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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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New Executives Tapped At Hospice Organizations Across Country

Hospice News

NPHI is a national advocacy organization with more than 100 nonprofit advanced illness care providers, including those offering hospice and palliative care services. Muir joined the organization in 2019 as its chief of clinical innovations. NorthStar Care Community affiliated with Centrica Care Navigators in February.

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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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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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New Research Shows Hospice Care Reduces Medicare Costs

NHPCO

For Immediate Release March 22, 2023 New Research Shows Hospice Care Reduces Medicare Costs Hospice Care Contributed to $3.5 billion in savings for Medicare in 2019, while providing multiple benefits to patients, families, and caregivers. Hospice stays of six months or more result in savings for Medicare.