Hospice News

OCTOBER 22, 2024

The cap is designed to prevent overuse of hospice, put controls on Medicare spending and foster greater access to care among patients. Centers for Medicare & Medicaid Services set the cap at $33,394. If a hospice has a cap liability, they will have to repay that amount to Medicare. For Fiscal Year 2024, the U.S.

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Hospice News

JANUARY 2, 2024

Audits audits by Medicare Administrative Contractors (MACs) have proliferated during the past two years, including Targeted Probe and Educate (TPE) audits, as well as those by Unified Program Integrity Contractors (UPIC), Supplemental Medical Review Contractors (SMRC) and Recovery Audit Contractors (RAC). Hospices received nearly 5.4%

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Hospice News

OCTOBER 20, 2022

SCAN Health Plan is among the Medicare Advantage (MA) payers entering the hospice component of the value-based insurance design (VBID) payment demonstration in 2023. The four-year program — often called the Medicare Advantage hospice carve-in — launched Jan. This number grew to 115 in 2022.

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Hospice News

JANUARY 18, 2023

NASDAQ: AMED) is seeing glimmers of improvement on the labor pressures that contributed to uneven earnings performance during 2022. The labor shortage was the main culprit behind the capacity contraints that plagued Amedisys and many other providers during 2022. Amedisys, Inc. Pre-pandemic, the baseline rate hovered around 25%.

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Hospice News

NOVEMBER 8, 2022

The company reduced its guidance for calendar year 2022 in the wake of falling hospice lengths of stay, rising wages, the return of Medicare sequestration, and a slower rate of census growth than executives had anticipated. But executives indicated that they would be back on the hunt during the second half of 2022 and into 2023. . “We’ve

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Hospice News

MARCH 7, 2023

Centers for Medicare & Medicaid Services (CMS) contracts UPICs to investigate instances of suspected fraud, waste and abuse. For example, UPIC contractors conducted “substantially more Medicare fee-for-service program integrity work” that year compared to those for state Medicaid programs. Stakes around UPICs The U.S.

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Hospice News

OCTOBER 4, 2024

The issue first gained attention in 2022 in California, but stakeholders have also raised concerns about providers in Nevada, Arizona and Texas. Hospice News sat down with Jingle to talk about how these concerns are presenting themselves in her markets, how regulators should respond and the benefits of engaging with policymakers.

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Hospice News

SEPTEMBER 22, 2023

The four largest hospice industry organizations have been working to present a united front to address widespread program integrity issues. Coming together to combat fraud Beginning in 2022, NHPCO, NAHC, NPHI and LeadingAge began issuing a series of joint statements calling attention to the problem and proposing solutions.

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Hospice News

SEPTEMBER 14, 2022

However, we will maintain a nimble approach to M&A and explore all high-quality opportunities that present.”. The new transaction is Agape’s third during 2022, following the acquisitions of Georgia-based Lanier Hospice in July and Hospice of the Carolina Foothills in May. GHC will not rebrand in the near term.

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Hospice News

JANUARY 19, 2023

Centers for Medicare & Medicaid Services (CMS) to make regulatory and legislative changes to instill stronger program integrity safeguards. We have recently joined forces with other voices in hospice to present a list of program integrity measures that can be considered.”

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Hospice News

MAY 24, 2023

About a dozen states across the nation incorporate adult or pediatric specialized palliative care service benefits into their Medicaid programs, according to a 2022 report from the Texas Health and Human Services Department. These are often offered as part of specialized managed care programs. It’s a lot of complex needs.”

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Hospice News

APRIL 24, 2023

However, unlike hospice services, which have a distinct payment model supported by the Centers for Medicare and Medicaid Services (CMS), palliative care has less established infrastructure for delivery. The shift does present challenges, however. There needed to be something special and differentiated.”

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Hospice News

NOVEMBER 21, 2023

The concept of death literacy comes from a Lancet Commission report in February 2022. I recently asked one oncologist what he thinks about palliative care, and he said, “I sort of look at my role with the patient is to present the glass half full, meaning treatment. People think of Medicare as an insurance product.

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Hospice News

DECEMBER 13, 2022

Centers for Medicare & Medicaid Services (CMS) to examine the issue and to consider actions like targeted moratoria on licenses. In development for subsequent years is a Special Focus Program (SFP) with a range of enforcement powers up to and including civil monetary penalties and revocation of Medicare certification, among others.

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Hospice News

OCTOBER 15, 2024

The Hospice CARE Act has a “long road ahead” before enactment, but its introduction presents both significant challenges and opportunities for hospice providers, said Ethan McChesney, policy director at the National Partnership for Healthcare and Hospice Innovation (NPHI). “The

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Hospice News

AUGUST 7, 2023

Insurance companies and Medicare are also starting to recognize the cost savings and improved patient outcomes the clinics can provide. “I This reality presents a valuable opportunity for palliative care to directly support patients by focusing on their lifestyle and goals.” In May 2022, Sen. Tammy Baldwin (D-Wis.),

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Hospice News

JUNE 27, 2024

Recent evidence indicates that more of these providers are being enrolled in Medicare despite the U.S. Centers for Medicare & Medicaid Services’ (CMS) efforts to date on curbing fraud and abuse. revived PCHETA in 2022 and again in July 2023, but the bill has yet to pass. Tammy Baldwin (D-Wisc.)

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Hospice News

JANUARY 19, 2023

billion in 2022, a report from ResearchandMarkets estimated. Basically, there are gaps in need, and that both presents an opportunity for entrepreneurship and social entrepreneurship. The hospice market is expected to nearly double in the next decade, reaching $64.7 billion in 2030 from $34.5 billion by 2029, a rise from $76.44

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Hospice News

NOVEMBER 27, 2023

The findings were presented at the annual American Society of Clinical Oncology (ASCO) Quality Care Symposium in Boston. They determined accessibility by comparing these records with data on the locations of Medicare-certified physicians who specialize in hospice and palliative care. Health outcomes are unequal. The post U.S.

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Daily Nurse

APRIL 24, 2023

According to “The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition,” claims again nurse practitioners (NPs) are rising. NSO’s & CNA’s report entitled, The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition , revealed that aging services claims increased from 17.2

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Hospice News

APRIL 4, 2024

Collaborations with participants in the Centers for Medicare & Medicaid Innovation’s (CMMI) Accountable Care Organization (ACO) Primary Care Flex demo could allow hospices to leverage their skill sets to access more patients. If they are not already participating, ACOs will also have to apply to the Medicare Shared Savings Program (MSSP).

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Rehab Realities by Renee Kinder

NOVEMBER 10, 2022

Medicare has released the calendar year 2023 final rule related to Medicare Part B, which is impacted by the physician fee schedule and determines rates and coding updates for your rehab providers. to the CY 2022 PFS conversion factor of $34.61. Renee Kinder. It’s that time of year again! Telehealth services.

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Hospice News

JANUARY 31, 2024

The nonprofit’s pediatric program grew its capacity to 120 patients in 2022, a rise from a previous census volume of 40. Most PACE participants are reimbursed through the long-term care programs within Medicare and Medicaid, according to Black. The nonprofit hospice is part of senior living and health care organization Goodwin Living.

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Pallimed

SEPTEMBER 12, 2022

We also explore additional COIs from the 2016 Guideline’s creation group before the final release of the updated CDC 2022 Clinical Practice Guideline on Prescribing Opioids for pain, hereafter the 2022 Draft Guideline (6,7). The HHS Draft Report on Pain Management Best Practices quietly faded into obscurity. opioid policy.

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Home Care Pulse

NOVEMBER 22, 2022

6: The State of Training in 2022 During a 10-minute online survey, agencies were asked to share more about their challenges, successes, and future goals around their employee training programs. Between July 27th and August 19th, 2022, HCP conducted a survey targeting agencies who provide in-home care services. So I was let go.

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Minority Nurse

OCTOBER 7, 2022

We learned that organizational system issues were present and acknowledged, yet RaDonda was held individually accountable, prosecuted, and convicted. Institute for Safe Medical Practices, 2022). Rodziewicz, Houseman, and Hipskind, 2022). Department of Health and Human Services, Centers for Medicare and Medicaid.

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Home Care Pulse

APRIL 7, 2022

By federal law, the caregiver benefits you are required to offer to full-time employees are: Social Security, Medicare, and Federal Insurance Contributions Act (FICA). When you’re feeling the pressure of a caregiver shortage, it can be tempting to present an idealized view of caregiving. Unemployment insurance.

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Minority Nurse

MAY 19, 2023

These same nurse-to-patient ratios were included in the AWHONN nurse staffing standards published in 2022. Adherence to guidelines was particularly high for specific stages of labor, including a nurse being continuously present at the bedside during second-stage labor (93.3%) and one-on-one care during epidural initiation (84.1%).

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Home Care Pulse

APRIL 26, 2022

B oth the Centers for Medicare and Medicaid Services (CMS) and the Health and Human Services Office of Inspector General (OIG) are charged with preventing fraud and abuse related to federal healthcare spending. Michah’s Story Begins: It is January 2022, and hospice agencies are still struggling to provide care in the midst of a pandemic.

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NHPCO

OCTOBER 5, 2023

During the conference at the National Hospice Foundation’s 2023 Gala, NHPCO honored the outstanding contributions of Judi Lund Person and Norman McRae to the community by presenting each of them with the Galen Miller Leadership Award. He presently serves on the NHPCO Board as Immediate Past Chair.

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Hospice News

DECEMBER 5, 2022

My clinical experiences have been foundational to my growth, but my aging health policy experience with the Centers for Medicare & Medicaid Services, and my time with The California Endowment were equally important. Finish this sentence: “The top strategy that care providers should employ in 2022 to best prepare for 2023 is…?”.

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Healthcare Law Insights blog

MARCH 25, 2022

On March 23, 2022, the Occupational Safety and Health Administration (OSHA) published a notice in the federal register announcing a limited re-opening of the comment period regarding OSHA’s final standard to protect healthcare and healthcare support service workers from occupational exposure to COVID-19. Contact us.

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Healthcare Law Insights blog

MARCH 13, 2024

Current Vulnerability of Healthcare Data While 44 million people were affected by breaches of healthcare information in 2022, that number ballooned in 2023 as hackers and other cybercriminals have grown more sophisticated in their attacks.

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Home Care Pulse

AUGUST 16, 2022

And I entered home health pretty quickly as a young therapist and realized, oh my gosh, what a magnificent line of service that was really as best kept secret in the Medicare world. And then if you think underneath that, there’s Medicare certified home health, palliative, and hospice, that really kind of sits in the home.

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Minority Nurse

SEPTEMBER 30, 2024

Non-compliance results in hefty fines of up to $1 million per violation, as enforced by the Office of the Inspector General (OIG)​ ( Centers for Medicare & Medicaid Services )​​. Consequently, we’ve seen widespread adoption of these patient portals that most of us now regularly use.

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Rehab Realities by Renee Kinder

MARCH 31, 2022

To begin, as noted by the AMA, digital medicine presents an opportunity to improve access and to offer cost-effective medical care to a large swath of patients with varied needs. Medicare still currently considers these codes to be non-covered. Background on DMPAG and impact of CPT coding. See a theme here?

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The Productive Home Health Nurse

SEPTEMBER 23, 2021

Provides you with awareness of your areas, aspects, or situations you need to change in order to protect your healthy, positive space and well being ( so you can do your best to always present the best version of you to those you love as well as your patients ). for those you choose to prioritize, and yourself.

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