Hospice News

JULY 5, 2023

A new cancer-focused payment model demonstration from the Center for Medicare & Medicaid Innovation (CMMI) could create opportunities for palliative care providers. Centers for Medicare & Medicaid Services (CMS). They are required to do symptom assessments and then come up with plans to address symptoms and side effects. “The

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Hospice News

DECEMBER 18, 2023

Students are also trained on understanding how AI technology can reduce time spent on patient documentation and help catch errors. As the need for palliation grows, outcomes and experiences vastly vary – with payment often at the crux of inconsistencies in quality and care delivery approaches.

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Palliative care Palliate 2023 Medicare 241

Hospice News

MAY 16, 2024

Centers for Medicare & Medicaid Services (CMS) is currently developing quality measures that will be included in the HOPE tool, which will replace the current Hospice Item Set (HIS). Ensuring clinicians have strong documentation and comprehensive assessment and communication skills is another key, she stated.

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Hospice 2025 Document Medicare 242

Hospice News

APRIL 12, 2024

Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. However, federal regulations are inconsistent as to which physicians can certify a patient as being terminally ill under Medicare.”

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Hospice News

APRIL 17, 2024

Centers for Medicare & Medicaid Services’ (CMS) review and appeals process, according to CEO Greg Hagfors. The provider recently celebrated the 45th anniversary of its founding, which preceded the establishment of the Medicare Hospice Benefit. Department of Health and Human Services (HHS) due to audit-related claims denials.

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Hospice News

MAY 9, 2023

This is particularly the case when negotiating contracts with Medicare Advantage plans, Accountable Care Organizations (ACOs) and other value-based payment arrangements. “[It] This will be important to measure for ACO or shared-savings programs, with Medicare Advantage programs, and with any other collaborative partners.”

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Palliative care Palliate Medicare Document 171

Hospice News

APRIL 8, 2024

Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit.

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Hospice News

DECEMBER 15, 2022

Commonly known as the Medicare Advantage hospice carve-in, the Value-Based Insurance Design (VBID) model officially launched on January 1, 2021, with 53 Medicare Advantage Plans offering the benefit in 206 counties within 13 states and Puerto Rico for 4 years ending in 2025. The difference is Medicare Advantage vs Humana VBID.

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Hospice News

MAY 30, 2023

For Center to Advance Palliative Care’s CEO Brynn Bowman, palliative care represents a fundamental shift in health care delivery as it continues to grow and make an impact on facilities and patients. health care workforce with the skills necessary to care for seriously ill patients and their families. Are the care models consistent?

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Hospice News

OCTOBER 19, 2023

A Medicare Administrative Contractor (MAC) can deny a hospice claim for a wide range of reasons, but two types of errors stand out that can lead to a rejection. Medicare’s automated claims processing systems are designed to identify these kinds of errors. A few causes of denials are widely known.

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Hospice Document Medicare Palliative care 240

Hospice News

FEBRUARY 2, 2024

Centers for Medicare & Medicaid Services (CMS). Medicare may cover CHC for as long as 24 hours a day. Claims and documentation for these services are frequently flagged for audits or medical reviews. Continuous home care (CHC) represented 0.9% This is down from 1.8%

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Hospice News

OCTOBER 27, 2023

Auditing types anticipated to ramp up in hospice include Targeted Probe and Educate (TPE) audits conducted by Medicare Administrative Contractors (MACS) and others involving Unified Program Integrity Contractors (UPIC), Supplemental Medical Review Contractors (SMRC) and Recovery Audit Contractors (RAC). Some of them are easy to digest.

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Hospice Medicare Document Palliative care 253

Hospice News

NOVEMBER 2, 2023

Centers for Medicare & Medicaid Services (CMS) finalized its home health rule for 2024 containing a new policy that will require anyone who holds 5% ownership or more in a hospice to submit a criminal background check, including fingerprints. Additional services include palliative care, a veterans program and care coordination.

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Hospice News

JANUARY 17, 2024

About 18% of hospices nationwide operated in rural areas in 2021, according to a report from the Medicare Payment Advisory Commission (MedPAC). Bottom line, these rural providers require increased Medicare payment rates to serve these unique communities.

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Hospice News

MARCH 15, 2024

Documentation errors and a fragmented health system pose the greatest risks for adverse drug events among hospices. Centers for Medicare & Medicaid Services (CMS) and the U.S. McPherson also serves on the board of the American Academy of Hospice and Palliative Medicine (AAHPM). About 81.5%

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Hospice News

JULY 7, 2023

Hospices need to have solid documentation to demonstrate a patient’s need for general inpatient care (GIP) as regulatory oversight zeroes in on those services. Both types of audits focus on identifying recurrent errors on Medicare claims or billing practices that the the U.S. GIP can involve longer stays and higher costs.

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Hospice Document Medicare 2024 216

Hospice News

APRIL 6, 2023

Kevin Sarkisyan, of San Gabriel Hospice & Palliative Care, pleaded guilty to one count of conspiracy to defraud the government for his involvement in submitting false enrollment applications to Medicare that hid the “real owners of a hospice company,” according to court documents. Ghadimi is accused of misusing Medicare payments.

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2016 Hospice Document Medicare 202

Hospice News

DECEMBER 14, 2023

A real challenge in the industry is getting research and documentation around the more anecdotal stories of parents of children in hospice and palliative care,” Cottor told Hospice News. The hospice and palliative model works and it should be available to people when they’re seriously ill.” But then it’s also this education piece.

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Hospice News

FEBRUARY 26, 2024

This includes tasks like clinical documentation, a major pain point for clinicians who wish to focus more on their patients. Partnerships and affiliations can help hospices mitigate the payment reductions that will likely occur within Medicare Advantage, as health plans generally seek to negotiate for lower rates.

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Hospice News

JANUARY 3, 2023

The Hospice and Palliative Care Association of New York State tweeted a photograph of the veto document. New York’s hospice utilization rate was the lowest in the nation in 2020 at 24% among Medicare decedents, the National Hospice & Palliative Care Organization (NHPCO) reported. Centers for Medicare & Medicaid Services (CMS).

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Hospice Medicare Palliative care Palliate 232

Hospice News

NOVEMBER 28, 2022

There’s not even a place in most medical records to document that. We have an inpatient hospice unit at our university, and at times you have to go to families and say, “They’re kind of stable, so Medicare is not going to allow this or pay for this. You’ve personally been a caregiver yourself.

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Caregiver Palliate Social worker Document 230

Hospice News

SEPTEMBER 8, 2023

Center for Medicare & Medicaid Services (CMS), the National Institute on Minority Health and Health Disparities (NIMHD), the California Black Health Network (CBHN) and the California Health Care Foundation (CHCF). This has contributed to widespread mistrust of the health care system among some communities.

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Hospice News

FEBRUARY 23, 2023

Hospices are seeking greater clarity on updated Medicare rules that allow hospices to document a broader range of chaplain services on claims. A key factor in the CMS decision was the addition of chaplain services as a supplemental benefit within Medicare Advantage, which demonstrated a need to expand coding beyond the VA.

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Chaplain Hospice chaplaincy Hospice Document 248

Hospice News

FEBRUARY 8, 2024

Centers for Medicare & Medicaid Services reported. Providers nationwide have increasingly used such platforms for streamlining clinical teams’ workflows, for example, including time spent on documentation. “We By 2023, the proportion of seniors is expected to exceed 20%. We have not been using AI in the generative view.

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Hospice News

JANUARY 30, 2023

Many hospice providers rely on Medicare Advantage (MA) reimbursement to support palliative care, PACE and social determinants programs, among others. Centers for Medicare & Medicaid Services (CMS) laid out its policy for validating MA plans’ risk adjustment data, which the agency uses to calculate capitation rates.

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Hospice News

OCTOBER 28, 2022

Centers for Medicare & Medicaid Services (CMS) and the U.S. Modeling this documentation after CMS’ guidelines may be a key to avoiding scrutiny, he said. In recent years, the agency collected Medicare claims and associated documentation, finding issues related to beneficiary eligibility. In recent years, the U.S.

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Hospice News

MAY 22, 2023

Most Americans know how they want their end-of-life care to be handled, but roughly 1 in 3 actually document those plans, a recent study indicates. Sobol, chief medical officer for Medicare at Cigna, said a study of the company offerings pointed out a gap in coverage. “One Expansion is in Cigna’s immediate future, as well.

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Document Medicare End-of-life care Palliative care 130

Hospice News

MAY 22, 2023

The survey’s findings show that while Asian Americans may think about end-of-life matters, they aren’t discussing or documenting these plans with health care professionals. Nearly half (41%) of Asian Americans surveyed indicated that they knew the type of end-of-life care they wished to receive, but only 7% had documented these goals.

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Hospice News

JUNE 17, 2022

A clinician may not not have realized they were acting contrary to patients’ wishes due to insufficient training, documentation errors or process breakdowns. . They know the patient’s wishes were documented but chose to ignore them. In other instances, a health care provider acts deliberately.

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Resuscitation Document 2017 2019 306

Hospice News

JUNE 9, 2022

This article is sponsored by Axxess. This article is based on a Palliative Care conference Q&A with Tina Taylor, Vice President of Palliative Care Compassus and Christina Andrews, Director of Professional Services at Axxess. The Q&A took place on April 27, 2022. The discussion has been edited for length and clarity. Thanks for sharing.

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Palliative care Palliate Hospice Definition 213

Hospice Nurse Hero

JANUARY 26, 2022

Hospice documentation is tedious and time-consuming. I’ve outlined simple tips to help you master the fundamentals of hospice documentation. Do you spend hours documenting at home? Worse yet, do you find yourself frustrated when “corporate” only seems to care about timely documentation? Documentation is king!!

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Hospice News

JANUARY 18, 2024

But we really wanted to put it into a document with an actual work plan. But we both know that as Medicare Advantage begins to expand, and [the U.S. But we both know that as Medicare Advantage begins to expand, and [the U.S. We can help them with that by both providing palliative care services and hospice services.

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Hospice News

AUGUST 8, 2023

Centers for Medicare & Medicaid Services (CMS) has put forth to strengthen hospice program integrity mirror rules implemented in years past for home health providers, including medical review processes and rules for when a provider can sell their business. CMS is no doubt hoping for similar results for the Medicare Hospice Benefit.

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Hospice News

JUNE 22, 2023

SEIU analyzed Medicare claims data showing that the average hospice transfer rate among HCA hospital discharges was nearly 40% above the national average in 2021 and represented a 50% growth rate over four years. million Medicare beneficiaries elected the benefit in 2021, up from 1.43 Centers for Medicare & Medicaid Services (CMS).

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Healthcare Hospice Medicare 2021 212

Hospice News

JULY 11, 2023

Increased regulatory and clinical oversight is needed to address common billing and documentation errors related to hospice general inpatient care, according to the U.S. Roughly one-third of Medicare claims for general inpatient hospice services (GIP) are billed in error, the OIG indicated.

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Hospice News

JUNE 22, 2022

As hospices explore greater participation in alternative payment models, the Medicare Payment Advisory Commission (MedPAC) is urging Congress to reduce and restructure those programs. Hospice providers have been eying APMs emerging for the Center for Medicare & Medicaid Innovation (CMMI). While the U.S.

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Hospice News

OCTOBER 26, 2022

Central District Court of California with conspiracy to commit wire fraud, wire fraud, conspiracy to commit health care fraud, health care fraud, conspiracy to commit money laundering, and money laundering for their roles in an alleged scheme to submit false Medicare claims. .

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