Hospice News

MARCH 7, 2023

Centers for Medicare & Medicaid Services (CMS) contracts UPICs to investigate instances of suspected fraud, waste and abuse. million in FY 2019 But UPICs and hospice providers sometimes disagree on what constitutes an improper payment. CMS audits present more than merely administrative or procedural hurdles.

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Hospice News

JANUARY 16, 2023

Researchers analyzed records for 43,200 veterans with prior hospitalization who had received primary care at a VA site between October 2016 and September 2019. They included VA hospice encounters in the outcome but not enrollment in a home hospice program, nursing home hospice center or Medicare-paid hospice.

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Hospice News

JULY 5, 2022

Centers for Medicare & Medicaid Services (CMS) penalizes hospitals for readmissions rates that exceed certain thresholds, but the agency does not account for the supply of post-acute providers available to patients in a providers’ service region.

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Rehab Realities by Renee Kinder

NOVEMBER 10, 2022

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. In the proposed rule, CMS presented two new G-codes for RTM services for use under the MPFS. Renee Kinder. Ready to learn more?

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Hospice News

MARCH 29, 2023

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. That number reached 92.5

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Rehab Realities by Renee Kinder

AUGUST 18, 2022

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). of 6) of 1.5″ ″ x 2″ and 1 pkg. What was this group’s aim you ask? Project Overview.

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Rehab Realities by Renee Kinder

JULY 21, 2022

Last week we as an industry saw RTI International release a report titled: CMS Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care Analysis and Development of the Prototype Unified PAC Prospective Payment System Called for in the IMPACT Act. Is UPAC a new term to you? Let’s start with some background here.

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Hospice News

DECEMBER 21, 2022

Executives from almost every publicly traded hospice company raised this issue in earnings calls and presentations throughout the year. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS) and the U.S. among Medicare decedents from 51.6%

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NHPCO

APRIL 17, 2023

For Immediate Release April 17, 2023 (Alexandria, VA) The National Hospice and Palliative Care Organization (NHPCO) published the following statement in response to a recent Centers for Medicare & Medicaid Services (CMS) proposed rule that would update key components of hospice reimbursement and regulations in Fiscal Year (FY) 2024.

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NHPCO

OCTOBER 5, 2023

During the conference at the National Hospice Foundation’s 2023 Gala, NHPCO honored the outstanding contributions of Judi Lund Person and Norman McRae to the community by presenting each of them with the Galen Miller Leadership Award. He presently serves on the NHPCO Board as Immediate Past Chair.

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AlayaCare

JULY 7, 2019

Our team at AlayaCare is excited to return to Orlando this summer for the 2019 HomeCareCon in beautiful Florida. As purely objective observers, this particular presentation (in the Private Duty stream) is not to be missed. As an appetizer, feel free to check out our article from last winter that attracted some attention.

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Pallimed

SEPTEMBER 12, 2022

This unexpectedly and undesirably increased health insurers’ medication costs, including Medicare and Medicaid (22). CDC issued another public warning against misapplication of the 2016 Guideline on April 24, 2019 (52).

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1-800-HOSPICE

MAY 5, 2023

1 Conflicting Federal Laws Conflicting federal laws and limited research on cannabis safety present an ongoing challenge for hospice and palliative care programs whose patients are interested in medical cannabis or are already using it to manage pain and other systems. 2019 Oct 1;22(10):1208-12. More than 5.4 More than 5.4

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Daily Nurse

APRIL 24, 2023

Centers for Medicare and Medicaid Services. In December 2019, the American Association of Nurse Practitioners (AANP) reported that 290,000 NPs were licensed to practice in the United States. Many older Americans receive care from aging services facilities across the United States. Are there elements that can’t be explained?

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Rehab Realities by Renee Kinder

JUNE 23, 2022

This area is also gaining an increased appreciation from the Center for Medicare & Medicaid Services, as noted in multiple forms in this year’s proposed rule. Finally, let’s review what key areas were present in this year’s SNF proposed rule surround SODH. Let’s begin with definitions.

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Hospice News

JANUARY 5, 2023

million in improper payments in 2019. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported the results of its audit of advance care planning (ACP) billing practices among Medicare-certified physicians and other health care providers. OIG has already recommended that the U.S.

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Hospice Law Blog

SEPTEMBER 23, 2019

Many hospices (and other Medicare providers) have found themselves in crisis mode based upon billing employee departures, forgotten passwords, and suspended/deactivated accounts. The 2019 deadline is coming up fast. To make things even more difficult, Medicare has protocols to reject similar passwords. NGS: [link].

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Rehab Realities by Renee Kinder

MARCH 31, 2022

To begin, as noted by the AMA, digital medicine presents an opportunity to improve access and to offer cost-effective medical care to a large swath of patients with varied needs. This initial set of codes became effective in 2019, and in 2020 an additional code was created to report additional physician/QHP time related to remote monitoring.

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Rehab Realities by Renee Kinder

JANUARY 20, 2022

When you enter the real-world,” she continued, “clinical practice will continually evolve, you will be presented with protocols, and challenges, new research, and opportunities to learn more. Always ASK WHY!”. Ok, I thought, finally a break in the rigidity. I can do this. Fast forward 17 years and many, many patient sessions later.

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Hospice News

JUNE 1, 2022

About 10% of hospice patients were enrolled for only two days or less during 2019, according to the National Hospice and Palliative Care Organization. Two previous iterations of the bill passed in the House but stalled twice in the Senate, most recently in 2019, despite its nearly 300 bipartisan cosponsors.

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Hospice News

JUNE 23, 2022

Medicare is going to set higher standards for nursing homes and make sure your loved ones get the care they deserve and expect.”. Ginn made these comments in a presentation at the Bank of America Securities Annual Healthcare Conference in Las Vegas. That ends on my watch,” Biden said.

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Healthcare Law Insights blog

AUGUST 23, 2023

i] The distance between rural hospitals can be vastly further – in 2019, a National Institutes of Health study noted that hospitals in one rural state were generally at least 50 miles apart. [ii] A 2018 study found it took rural Americans, on average, 17 minutes to get to a hospital, but only 10 minutes in an urban center. [i] r); 42 C.F.R.

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Rehab Realities by Renee Kinder

MAY 26, 2022

This will be either a patient control number (found at form locator 03a on the UB-04 claim form) or a medical record number (found at form locator 03b on the UB-04 claim form) for a traditional Medicare Part A Fee-for-Service patient who received services from July 1, 2021, through Sept. 30, 2021 (“from” or “through” dates on a paid claim).

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Home Care Pulse

JUNE 27, 2023

Amanda Sternklar ( 01:03 ): Since 2019, homo has achieved over 90% unit growth and expanded its footprint into more than 30 new states. Now, for those of us in home care, you know, we know original Medicare is not a payer for us. This comes at a, a high heavy price tag too at nms estimated cost to Medicare of 26 billion.

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GeriPal

APRIL 13, 2023

No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. Have Medicare recognize social health as an important topic that is actually reimbursable in terms of services. You just knew it? Thomas: Yeah, yeah. Ashwin Kotwal: Oh, wow.

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Rehab Realities by Renee Kinder

AUGUST 4, 2022

Additionally, we received press releases related to CMS Acts to Improve the Safety and Quality of Care of the Nation’s Nursing Homes and CMS Seeks Public Feedback to Improve Medicare Advantage. Background: Nearly 140 million Americans (74 million for Medicaid, nearly 64 million for Medicare) benefit today from Medicaid and Medicare.

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