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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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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. These results appeared in a 2019 New England Journal of Medicine study titled “Rehabbed to Death.”

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CMS to Sunset Look-Alike Dual-Eligible Special Needs Plans in 2023

Hospice News

Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Some hospice patients rely on these plans for other health needs, such as nursing home costs. Of those, about 3.8

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GAO: CMS Should Update Rules for Hospices Reporting Abuse or Neglect

Hospice News

Centers for Medicare & Medicaid Services (CMS) requires operators to report incidents of patient abuse and neglect that involve their staff. This would bring the hospice rules in line with those used in long term care. Government Accountability Office (GAO) has recommended. NAHC also called on the U.S.

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Impact of Section GG, ANAs and Social Risk Factors (SRFs) on PAC outcomes

Rehab Realities by Renee Kinder

The Centers for Medicare & Medicaid Services has contracted with Acumen LLC and Abt Associates to develop quality and cost measures for use in the IRF, LTCH, SNF, and HH QRPs and the Nursing Home Quality Initiative (NHQI). What was this group’s aim you ask? Project Overview.

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April 2022: CMS updates National Quality Strategy

Rehab Realities by Renee Kinder

April 2022, however, also brings us a renewed approach and initiatives from the Centers for Medicare & Medicaid Services regarding its National Quality Strategy. The opinions expressed in McKnight’s Long-Term Care News guest submissions are the author’s and are not necessarily those of McKnight’s Long-Term Care News or its editors.

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2022: What will the technical experts say?

Rehab Realities by Renee Kinder

” that there was likely a shift occurring in post-acute care payment reform AND the fact that there was a technical expert panel (TEP) in place providing feedback and guidance to CMS? Assess the impact of the payment alternative on SNF residents, SNF providers, and the overall Medicare system. Recommend adjustments for adoption by CMS.

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