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Medicare Made $190M in Improper Hospice Payments to Hospitals

Hospice News

Medicare made an estimated $190 million in improper payments to acute-care hospitals for outpatient hospice services between 2017 and 2021. It also found that Medicare guidance lacks certain details that could aid compliance. Medicare contractors also often did not conduct prepayment or postpayment reviews.

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NHPCO Speaks Out on 2025 Proposed Medicare Hospice Rates

Hospice News

payment increase for hospices is insufficient in today’s economic climate, the National Hospice and Palliative Care Organization (NHPCO) indicated in comments on the 2025 proposed payment rule. Centers for Medicare & Medicaid Services (CMS) in March issued its 2025 proposed hospice rule, which if finalized would include a 2.6%

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CMMI Analysis: Palliative Care Reduces Medicare Costs, Improve Patient Satisfaction

Hospice News

Despite this potential, existing programs hit barriers created by misconceptions about palliative care among referring physicians, as well as health equity concerns, among others, according to an analysts of four payment model demonstrations carried out by the Center for Medicare & Medicaid Innovation.

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How Medicare Budget Neutrality Impacts Hospice Payment

Hospice News

Medicare reimbursement is the lifeblood of hospice providers, and a clear understanding of policies like budget neutrality can help elucidate the payment systems that keep their businesses running. For example, CMS wouldn’t cut hospital payments to increase rates for hospices. These reductions occur within each service.

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Dr. Steven Landers: Hospice SFP Could Spread Misinformation About Quality

Hospice News

The soon-to-be-implemented hospice Special Focus Program (SFP) from the U.S. Centers for Medicare & Medicaid Services (CMS) could produce misinformation that could interfere with access to care. It might make them even fearful about hospice care, which is the last thing we want to see happen. The program, set to begin Jan.

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Federal Officials Call for Stronger Medicare Advantage Oversight

Hospice News

Congressional legislators are casting doubts on regulatory oversight of Medicare Advantage plans over concerns about spending, claims denials, and end-of-life care. Department of Health & Human Services Office of the Inspector General (OIG), the Medicare Payment Advisory Commission (MedPAC), and the Government Accountability Office.

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Hospice Advocacy Groups Ask Congress for Action on Proposed 2023 Medicare Rates

Hospice News

More than a dozen hospice advocacy groups have called on congressional leadership to intervene in a proposed 2.7% bump in Medicare payments, which they say is insufficient in light of COVID-19 and staffing headwinds. CMS in April released the 2023 proposed payment rule for hospice providers, including the 2.7%

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