article thumbnail

‘Upgrading’ the Medicare Hospice Benefit

Hospice News

The Medicare Hospice Benefit could use an “upgrade” to ensure greater flexibility that may be necessary to fully support patients’ needs. Centers for Medicare & Medicaid Services (CMS) should consider is retiring the six-month terminal prognosis requirement and allowing for some concurrent care, Wallace and Wladkowski indicated.

Medicare 260
article thumbnail

Investigating Medicare Hospice Overpayments

Hospice News

As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments. Centers for Medicare & Medicaid Services (CMS) actively works to recoup payments that it deems improper. Medicare fee-for-service programs made $31.23

Medicare 130
professionals

Sign Up for our Newsletter

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

article thumbnail

Providers to Lawmakers: Hospice a ‘Huge Value to Medicare’

Hospice News

Rising regulatory scrutiny around length of stay may be having adverse impacts on health care costs and quality, hospice leaders said in a recent Congressional briefing. Longer stays yield greater savings Regulators have fixed their gaze on longer hospice stays as signals of potential fraud, waste and abuse. Additionally, the U.S.

Medicare 231
article thumbnail

The Hospice Action Network Presents 2023 Angel Awards Honorees

NHPCO

The HAN Angel Awards were created to recognize select members of Congress on both sides of the aisle for their ongoing efforts to amplify the voices of patients, families, providers, and those advocating for the vital mission of hospice and palliative care in supporting patients and their families facing serious or life-limiting illness.

article thumbnail

Death Doulas, Community Health Workers Collaborations Can Aid Hospices, But Resources Are Scarce

Hospice News

End-of-life doulas (EOLDs) and community health workers can add an additional layer of support that can help hospices improve connections and outcomes among patients and families. The human-based doula support is best positioned as part of value-based, at-risk entities or hospice per diems.

Hospice 276
article thumbnail

Survey: 77% of Hospices Undergo Multiple Audits Simultaneously

Hospice News

Program integrity and an onslaught of audits are top of mind for many hospice providers in 2024. The organizations earlier this year presented their findings , published today, to members of Congress and the U.S. Centers for Medicare & Medicaid Services (CMS). In addition to those my Medicare Contractors, last year the U.S.

Hospice 220
article thumbnail

Hospices Stepping Up Performance on Visits-in-Last-Days-of-Life Measure

Hospice News

Hospices, in aggregate, are showing improvement on the quality measure for visits in the last days of life. In Calendar Year 2021, the share of hospice care days with nurse visits in the last seven days of life rose to 63%, up from 62% year over year, according to the National Hospice and Palliative Care Organization (NHPCO).