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Canon Healthcare Owner Receives Prison Sentence, $42 Million Fine in Fraud Case

Hospice News

The court also ordered Akula to repay $42 million in fraudulent Medicare billing claims made between January 2013 and December 2019, which totaled roughly $84 million during that six-year span. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.

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3 Reasons Continuous Home Care Utilization is Falling

Hospice News

Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO).

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MA Beneficiaries More Likely than Fee-for-Service Patients to Enter Hospice from Community Setting

Hospice News

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. .” Years prior to 2018 showed similar patterns.

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Hospice of the Foothills Joins California Hospice Network

Hospice News

Combined, the network’s member hospices serve more than 2,200 patients and families each year across 11 counties with a workforce of nearly 300 employees. One of the founding members, Elizabeth Hospice, left the network due to divergent activities and timelines that complicated their participation.

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Untangling the Hospice GIP Conundrum

Hospice News

Though hospices are required to offer all four levels of care, more than half did not provide a single day of GIP during 2022, according to the U.S. Centers for Medicare & Medicaid Services (CMS). of hospice care days in 2013, CMS reported. Utilization overall has been declining. GIP represented 1.8%

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Limited Access to Post-Acute Care Fuels Readmission Rates

Hospice News

The availability of post-acute resources, including hospice and palliative care, has a significant impact on hospital readmissions, but greater coordination among providers could drive improvement. Researchers included a recommendation that CMS take community characteristics into account when evaluating hospital performance. .

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Hospice Length of Stay: Balancing Patient Needs Against Regulatory Compliance

Hospice News

“For a hospice administrator or executive, you really have to be very focused on your length of stay data,” Young told Hospice News in a recent Elevate podcast episode. Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S.

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