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Top 5 things therapists should know about the Medicare Physician Fee Schedule final rule for 2025

Rehab Realities by Renee Kinder

The Medicare Physician Fee Schedule (MPFS) is the system through which the Centers for Medicare & Medicaid Services determines payment rates for services provided by physicians and other healthcare professionals. This year’s Medicare Physician Fee Schedule rule was released last Friday (Nov.

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CMS: Nearly 400 Hospices Considered for ‘Administrative Action’ as Program Integrity Efforts Heat Up

Hospice News

Centers for Medicare & Medicaid Services (CMS) is considering administrative action against 400 hospices, which could include revocation of their Medicare certification. As part of this strategy, CMS embarked on a nationwide hospice site visit project, making unannounced site visits to every Medicare-enrolled hospice.

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CMS: Hospice Recertification Via Telehealth Ends With COVID PHE

Hospice News

Centers for Medicare & Medicaid Services (CMS) has reiterated that the agency will not allow hospices to recertify patients after the COVID-19 public health emergency expires. . Face-to-face encounters for purposes of patient recertification for the Medicare hospice benefit can now be conducted via telehealth (i.e.,

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Medicare Open Enrollment Period Is Here!

Elder Care Matters

Are you prepared for the Medicare Open Enrollment period? This annual window, which runs from October 15th to December 7th, allows you to make changes to your Medicare coverage. In this blog, we’ll break down the key aspects of the Medicare Open… The post Medicare Open Enrollment Period Is Here!

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Congress Grills HHS on Hospice Program Integrity

Hospice News

Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. Investigations have shown that potentially hundreds of newly licensed hospices have bilked Medicare of millions of dollars during the past several years, all while providing egregiously poor care or none at all.

2010 265
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Appellate Ruling in Care Alternatives FCA Case May Set New Precedent

Hospice News

The litigation first arose in 2008 when four former employees of Care Alternatives filed a qui tam complaint alleging that the New Jersey-based company billed Medicare for hospice services when patients were not eligible to receive them. The current appellate case seeks to overturn that ruling.

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OIG Rolls Provider Relief Fund Audits for Hospices

Hospice News

OIG is currently reviewing payments released during Phase 1 of the PRF, which distributed roughly $50 billion to Medicare-certified providers in 2020. Hospices are not being singled out by these OIG PRF audits,” Young stated in a blog. The OIG expects to publish additional findings during FY 2023).

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