article thumbnail

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. Close to 12 million people in the United States qualify for both Medicare and Medicaid. Of those, about 3.8

2023 209
article thumbnail

MEDICARE PART B PREMIUMS TO DECREASE IN 2023

Elder Care Matters

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023.

professionals

Sign Up for our Newsletter

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

article thumbnail

Therapy teams take note: CY 2023 Medicare Physician Fee Schedule Final Rule

Rehab Realities by Renee Kinder

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. CY 2023 PFS rate setting and conversion factor. Click here for a fact sheet on the CY 2023 Physician Fee Schedule Final Rule.

article thumbnail

Employment Considerations for Long Term Care Facilities under the Biden-Harris Administration

Healthcare Law Insights blog

In direct response to the significant challenges experienced by long term care (LTC) facilities throughout the COVID-19 pandemic, the Biden-Harris Administration announced its commitment to improving safety and quality of care. Background .

article thumbnail

Addus Completes Tennessee Quality Care Deal, Anticipates More Transactions

Hospice News

Tennessee Quality Care is a portfolio company of American Health Partners, which operates companies in the home health and hospice; long term care, senior living and rehabilitation industries, as well as behavioral health care. Allison attributed the decline primarily to the return of Medicare sequestration.

Homecare 211
article thumbnail

OIG Launches Audit of Inappropriate General Inpatient Hospice Billing

Hospice News

Longer general inpatient hospice stays and high-cost issues are reasons for the audit, dubbed the “Audit of Selected, High-Risk Medicare Hospice General Inpatient Services,” according to OIG. Through the audit, OIG will determine whether hospice providers that billed for general inpatient care complied with Medicare requirements.

Hospice 147
article thumbnail

Regulatory Focus in Hospice Giving Buyers Pause in M&A Deals

Hospice News

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Department of Health & Human Services Office of the Inspector General (OIG) is planning a nationwide audit of hospice eligibility for the calendar year 2023.

Hospice 209