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Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

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. Centers for Medicare & Medicaid Services (CMS).

Medicare 246
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Congress Grills HHS on Hospice Program Integrity

Hospice News

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all.

2010 264
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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Hospitals with the Most Vulnerable Maternity Patients Understaffed with Nurses

Minority Nurse

Nurses play a central role in the 3.6 Better funding for teaching and safety-net hospitals caring for high-risk maternity patients could support better nurse staffing.” million births in U.S. hospitals each year.

2010 98
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Hospice in Prison Part 1: An interview with Michele DiTomas and Keith Knauf

GeriPal

So in 2010, there were about 150,000 incarcerated people in California. But when we look at people over the age of 55, 55 and older, we had about 11,000 in 2010, and now we have 18,000 people aged 55 and older. Alex: … in other words, than you might be in a Medicare-regulated hospice facility? Michele: Yeah, absolutely.

Chaplain 293
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2022: What will the technical experts say?

Rehab Realities by Renee Kinder

An excerpt from that blog here: The Centers for Medicare & Medicaid Services has consulted with Acumen in an effort to establish a comprehensive approach to Medicare Part A PPS SNF payment reform. Assess the impact of the payment alternative on SNF residents, SNF providers, and the overall Medicare system. Well, great news!

2022 40
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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

That trajectory was in increase from 2000 to say, 2010. By setting, so patients who are living in places like nursing homes and assisted living facilities, where it’s easier to visit very quickly patient to patient, as opposed to home-based care for people say in rural areas. You have chains growing.

Hospice 203