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Medicare Open Enrollment Period Is Here!

Elder Care Matters

Are you prepared for the Medicare Open Enrollment period? This annual window, which runs from October 15th to December 7th, allows you to make changes to your Medicare coverage. In this blog, we’ll break down the key aspects of the Medicare Open… The post Medicare Open Enrollment Period Is Here!

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CMS: Nearly 400 Hospices Considered for ‘Administrative Action’ as Program Integrity Efforts Heat Up

Hospice News

Centers for Medicare & Medicaid Services (CMS) is considering administrative action against 400 hospices, which could include revocation of their Medicare certification. As part of this strategy, CMS embarked on a nationwide hospice site visit project, making unannounced site visits to every Medicare-enrolled hospice.

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Does Medicare Cover Hospice Care for Dementia?

Melodia Hospice

However, many families are unclear if Medicare covers hospice care for people living with dementia. We’ll discuss your alternatives and expectations in this blog article. What … Does Medicare Cover Hospice Care for Dementia? Read More » The post Does Medicare Cover Hospice Care for Dementia?

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Congress Grills HHS on Hospice Program Integrity

Hospice News

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all.

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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. Click here for a fact sheet on final changes to the Medicare Shared Savings Program. Renee Kinder. It’s that time of year again!

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Significant Change in Medicare Enrollment Risk Categories for SNFs

Healthcare Law Insights blog

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

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Medicare Gives Consumers a New Hospice Rating System

1-800-HOSPICE

In August 2022, Medicare included a new overall quality measure for Hospice Care Compare: the Hospice Care Index. Much like the star-rating for other provider types, Medicare’s Hospice Care Index serves as a composite score of ten quality measures, reflecting the overall quality of each hospice provider. Visits near death.