SCAN Group CEO Dr. Sachin Jain. billion nonprofit Medicare Advantage (MA) organization that covers more than 270,000 members.

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Systematic Change Needed to Support Family Caregivers of Hospice Patients

Hospice News

Given the critical role of family caregivers in home-based care, hospices have a vested interest in expanding their access to support. And while hospices offer social workers and spiritual care, many families continue to have unmet needs that could impede some patients’ access to hospice.

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American Senior Communities Settles Hospice-Related FCA Case

Hospice News

million following reports by hospice employees who cared for their residents. Department of Justice alleged that the Indiana-based company billed Medicare separately for services that should have been covered by the hospice benefit. The hospice workers filed a qui tam complaint against ASC in the U. CMS as of Oct.

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Angels Care Hospice Expands Services to Fill Regional Gaps

Hospice News

Mansfield, Texas-based Angels Care Hospice has set the ball rolling on expanding to two additional counties, reaching areas that have lacked a provider for more than a decade. By extending its footprint, the company is helping to fill a gap left when Big Bend Regional Medical Center in Alpine, Texas, shuttered its hospice program in 2010.

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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% of hospice days and 93.7% As many as 72.2% As many as 72.2%

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

Hospice News

Some hospice owners have been selling their businesses soon after securing a license. 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.

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