Hospice News
MAY 17, 2024
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.
Hospice News
NOVEMBER 14, 2023
Between 2013 and 2016, the company billed Medicare for $62 million and received $47 million in payments, according to the U.S. Between 2013 and 2017, Canon billed Medicare for 2,800 claims per month, totalling $15.3 Justice Department.
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Hospice News
NOVEMBER 20, 2023
Centers for Medicare & Medicaid Services (CMS). of hospice care days in 2013, CMS reported. Scrutiny of GIP utilization has been ongoing for a number of years, dating back to 2013 reports from the OIG. Roughly one-third of Medicare GIP claims are submitted in error, the OIG reported. GIP represented 1.8%
Hospice News
MAY 16, 2022
. “This would allow for greater flexibility than the current Medicare model provides.” . Often called the Medicare Advantage hospice carve-in , the VBID demonstration project took effect January 1, 2021. The carve-in is designed to assess payer and provider performance related to hospice within Medicare Advantage.
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. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. .” This is close to half of all Medicare beneficiaries.
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.
Hospice News
FEBRUARY 20, 2024
Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).
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