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Partners in Care Sues HHS Over Claims Denials

Hospice News

Centers for Medicare & Medicaid Services’ (CMS) review and appeals process, according to CEO Greg Hagfors. The provider recently celebrated the 45th anniversary of its founding, which preceded the establishment of the Medicare Hospice Benefit. Department of Health and Human Services (HHS) due to audit-related claims denials.

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Hospices Stepping Up Performance on Visits-in-Last-Days-of-Life Measure

Hospice News

Centers for Medicare & Medicaid Services (CMS) has developed a financial incentive to foster better performance on the measure, the service-intensity add-on. More than $200 million SIA payments were distributed in 2021, compared to less than $100 million in 2017, according to the Abt research. CMS introduced SIA in 2016.

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Louisiana Hospice Owner Convicted in $1.5 Million Fraud Case

Hospice News

Justice Department, Angel Care enrolled 24 patients in hospice between 2009 through 2017 who did not meet Medicare eligibility requirements. None of these patients had been diagnosed with a terminal illness, and several are still alive several years later, according to evidence presented at trial.

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Calls Grow Louder for Greater Federal Support of Rural Hospices

Hospice News

Current reimbursement structures within the federally established Medicare Hospice Benefit do not sufficiently support the level of care needed in rural-based communities, according to the National Hospice and Palliative Care Organization (NHPCO). “We House of Representatives’ Ways and MeansCommittee.

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Survey: 72% Say U.S. Health System Does Poor Job of Caring for Seniors

Hospice News

The research follows up on a 2017 report by the Kaiser Family Foundation and The Economist to gauge whether perceptions of health care had changed in the intervening years, particularly in light of the pandemic. We know that only about 51% Medicare beneficiaries in any given year are utilizing hospice.

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Hospice Length of Stay: Balancing Patient Needs Against Regulatory Compliance

Hospice News

Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S. In 2020, the average length of stay for Medicare patients enrolled in hospice was 97.0 according to the Medicare Payment Advisory Commission. Young told Hospice News.

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The Rise of Malpractice Claims Against NPs

Daily Nurse

percent of the total distribution in the 2017 dataset to 20.3 Centers for Medicare and Medicaid Services. percent compared to the 2017 dataset ($300,506). Family and adult-gerontology primary care have consistently represented the majority of NP claims across 2012, 2017, and 2022 claim report datasets.

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