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Hospices Leaders: ‘Vigilant’ Compliance Pivotal in MAC Auditing Climate

Hospice News

The auditing environment has heated up in the hospice industry, with inconsistencies reportedly proliferating among the various types of regulatory enforcement activity — particularly those performed by Medicare Administrative Contractors (MACs). The issue has some hospice providers delving deeper into a range of compliance strategies.

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Managing the Hospice Payment Cap by Balancing Length of Stay

Hospice News

The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. Centers for Medicare & Medicaid Services set the cap at $33,394. For one, if they have a cap liability, they will have to repay that amount to Medicare. For Fiscal Year 2024, the U.S.

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What New Allegations that HCA Healthcare Pressured Patients Mean for Hospices

Hospice News

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. For one, hospice utilization has been on a steady upswing nationally for several years. told Hospice News.