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This was always a career path I wanted to take, but the form of it coming in homehealth and hospice was not one I expected. Homehealth and hospice became a part of my career and Ive been able to advocate for other families to have the experiences that my family has had.
In the hospice and homehealth arena, what we are seeing is that there’s a little bit of a tilt to homehealth now over hospice, but you still have the private equity firms that have a very hospice heavy thesis, and they’re in their thought process.
Centers for Medicare & Medicaid Services (CMS) will be implementing a revised compliance survey process and has convened a Technical Expert Panel to develop a hospice Special Focus Program. Department of Health & Human Services Office of Inspector General (OIG) will conduct a national audit for patient eligibility.
Deal volume is definitely down this year over the past few record-setting years. It’s down a bit by about 10% – 11% in the first half of this year compared to the same period in 2021 as some of the investor focus shifts to homehealth. There was definitely a perfect storm the past couple years with hospice.
He previously served as president of the National Association for Home Care & Hospice (NAHC) for 38 years prior to its affiliation with the National Hospice and Palliative Care Organization (NHPCO) in 2023 and was heavily involved in the establishment of the Medicare Hospice Benefit. Its about going back to the basics.
HSPN: Can you talk a little bit about what kind of disruption could occur in the hospice industry, as a result of Medicare Advantage? Warren: I know many of you in the audience have homehealth organizations, you see the challenges that homehealth organizations face, from an M&A disruption. Are you not?
It took me 2 long months to get an understanding of the OASIS nursing note and another 2 weeks or so before I figured out how to speak the Medicare language. Every homehealth nurse needs to know the fundamentals of the OASIS nursing note. I know exactly how that feels!
We had a lot of this in homehealth, and now it’s hospice’s turn to be scrutinized. Documentation errors are definitely one of the top reasons why it brings regulatory attention to a hospice’s doorstep. This seems to go in waves. Ultimately, that results in clinician satisfaction and clinician retention.
It took me 2 long months to get an understanding of the OASIS nursing note and another 2 weeks or so before I figured out how to speak the “Medicare language”. A lot of what goes into writing your OASIS nursing note that speaks to Medicare and gets you paid is the FOUNDATION and road map. I know exactly how that feels!
And I entered homehealth 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 homehealth, palliative, and hospice, that really kind of sits in the home.
So it’s funny, like explaining what Oasis E is to someone who doesn’t understand homehealth gets really tricky, but in just making notes, like for this podcast, I kind of keyed the term, the data document. And if you work in homehealth, you know, that book backwards and forwards. That’s a lot of pages.
Michelle Cone ( 03:28 ): So, you know, at its most basic level, it really allows home care agencies to monitor and promote the quality of care that they provide to their clients with actual quantitative data. Now, for those of us in home care, you know, we know original Medicare is not a payer for us. We hear that all the time.
And then I transitioned to clinical education first at the local level, and then at, at a corporate level for a, uh, national, uh, homehealth company. Well, for anyone who is around in homehealth in 1998, <laugh> Dinosaur years, um, Medicare did one of its reimbursement cuts.
To place quantities to all of this text, the number of agencies providing homehealth care in the United States grew from 8,314 in 2005 to 12,613 in 2013 with Medicare expenditures for homehealth care services alone nearly doubling from 9.7 homehealth spending officially hit $102.2 billion in 2012.
To place quantities to all of this text, the number of agencies providing homehealth care in the United States grew from 8,314 in 2005 to 12,613 in 2013 with Medicare expenditures for homehealth care services alone nearly doubling from 9.7 homehealth spending officially hit $102.2 billion in 2012.
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