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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. Centers for Medicare & Medicaid Services (CMS).

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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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American Senior Communities Settles Hospice-Related FCA Case

Hospice News

Department of Justice alleged that the Indiana-based company billed Medicare separately for services that should have been covered by the hospice benefit. Centers for Medicare & Medicaid Services (CMS), have been looking more closely at health care organizations’ billing for services delivered to hospice patients. CMS as of Oct.

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Angels Care Hospice Expands Services to Fill Regional Gaps

Hospice News

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. Centers for Medicare & Medicaid Services (CMS). Angels Care is a portfolio company of AngMar Medical Holdings, Inc. Texas markets are ripe for hospice growth.

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

Hospice News

Some of these providers have secured licenses, as well as Medicare certification and, sometimes, accreditation. They then proceed to enroll a small number of patients for whom they never bill Medicare, multiple hospice executives told Hospice News on background. By not billing, they are better able to avoid regulators’ attention.

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UNC Health Southeastern Sells Home-Based Hospice Program to Lower Cape Fear LifeCare

Hospice News

Seniors older than 65 are the fastest-growing age group in the county, having seen a 22% increase between 2010 and 2021, according to the U.S. Centers for Medicare & Medicaid Services (CMS) reported. Census Bureau. About 585 died while receiving hospice care that year.

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Systematic Change Needed to Support Family Caregivers of Hospice Patients

Hospice News

At the same time, the ratio of potential caregivers to seriously ill seniors is expected to shrink to 4-to-1 by 2023, a “sharp decline” from 7-to-1 in 2010, AARP reported. In 2010, the U.S. Some Medicare Advantage plans also offer some caregiver support services as a supplemental benefit.

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