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Investigating Medicare Hospice Overpayments

Hospice News

Audits audits by Medicare Administrative Contractors (MACs) have proliferated during the past two years, including Targeted Probe and Educate (TPE) audits, as well as those by Unified Program Integrity Contractors (UPIC), Supplemental Medical Review Contractors (SMRC) and Recovery Audit Contractors (RAC). Hospices received nearly 5.4%

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CMS 2025 Proposed Rule Signals Changes to Quality Measurement, Omits Program Integrity Actions

Hospice News

Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% billion in annual savings for Medicare, which underscores the critical importance of investing in hospice to ensure continued beneficiary access to quality end-of-life care.” Hospice care saves Medicare roughly $3.5 In a proposed rule released yesterday, the U.S.

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Congressional Briefing Demonstrates the Value of the Medicare Hospice Benefit

NHPCO

For Immediate Release July 28, 2023 New Research Shows Hospice Produces Better Outcomes, Lower Medicare Costs (Washington, D.C. billion in Medicare savings in 2019, while also providing multiple benefits to patients, families, and caregivers. In other words, earlier enrollment in hospice reduces Medicare spending even further.

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Partners in Care Sues HHS Over Claims Denials

Hospice News

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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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia. After exhausting her Medicare benefits, she depleted her assets and paid out of pocket until qualifying for Medicaid.

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NHPCO: Proposed 2.8% Hospice Payment Hike Insufficient 

Hospice News

Centers for Medicare & Medicaid Services (CMS) is insufficient to support hospice patients’ care needs, a major industry group said. After a moratorium during the pandemic, full Medicare sequestration resumed on July 1, 2022. base payment rate increase recently proposed by the U.S. increase — an estimated total of $720 million.

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Growing Neuropalliative Care: Overcoming Barriers to Scale

Hospice News

We were able to fund 13 junior investigators to come to Denver to present research into neuropalliative care.” Also, as more people want to increase their palliative knowledge without formal training, the INPCS is working to be the place for the information.” To increase the number of specialists in the field, Daly said.