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Hospice Leaders: Change Must Come to the Medicare Hospice Benefit

Hospice News

Calls have grown louder for an overhauled design of the Medicare Hospice Benefit, but the path towards change is riddled with contrasting views over regulation, policy and payment structures. Part of the problem is that the [Medicare] Hospice Benefit is 40 plus years old. of terminal diagnoses in 2020, while cancer accounted for 7.2%.

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OIG Estimates $42 Million in Improper Medicare Payments for Advance Care Planning

Hospice News

A significant number of health care providers may not understand federal rules for billing advance care planning, contributing to an estimated $42.3 million in improper payments in 2019. OIG found that — out of a sample of 691 ACP claims from 2019 — close to 70% (466) did not comply with requirements.

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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).

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Senators Propose Bills to Expand Hospice Training, Ensure Access to Transfusions

Hospice News

Rosen and Murkowski, initially tried to pass the palliative care training bill in 2019, and then again 2021. The Improving Access to Transfusion Care for Hospice Patients Act would create a payment model for blood transfusion services within the Medicare Hospice Benefit. This is not the bill’s first iteration.

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Home Health Care Linked to Increased Hospice Utilization

Hospice News

The study , published in the Journal of Palliative Medicine, examined home health and hospice care outcomes during the last three years of life among more than 2.1 million Medicare decedents who died in 2019. used home health care and 63.3% Of those with dementia, 54.8% utilized hospice. Of the nearly 1.2

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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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Dementia Patients Less Likely Than Others to Receive Hospice Care

Hospice News

Patients with dementia are less likely to receive hospice in their last month of life than those who have other diagnoses, 12.5% The Medicare Hospice Benefit initially was designed around the needs of cancer patients, but now the number of patients with other diagnoses is growing — some with less predictable disease patterns.

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