Hospice News

JUNE 15, 2023

After more than a decade working in hospice leadership, Alli Collins came across something she had never seen before — a financially viable, all-volunteer provider that is not Medicare-certified. I am the new executive director for Hospice and Palliative Care of the Wood River Valley. She never instituted a Medicare provider number.

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Hospice News

MARCH 29, 2024

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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Hospice News

JANUARY 17, 2024

A recent study examined results of the company’s Total Care Model for patients enrolled in Medicare Advantage or Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH). In 2022, the company serviced more than 269,500 Medicare Advantage members and 89,000 Medicare fee-for-service beneficiaries.

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Hospice News

APRIL 24, 2024

But primarily, Medicare still reimburses for palliative care through fee-for-service payment programs that cover physician and licensed independent practitioner services. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit.

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Hospice News

FEBRUARY 23, 2024

Around this time last year, the company also began contracting directly with Medicare Advantage payers, beginning with Blue Cross Blue Shield of Tennessee. Through the agreement, Amedisys will make palliative care available to eligible members among the nonprofit health plan’s 3.3 million beneficiaries. million beneficiaries.

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Hospice News

DECEMBER 13, 2023

Since at least 2022, Contessa has been pursuing palliative care reimbursement through Medicare Advantage. Earlier this year, the Amedisys subsidiary entered into its first full-risk Medicare Advantage contract to include palliative care with Blue Cross Blue Shield of Tennessee.

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Hospice News

MARCH 12, 2024

Centers for Medicare & Medicaid Services (CMS). “The findings from our collaborative survey offer valuable insights into the auditing and adjudication processes of Medicare hospice benefit claims,” NPHI CEO Tom Koutsoumpas told Hospice News in an email. In addition to those my Medicare Contractors, last year the U.S.

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Hospice News

JUNE 14, 2023

Meanwhile, Medicare hospice spending is expected to more than double by 2032. Centers for Medicare & Medicaid Services (CMS) Office of the Actuary also project that health care expenditures will represent 19.6% However, the annual Medicare Trustees Report for 2023 provides a more detailed look at hospice spending.

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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. On Wednesday, the U.S. They’re also providing clarification around what a ‘managing employee’ is.

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Hospice News

SEPTEMBER 20, 2023

Guaranteed serves Medicare and Medicaid patients across five counties in southern California, including the Los Angeles region. Additional services include medical equipment assistance, a telehospice program, and music, reiki and pet therapies, among others. Carl Derrick as medical director.

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Hospice News

JANUARY 30, 2024

Centers for Medicare & Medicaid Services (CMS) gave hospices a 3.1% Due to polypharmacy, hospice patients are often at great risk for adverse side effects, such as falls, confusion and medication interactions, among others, according to a 2022 dissertation by Shannon Dickson at the University of Massachusetts-Amherst.

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Hospice News

OCTOBER 25, 2023

Centers for Medicare & Medicaid Services (CMS) allowed palliative care providers to perform patient care visits virtually. Medicare claims can also be one way regulators gain insight into potential misuse of telehealth services, she said at the C-TAC-CAPC Leadership Summit in Washington, D.C. During the pandemic, the U.S.

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Hospice News

NOVEMBER 11, 2022

The Improving Access to Advance Care Planning Act would expand utilization of these services by removing Medicare payment barriers faced by both providers and patients. The bill proposes to “wave,” or remove, Medicare beneficiary cost-sharing for advance care planning services. Susan Collins (R-Maine) and Mark Warner (D-Va.)

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Hospice News

JUNE 29, 2023

Gross is also a medical director at ANX Hospice Care. There isn’t a guideline as to what would be considered best practice or appropriately fulfilling the Medicare requirements for bereavement,” Gross said. There’s no guideline in place for fulfilling this Medicare requirement in an economically feasible way.”

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Hospice News

JULY 20, 2022

Payers, including Medicare, like to see providers reduce the costs of care. Centers for Medicare & Medicaid Services (CMS) has reimbursed palliative care through a fee-for-service model that only covers physician and licensed independent practitioner services, rather than the full range of interdisciplinary care.

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Hospice News

OCTOBER 4, 2023

He went on to become the organization’s medical director. “ In addition to his role at Faith Hospice, Mulder is executive director of the Trillium Institute, medical director for Holland Home and the director of the Division of Palliative Medicine at Michigan State University’s College of Human Medicine.

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Hospice News

MAY 1, 2023

Traditional Medicare only covers physician consults and doesn’t support the full range of interdisciplinary care. Two emerging pathways to payment include supplemental benefits within Medicare Advantage and relationships with Accountable Care Organizations (ACOs). Centers for Medicare & Medicaid Services (CMS).

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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

MARCH 6, 2023

Centers for Medicare & Medicaid Services (CMS) on reported instances of hospice fraud in several states. “I In some cases, numerous licensed hospices have been operating from the same addresses, often with the same CEOs, medical directors and staff. Beth Van Duyne (R-Texas). The congresswoman and fellow legislator Rep.

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Hospice News

MAY 22, 2023

Understanding these perspectives can drive conversations about management of these symptoms, according to VITAS Medical Director Robert Nguyen, who worked on the study. of Medicare decedents who used hospice in 2018, the National Hospice and Palliative Care Organization (NHPCO) reported. and 20%, respectively.

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Hospice News

MARCH 25, 2024

In February that year we got our corporation licenses for a business and in November we became Medicare-certified. It’s about meeting the Medicare standards and accreditation requirements, whether it’s home health or hospice. It comes with hiring the right medical directors and clinicians to make sure patients are eligible.

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Hospice News

JULY 13, 2022

Criminal FCA cases often involve issues related to kickback schemes in which hospices billed Medicare for services that patients either weren’t eligible for, or never received. Centers for Medicare & Medicaid Services (CMS) and the U.S. Monitoring and auditing services is key as well.

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Hospice News

APRIL 17, 2023

Reimbursement for palliative care in fee-for-service Medicare currently only covers physician or nurse practitioner services. Centers for Medicare & Medicaid Services (CMS) does allow Medicare Advantage plans to cover home-based palliative care as a supplemental benefit.

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Hospice News

OCTOBER 18, 2023

The collaboration was developed to offer home-based palliative care to Medicare Advantage beneficiaries covered by Blue Cross and Blue Shield of Minnesota, parent company of Livio Health. Also in 2020 came the launch of partnership between Livio Health and cancer care provider Minnesota Oncology.

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Hospice News

JUNE 8, 2022

Thus far, the initiative has yielded positive results, but the process hasn’t always been easy, according to Dr. Gregg VandeKieft, executive medical director of the institute’s Palliative Practice Group. For starters, rural regions are less likely to have a Medicare-certified hospice than urban counties.

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Hospice News

DECEMBER 21, 2022

Contributing to these declines were constraints on clinical capacity stemming from the labor shortage, as well as some instances of lower reimbursement for its home health services due to the shift of more patients towards Medicare Advantage, executives said in an earnings call. Centers for Medicare & Medicaid Services (CMS).

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Hospice News

DECEMBER 22, 2022

Combined, Asians, African Americans and Hispanics in 2018 represented only 20% of Medicare hospice patients, while the remaining 80% were Caucasian, according NHPCO. The most visible attempt began in 2020 when CMS began allowing Medicare Advantage (MA) plans to cover palliative care as a supplemental benefit.

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High Peaks Hospice

NOVEMBER 4, 2022

That year Medicare determined that dying was no longer a diagnosis that warranted a hospital admission. In 1982 Medicare authorized reimbursement for hospice care. Dr. Merkel engaged with his partner Dr. Robert Kasulke to spear head the medical care. Dr. David Merkel served as Medical Director of Hospice until his death in 2012.

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Hospice News

JANUARY 19, 2023

Not only problems related to diagnosis and treatment, but also the myriad challenges that arise in the social realm,” Hospice of the Valley Executive Medical Director Ned Stolzberg told local news. Awareness of even the basic tools to address some of this will greatly empower our medical community.”

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Hospice News

MARCH 24, 2023

according to the Medicare Payment Advisory Commission. We’re not going to take the place obviously of a medical director or a certified hospice nurse, but we are going to give them another tool to question their thinking and make sure that what needs to be documented is being documented.”

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NHPCO

JULY 25, 2023

These program integrity efforts include: Revocation of Medicare enrollment: CMS has identified fraud schemes and increased its operational ability to revoke Medicare enrollment more quickly. Organizational Deactivation: CMS proposes to revoke Medicare certification if a provider has not billed any claims within six months.

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Hospice News

NOVEMBER 2, 2023

This article is based on a Hospice News discussion with Daniel Schwartz, Chief Strategy Officer at Elara Caring, Devin Woodley, VP of Managed Care Contracting and B2B Sales at VNS Health, Gavin Baumgardner, VP and National Medical Director for Complex and Palliative care at Amedisys, and Anthony Spano, Director of Client Development at Netsmart.

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AAHPM (American Academy of Hospice and Palliative)

JUNE 27, 2023

View the full resolutions as adopted (note that only the “Resolved” clauses become enshrined as AMA policy): Improving Hospice Program Integrity Redesigning the Medicare Hospice Benefit The resolution which called for AMA advocacy aimed at improving hospice program integrity easily passed as written.

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Hospice News

NOVEMBER 17, 2023

Dr. Dustin Dillon, medical director of palliative care services at Pallitus, said it was important for the palliative care provider to stand on its own. Centers for Medicare & Medicaid Services (CMS)] has really encouraged provider groups to do. Principal care management is something that [the U.S.

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Shining Light Hospice

APRIL 19, 2021

You’re able to continue receiving hospice care as long as the hospice doctor or the medical director certifies that you are still terminally ill. You’re allowed an unlimited number of 60-day periods, so long as your doctor, the hospice doctor, or the medical director will certify your condition as terminally ill.

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Hospice Nurse Hero

AUGUST 21, 2022

However, did you know that only the hospice medical director can recertify your patient’s eligibility ? While the nurse practitioner can perform the face-to-face visit, it is up to the hospice medical director to review the documentation and certify the patient still meets hospice criteria. Yep, you heard me right.

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Home Care Pulse

APRIL 26, 2022

B oth the Centers for Medicare and Medicaid Services (CMS) and the Health and Human Services Office of Inspector General (OIG) are charged with preventing fraud and abuse related to federal healthcare spending. Financial reasons: Medicare spends 72.10% of their payments for patients with a length of stay greater than 180 days.

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