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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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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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Hospice in Prison Part 1: An interview with Michele DiTomas and Keith Knauf

GeriPal

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Keith per many reports, is the heart and sole of the hospice unit and oversees the Pastoral Care Workers. Eric: Wait, so Bonnie Raitt sang a song about hospice in prison?

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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. AlexSmithMD.

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

He wants to know what do you guys think about the effect of private equity on hospice and long-term care? Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. ” Eric: Well, Alex and I love him. And what is their motivation, Eric?

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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. Though he pledged more detailed responses at a later date, Becerra told lawmakers that CMS is certifying hospices in markets where there is a need identified in the community. “I This prompted the U.S.

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2022: What will the technical experts say?

Rehab Realities by Renee Kinder

An excerpt from that blog here: The Centers for Medicare & Medicaid Services has consulted with Acumen in an effort to establish a comprehensive approach to Medicare Part A PPS SNF payment reform. Assess the impact of the payment alternative on SNF residents, SNF providers, and the overall Medicare system. Well, great news!

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