article thumbnail

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.

Document 264
article thumbnail

Court Dismisses SouthernCare Fraud Allegations, Proceeds with Whistleblower Retaliation Complaint

Hospice News

Former SouthernCare nurse Rhonda McClinton filed a qui tam complaint against the organization in 2016, alleging that the hospice provider submitted hospice claims to Medicare for patients who were not eligible and billed for services it did not provide. The company settled that first suit in 2018 for nearly $6 million.

2009 245
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

U.S. Patients Have Unequal Access to Palliative Care

Hospice News

The findings were presented at the annual American Society of Clinical Oncology (ASCO) Quality Care Symposium in Boston. They determined accessibility by comparing these records with data on the locations of Medicare-certified physicians who specialize in hospice and palliative care.

article thumbnail

Agape Care Group Acquires GHC Hospice

Hospice News

However, we will maintain a nimble approach to M&A and explore all high-quality opportunities that present.”. Hospice utilization among Medicare decedents in Georgia reached 51% during 2018, which is in line with that year’s national average of 50.3%, according to the National Hospice & Palliative Care Organization (NHPCO).

Hospice 246
article thumbnail

New Jersey Study Reveals Statewide Racial Disparities in Hospice Referrals

Hospice News

The research spanned two studies that examined the occurrence of end-of-life care referrals during 2018 among 28,697 hospitalized patients diagnosed with metastatic cancer in the Garden State. Diversity in population can yield diverse presentations of symptoms,” Kozlov said. were Hispanic; 1.8% were Asian; and only 0.4%

Hospice 246
article thumbnail

Hospices Pursue Home-Base Primary Care Via HCCI Project

Hospice News

million seniors who reside in Illinois are 85 or older, and 40% of Medicare beneficiaries in the state have four or more chronic conditions, according to HCCI. Centers for Medicare & Medicaid Services (CMS) is replacing the Global and Professional Direct Contracting (GPDC) model with ACO REACH. About 12% of the 2.1

2016 264
article thumbnail

Telling the ‘Story of Hospice’ in 2023: Perspectives from 8 Industry Leaders

Hospice News

We’ve heard from the [Medicare Payment Advisory Commission (MedPAC)] on the 20% payment cap reduction. If we look at some of the decks and slide presentations on the Medicare Advantage carve-in, going back to 2018, it’s the same information, and we’re still talking about impacting change.

2023 290