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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.
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.
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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?
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.
Hospice News
SEPTEMBER 20, 2022
and Susan Collins (R-Maine) introduced the Improving Access to Advance Care Planning Act to the Senate designed to promote greater access to those services among Medicare beneficiaries. Sunsetting the co-pays could cost Medicare roughly $104.5
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.
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
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
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).
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
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
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
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.
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%
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.
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.
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
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
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
OCTOBER 4, 2022
Only 10 new Medicare Advantage (MA) plans will offer home-based palliative care as a primarily health-related benefit for 2023, but payers may be offering those services through other programs. ” Through Medicare Advantage, the U.S.
Hospice News
SEPTEMBER 30, 2022
The Center for Medicare & Medicaid Innovation is currently testing coverage of hospice care through Medicare Advantage with the Value-Based Insurance Design (VBID) program. Often called the Medicare Advantage hospice carve-in, the program is reaching the close of its second year.
Hospice News
SEPTEMBER 16, 2022
and Susan Collins (R-Maine) have introduced a bill designed to foster greater access to advance care planning (ACP) among Medicare beneficiaries. Currently, physicians, other licensed independent practitioners, and clinical nurse specialists can conduct ACP conversations under Medicare rules.
Hospice News
AUGUST 8, 2022
As the hospice community takes its first steps into value-based reimbursement, stakeholders have an opportunity to re-examine elements of the Medicare Hospice Benefit that may be outdated, according to some providers. The hospice benefit became a formal part of Medicare in 1983.
Hospice News
OCTOBER 1, 2022
Centers for Medicare & Medicaid Services (CMS) that health equity will be a key component of their payment model demonstrations going forward. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan.
Hospice News
OCTOBER 4, 2022
The Center for Medicare & Medicaid Innovation (CMMI) is developing new reimbursement pathways for palliative care. As part of that process, CMMI is applying elements of its Medicare Care Choices Model (MCCM) demonstration, which ended Dec.
Hospice News
SEPTEMBER 12, 2022
Centers for Medicare & Medicaid Services (CMS) in 2023 will phase out dual-eligibility special needs look-alike plans within Medicare Advantage. Close to 12 million people in the United States qualify for both Medicare and Medicaid. The U.S.
Hospice News
AUGUST 12, 2022
Department of Justice alleged that the Indiana-based company billed Medicare separately for services that should have been covered by the hospice benefit. Medicare between 2010 and 2019 paid a total $6.6
Hospice News
JUNE 21, 2022
Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure, calling for a payment model demonstration designed to support greater access to palliative care. A bipartisan group of nine U.S. Senators have written to U.S.
Hospice News
JUNE 22, 2022
As hospices explore greater participation in alternative payment models, the Medicare Payment Advisory Commission (MedPAC) is urging Congress to reduce and restructure those programs. Hospice providers have been eying APMs emerging for the Center for Medicare & Medicaid Innovation (CMMI).
NHPCO
NOVEMBER 21, 2022
For Immediate Release. November 21, 2022 .
Hospice News
OCTOBER 20, 2022
SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan.
Hospice News
MAY 27, 2022
These include the audit system created by Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, and the two-tiered reimbursement for routine home care that reduced payment amounts after 60 days.
Hospice News
NOVEMBER 15, 2022
The Center for Medicare & Medicaid Innovation announced the program in February to replace the Global and Professional Direct Contracting (GPDC) models. We follow all the Medicare rules, but the arrangement itself may look different.
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