article thumbnail

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 265
article thumbnail

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 317
professionals

Sign Up for our Newsletter

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

Trending Sources

article thumbnail

Palliative Care, Health Equity Growing in Medicare Advantage

Hospice News

Reimbursement for community-based palliative care is gaining ground in the Medicare Advantage realm. Palliative care is among the wide range of supplemental benefits that exist within the Medicare Advantage payment landscape. This is a rise from 180 MA plans in 2023 offering palliative services and 64 MA plans in 2020.

Medicare 236
article thumbnail

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 265
article thumbnail

Investigating Medicare Hospice Overpayments

Hospice News

As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments. Centers for Medicare & Medicaid Services (CMS) actively works to recoup payments that it deems improper. Medicare fee-for-service programs made $31.23

Medicare 130
article thumbnail

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 265
article thumbnail

The Role of Medicare Advantage in Growing Palliative Care Services

Hospice News

For the time being, Medicare Advantage may be providers’ best bet for palliative care reimbursement. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit. She is also co-founder of the company’s hospice and home health service segment.

Medicare 306