Medicare Related Topics 
Hospice News
MARCH 22, 2023
All told, hospice care — regardless of length of stay — saves Medicare approximately $3.5 Centers for Medicare & Medicaid Services (CMS) and the U.S. The post Longer Hospice Stays Lead to Larger Medicare Cost Savings appeared first on Hospice News.
Hospice News
JUNE 29, 2022
Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Centers for Medicare & Medicaid Services (CMS) or any Medicare Advantage plans spoke at this hearing.
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Hospice News
AUGUST 26, 2022
Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. But a similar move within the Medicare Hospice Benefit is unlikely.
Hospice News
AUGUST 17, 2022
Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions.
Hospice News
SEPTEMBER 7, 2022
Centers for Medicare & Medicaid Services’ (CMS) star ratings system for hospice quality may have unintended consequences for small providers. The post Small Hospices at a Disadvantage in Medicare Star Ratings appeared first on Hospice News. The U.S
Hospice News
AUGUST 23, 2022
One is how can we continue to diversify our services and help more people in more ways — and second, looking at how we can reduce our dependence on Medicare reimbursement. Why is it important to reduce that dependence on Medicare reimbursement?
Hospice News
JULY 14, 2022
Margin pressures from the proposed cuts to Medicare home health rates could impact palliative care and hospice. Centers for Medicare & Medicaid Services (CMS) in June released its proposed home health reimbursement rule for 2023, which included a 4.2%
NHPCO
MARCH 21, 2023
For Immediate Release March 22, 2023 New Research Shows Hospice Care Reduces Medicare Costs Hospice Care Contributed to $3.5 billion in savings for Medicare in 2019, while providing multiple benefits to patients, families, and caregivers.
Hospice News
JANUARY 5, 2023
Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported the results of its audit of advance care planning (ACP) billing practices among Medicare-certified physicians and other health care providers.
Elder Care Matters
NOVEMBER 2, 2022
Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023.
Elder Care Matters
MAY 2, 2022
I’m often surprised how many people are shocked to learn that Medicare and Supplemental Insurance does not cover Long-Term care costs. Medicare and Supplemental… The post Does Medicare and Supplemental Insurance Pay for Long-Term Care?
Hospice News
SEPTEMBER 15, 2022
A coalition of hospice and palliative care industry groups has urged lawmakers to make billing codes for telehealth available on Medicare hospice claim forms. The post Hospice, Palliative Care Groups Call for Telehealth Codes on Medicare Claims appeared first on Hospice News.
Hospice News
JULY 13, 2022
bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. The post Hospice Advocacy Groups Ask Congress for Action on Proposed 2023 Medicare Rates appeared first on Hospice News.
Hospice News
MARCH 24, 2023
Centers for Medicare & Medicaid Services’ (CMS) decision to extend the value-based insurance design (VBID) model through 2030: patients’ social needs, health equity and improved care coordination. Centers for Medicare & Medicaid ServicesThree main factors drove the U.S.
Hospice News
JUNE 3, 2022
The Medicare Part A trust fund is still on track to run short of money before the decade is out, but not as quickly as previously anticipated. By 2028, Medicare would have sufficient dollars to cover 90% of Medicare expenses. Centers for Medicare & Medicaid Services (CMS).
Today's Caregiver
OCTOBER 5, 2022
The National Council on Aging (NCOA), the national voice for every person's right to age well, is encouraging all individuals with Medicare to evaluate their coverage during this year's Open Enrollment, which runs from October 15 through December 7
Comforcare Home Care
JANUARY 5, 2023
Here are some Medicare changes you might want to know about. Medicare will be able to negotiate drug prices (starting in 2023). Out-of-pocket insulin costs will be capped at $35/month for Medicare. Out-of-pocket drug costs on Part D will be capped at $2000/year starting in.
1-800-HOSPICE
DECEMBER 20, 2022
However, when your hospice provider has Medicare certification, Medicare will pay 100% of costs including clinician fees and related supplies, equipment, and drugs. But how long will Medicare pay for hospice? Does Medicare Pay for Hospice?
Today's Caregiver
SEPTEMBER 26, 2022
You can enroll in Medicare health and drug plans from October 15 – December 7. Get ready for Medicare’s Open Enrollment with these 5 tips
Healthcare Law Insights blog
NOVEMBER 22, 2022
Chapter 10 of PIM sets out the instructions by CMS to the MACs for Medicare enrollment. Post-Acute Care & Nursing Facilities Centers for Medicare and Medicaid Services Change of Ownership Senior Nursing Facilities
1-800-HOSPICE
DECEMBER 6, 2022
In August 2022, Medicare included a new overall quality measure for Hospice Care Compare: the Hospice Care Index. Medicare derives the data exclusively from billing records, avoiding the potential bias of self-reporting that occurs in other Medicare Care Compare rankings.
Hospice News
DECEMBER 7, 2022
When stakeholders consider ways to improve Medicare Advantage, they should take care not to romanticize fee-for-service Medicare in the process, SCAN Health Plan CEO Dr. Sachin Jain cautions. Medicare Advantage (MA) is a growing force in health care.
Hospice News
MARCH 16, 2023
The Medicare Payment Advisory Commission (MedPAC) has once again recommended a 20% cut to the aggregate cap for hospice payments. Centers for Medicare and Medicaid Services (CMS) set the 2023 cap at $32,486.92, up from nearly $31,300 per patient for Fiscal Year 2022.
Comforcare Home Care
APRIL 28, 2022
There are significant differences between the type of care available through private duty home care agencies and Medicare/Medicaid government funded home care services. Doctor Order Required - Medicare YES Private Duty NO. Length of Service - Medicare 30-60 Days Private Duty Unlimited.
HEALTHCARE first
OCTOBER 11, 2022
Medicare Advantage plans have become an increasingly popular choice among the nation’s seniors. In fact, there are 3,834 Medicare Advantage plans available nationwide for individual enrollment in 2022.
Hospice Promise
OCTOBER 14, 2022
Electing the Hospice Benefit DOES NOT eliminate Medicare coverage. All other care will continue to be covered under Medicare or other existing insurance coverage. The post Hospice Myth Buster: Hospice Benefit and Medicare Coverage appeared first on Hospice Promise.
1-800-HOSPICE
AUGUST 9, 2022
On July 27, the Centers for Medicare and Medicaid Services (CMS) announced a final rule giving hospice a 3.8% Like other healthcare services reimbursed by Medicare, hospice has been subject to continuous pay cuts for roughly a decade.
Hearts for Home Care
SEPTEMBER 2, 2022
On June 17, the Centers for Medicare & Medicaid Services (CMS) proposed the largest cut to home health funding in Medicare’s 35+ year history.
NHPCO
APRIL 8, 2022
NHPCO and HAN Call on Congress to Protect Hospice Medicare Benefits. This is a direct attack on access to the care that Medicare promises seriously ill beneficiaries. The post NHPCO and HAN Call on Congress to Protect Hospice Medicare Benefits appeared first on NHPCO.
1-800-HOSPICE
APRIL 13, 2022
With a 2% Medicare payment sequestration looming over hospice since 2013, news of a much needed raise comes with a sigh of relief. In a move that would repeat the 2021 suspension of hospice sequestration , Medicare recently proposed a 2.7% For 2023, Medicare’s recently proposed 2.7%
Healthcare Law Insights podcast
MARCH 27, 2020
We discuss the role of virtual visits, how to use telehealth, and the practical impact of the Medicare appeal waiver. We discuss the role of virtual visits, how to use telehealth, and the practical impact of the Medicare appeal waiver In today’s episode, your Hospice Team shares insights on operationalizing recent government guidance for hospices facing coronavirus obstacles.
Healthcare Law Insights podcast
APRIL 3, 2020
Your Hospice Team discusses these recent developments and their impact on telehealth, face-to-face encounters, virtual visits and Medicare appeals and audits. Your Hospice Team discusses these recent developments and their impact on telehealth, face-to-face encounters, virtual visits and Medicare appeals and audits Change is fast-paced in the world of COVID-19. On Monday, March 30th, CMS released an interim final rule along with hospice specific waivers.
Caregiver Support Services
FEBRUARY 17, 2023
Medicaid and Medicare When attempting to negotiate the complex world of dealing with Medicare and Medicaid , hiring an elder care attorney is crucial. Older Americans who reach a particular age automatically qualify for Medicare. Medicaid and Medicare are intricate systems.
Healthcare Law Insights blog
JULY 21, 2022
Each July, the Medicare Administrative Contractors issue notices of a 2% Medicare payment reduction to those providers who did not meet quality data reporting requirements. Hospice & Palliative Care healthcare Medicare payment
Healthcare Law Insights blog
NOVEMBER 8, 2022
The Act includes provisions targeting Medicare prescription drug costs, which could have wide-ranging effects for any party involved in the pharmaceutical industry, including drug developers, researchers, manufacturers, distributors, insurance companies, pharmacy associations and consumers.
Healthcare Law Insights blog
MARCH 1, 2022
The Centers for Medicare and Medicaid (CMS), in an exercise of enforcement discretion, has begun monitoring covered CMS provider and supplier types for implementation of COVID-19 staff vaccination requirements in accordance with the COVID-19 Healthcare Staff Vaccination Interim Final Rule.
Healthcare Law Insights blog
MAY 4, 2022
In the Federal omnibus spending bill signed in March 2022, Congress extended current Medicare reimbursement waivers applicable to telehealth services for five months beyond the end of the PHE. Medicare will continue to cover certain audio-only telehealth services.
Healthcare Law Insights blog
JULY 14, 2022
However, CMS has observed an overall increase in staffing levels since April 2018, when staffing measures were initially incorporated in the Nursing Home Compare Five-Star Quality Rating System and Medicare users began viewing how a nursing home’s staffing impacts their quality of service.
Healthcare Law Insights blog
APRIL 25, 2022
Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits.
Hospice News
MARCH 23, 2023
Centers for Medicare & Medicaid Services (CMS) is extending the value-based insurance design demonstration for calendar years 2025 to 2030, including the hospice component. This entire Medicare Advantage. The U.S.
Hospice News
FEBRUARY 27, 2023
Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. In 2011, for example, 50% of MA patients came to hospice from the community, compared to 39% of those in traditional Medicare.
HEALTHCARE first
JANUARY 4, 2023
The Centers for Medicare and Medicaid Services (CMS) first launched its value-based insurance design (VBID) model in 2021. The model tests Medicare Advantage health plan innovations designed to reduce Medicare spending and improve the quality and delivery of care for Medicare beneficiaries.
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. By establishing our approach to RADV audits through this regulation, we are protecting access to Medicare both now and for future generations.
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