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CMS Updates Enhancing Oncology Model for 2025

Hospice News

Effective Jan. For all participants, this threshold for recoupment will increase from 98% of the benchmark amount to 100% of the benchmark amount, beginning for episodes initiating on or after Jan. While documents on the model do not specifically mention palliative care, several elements of the model align with that care model.

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Partners in Care Sues HHS Over Claims Denials

Hospice News

The audit examined medical and billing records for 100 patients from Jan. Partners in Care refuted the findings in a Jan. The lawsuit contends that the claims denials denied Partners in Care its right to procedural due process. OIG, on behalf of CMS, informed the hospice that it would be audited in a May 2018 letter. 1, 2016 and Dec.

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Dr. Steven Landers: Hospice SFP Could Spread Misinformation About Quality

Hospice News

The program, set to begin Jan. The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care.

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New California Law Further Tightens Hospice License Oversight

Hospice News

The agency has a deadline of Jan. The halt on licensing took effect Jan. Assembly Bill 2673 extends California’s moratorium on new hospice provider licenses, which now will remain effective until the California Department of Public Health (CDPH) sets emergency regulations.

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New Legislation Provides Reimbursement Boost to Community-Based Pediatric Palliative Care

Hospice News

Laura Fine (D-9th District) introduced the bill on Jan. The new law takes effect Jan. It requires health insurance or managed care plans that are amended, delivered, issued, or renewed on or after Jan. Bipartisan co-sponsors included nine state representatives and 24 state senators. 1 next year.

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CMS Adds Health Equity Provisions to MA Carve-In; Participation Grows in 2023

Hospice News

The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. Our drive to high-quality care is directly intertwined with the vision for health equity.”. 1, 2021, with 53 participating health plans. This number grew to 115 in 2022. Next year, 119 plans will participate, according to the U.S.

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Hospice Getting Creative in Leveraging Volunteerism Post-PHE

Hospice News

Though the PHE ended on May 11, CMS will reinstate the volunteer rule as of Jan. Surveyor determinations of hospice provider’s compliance with the volunteer requirement also will resume on Jan. 1, 2024, CMS noted in recent guidelines.

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