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Medicare Making Fewer Improper Payments to Hospices

Hospice News

Medicare fee-for-service programs made $31.23 billion in improper payments during 2023, though a smaller proportion of those dollars went to hospices than in years prior. Hospices received nearly 5.4% of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S.

Medicare 260
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2023’s Most Impactful Hospice Regulatory Moves

Hospice News

Program integrity issues that have heated up in the hospice space during the past five years reached a boiling point in 2023. Hospice providers have seen an array of increased regulatory oversight in 2023. There is scrutiny on hospice care [that’s] setting the stage for the next phase of what hospice oversight looks like.

2023 308
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Hospice Advocacy Groups Ask Congress for Action on Proposed 2023 Medicare Rates

Hospice News

More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. CMS in April released the 2023 proposed payment rule for hospice providers, including the 2.7%

Medicare 253
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Hospice VBID: Understanding the 2023 Program Modifications

Hospice News

The hospice component of the value-based insurance design (VBID) model will begin its third year on Jan. 1, 2023, meaning that some of the program’s rules will change. Centers for Medicare & Medicaid Services (CMS) has indicated that hospices should ensure that their billing staff is familiar with the 2023 modifications.

2023 259
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Medicare Home Health Cuts Could Have Ripple Effect on Hospice, Palliative Care

Hospice News

Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2% pay hike for hospice care in 2023.

Medicare 317
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MedPAC Calls for Freeze on Hospice Payment Rates

Hospice News

The Medicare Payment Advisory Commission (MedPAC) has voted to recommend a freeze on hospice payment increases starting in 2025. Centers for Medicare & Medicaid Services (CMS). Centers for Medicare & Medicaid Services (CMS). For this year, CMS increased the hospice base rate by 3.1%. set in 2023.

2025 277
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CMS to Sunset Hospice VBID in 2024

Hospice News

Centers for Medicare & Medicaid Services will end the hospice component of the value-based insurance design model (VBID) as of Dec. Often called the “hospice carve-in,” the program was designed to test coverage of hospice care through Medicare Advantage, in addition to some coverage of palliative care and transitional care.

2024 331