Hospice News

DECEMBER 10, 2024

The use of AI, for instance, has helped to reduce documentation redundancies and allow clinical teams to spend more time at the bedside a move improving both staff satisfaction and patient capacity. The company is currently taking a hard look at every aspect of its ongoing technology integration heading into next year, she stated.

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Hospice News

NOVEMBER 7, 2024

The Impact of AI on Hospice Operations AI’s impact on hospice care is accelerating, primarily due to its capacity to streamline processes and reduce the administrative workload for staff. A standout area where AI excels is automating administrative tasks like data entry, reporting and documentation.

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Hospice News

APRIL 24, 2023

Hospice care has historically been grounded in person-to-person communication without a heavy reliance on technology. However, drastically increased hospice utilization and the pandemic-driven adoption of technology across health care settings have transformed the landscape entirely.

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Hospice News

JUNE 17, 2022

One of the defining principles of hospice care is honoring the wishes of terminally ill patients. Now, with increasing frequency, a health care provider’s failure to honor those directives can lead to litigation or penalties by regulators. This can prevent or delay hospice care for individuals who chose to receive it. .

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Hospice News

JUNE 4, 2024

This can be a challenge, especially when it comes to documentation. This article will outline the top three strategies to drive compliance and audit preparedness in hospice care. If documentation is unreliable or simply not up to standard, hospices must be able to determine why. It takes time.

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Hospice News

NOVEMBER 16, 2023

The leading cause of these payments were inaccurate or incomplete documentation. In cases where documentation is missing or insufficient, payments may be labeled as ‘unknown’ since their propriety cannot be determined.”

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Hospice News

JUNE 14, 2024

Navigating compliance Calls are growing louder for increased hospice program integrity oversight. Earl Blumenauer (D-Oregon) is in the process of drafting the Hospice Care, Accountability, Reform and Enforcement (Hospice CARE) Act.

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Hospice News

SEPTEMBER 1, 2023

Care Alternatives’ violations were not just isolated incidents, but were part of a pattern of significant noncompliance,” according to court documents. Realtors have put forward ample evidence that Care Alternatives’ actual violations … were not ‘minor or insubstantial,” according to language in the court documents.

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Hospice News

SEPTEMBER 8, 2023

Tighter regulations are needed to ensure curb maleficence and skilled hospice care delivery, but ramping up compliance processes can be burdensome for staff, according to NVNA and Hospice CEO Renee McInnes, a registered nurse.

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Hospice News

JULY 17, 2023

Noridian will review Part A hospice claims that were filed during the calendar year 2021. The SMRC will notify hospices under review with a statement of reasons, request for documentation as well as informational resources. In 2022, the projected improper payment amount for hospice care is expected to be close to $2.9

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Hospice News

OCTOBER 5, 2023

While most agencies will never encounter a Targeted Probe and Educate (TPE) audit under the Centers for Medicare and Medicaid Services (CMS), prudent hospice care providers will understand the purpose and process of the TPE program in order to best prepare should they encounter an audit in the near or long term.

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Traditions Health

APRIL 15, 2024

There are also power of attorney (POA) documents, which give legal permission for someone to act on your behalf, ensuring you have a trusted person to make decisions for you when you’re not able to make them yourself. Find more resources to help you in your home, health, hospice, or palliative care journey.

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Hospice News

FEBRUARY 2, 2024

Utilization continuous home care has dropped precipitously during the past decade, with labor pressures, regulatory scrutiny and billing challenges as contributing factors. Continuous home care (CHC) represented 0.9% of hospice care days during 2022, according to the National Hospice and Palliative Care Organization (NHPCO).

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Hospice News

JULY 30, 2024

The final rule adopts and implements HOPE’s patient-level data collection tool, which gathers quality insights across multiple points through a hospice stay including admission and discharge.

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Hospice News

OCTOBER 23, 2023

Croix’s new wound care team will provide specialty care planning, treatment and clinical documentation. They can also provide wound care to patients in facilities as well as family caregivers. “Chronic wound care is all about managing pain and addressing symptoms,” said Cogswell. ” The post St.

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Hospice News

NOVEMBER 27, 2023

Hospice providers are leveraging technology to build greater efficiency into their workflows and, in turn, aid with recruitment and retention. Providers have increasingly sought methods for streamlining clinical teams’ administrative tasks, for instance, including time spent on documentation.

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Hospice News

SEPTEMBER 8, 2023

The health care system, in both private and public settings, that is engaged with financing, managing, and providing palliative and hospice care must directly address the issue of racism, discrimination, and disparities, particularly among marginalized underserved non-Hispanic Blacks,” authors stated in the study.

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Hospice News

APRIL 12, 2024

“This discrepancy has resulted in significant confusion, and NHPCO has advocated for a need to align the federal hospice regulations regarding certification,” Harrison and Simmons said in a joint email. “To Compliance on certification and associated documentation is crucial.

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Hospice News

JULY 21, 2023

Kelly Grahovac, general manager ,The Van Halem Group As utilization climbs, so does the amount of dollars CMS spends on hospice care, spurring agencies to step up enforcement in an effort to control costs. Medicare hospice expenditures rise by about $1 billion annually, according to CMS.

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Hospice News

OCTOBER 10, 2024

Cameron Muir has been named as the new CMO of the National Partnership for Healthcare and Hospice Innovation (NPHI). His new title signals the organization’s strategic plans to reshape hospice care delivery through patient-centered, innovative approaches, according to NPHI CEO Tom Koutsoumpas. “We

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Hospice News

JULY 8, 2024

Additionally, hospice providers have also integrated various electronic medical record (EMR) systems that build operational efficiencies and create standardized processes that have helped improve compliance.

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Hospice News

SEPTEMBER 29, 2023

She lost her appetite, isolated herself and stopped sleeping because she feared she would never wake up, court document s show. Roughly 70% to 85% of Merida’s patients were ineligible for the hospice care they received, according to prosecutors. Of that amount, Merida actually received $124 million.

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Hospice News

SEPTEMBER 20, 2024

Percolating to the top is greater attention to hospice care delivered to patients in skilled nursing facilities, Pekarske stated. Auditors are carefully examining the claims associated with these services, particularly around room-and-board payments for hospice patients, which can represent significant health care costs.

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Hospice News

AUGUST 24, 2023

Hospice regulation has taken a winding path in recent years, representing both a push and pull in terms of quality hospice care delivery, according to William Dombi, president of the National Association for Home Care & Hospice (NAHC).

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Hospice News

MARCH 13, 2023

OIG alleged in a recent report that Summit Hospice violated the False Claims Act (FCA) by submitting claims to Medicare and Medicaid for non-covered hospice services. Attorney for the District of Utah, indicated in a statement that Summit Hospice submitted claims that “lacked documentation of a terminal illness to qualify for services.”

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Hospice News

NOVEMBER 2, 2023

Caris Healthcare provides adult and pediatric hospice care to more than 40,000 patients and families across 28 locations in Georgia, Missouri, South Carolina, Tennessee and Virginia. Additional services include palliative care, a veterans program and care coordination.

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Hospice News

JANUARY 3, 2023

It would have prohibited the establishment of for-profit hospices in New York state and forbid current for-profit operators from increasing capacity. . Data suggest that hospice care is underutilized in New York compared to other states, straining other elements of the health care system,” Hochul wrote in her veto.

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Hospice News

JULY 13, 2022

The statute prohibits the exchange of anything of value, or incentives that reward business referrals for services that are reimbursable by federal health care programs. FCA cases most commonly center around questions of a patient’s eligibility for hospice care based on a six-month terminal prognosis, an area that the U.S.

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Hospice News

AUGUST 25, 2022

We have plans to expand the SIC MOC to other medical specialties, like cardiology, nephrology, and pulmonary/critical care medicine. The SIC MOC teaches these specialist teams a systematic approach to eliciting and documenting seriously ill patients’ values and goals.”.

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Hospice News

MARCH 29, 2023

Nevertheless, longer stays continue to trigger regulatory audits and additional documentation requests. But perhaps ironically, patients with longer hospice stays may ultimately save payers more money due to reductions in high acuity and other aggressive forms of care in a patients’ final year of life. billion annually — a 3.1%

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Hospice News

MARCH 26, 2025

Its a yin and yang of those things that keep hospices up at night and also wake them up in the morning. Its seeing the promise of hospice care being realized, and seeing the greater focus on an expansion in the definition of palliative services as being exciting, positive things coming about. The third thing is management.

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Hospice News

OCTOBER 18, 2022

Supreme Court has rejected a petition to hear a False Claims Act (FCA) and anti-kickback case brought against Georgia-Based Bethany Hospice & Palliative Care LLC. FCA cases often hinge on the question of patient eligibility for hospice care based on a six-month terminal prognosis, often involving a qui tam complaint.

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Hospice News

APRIL 24, 2023

As the hospice landscape shifts and hospice care is delivered more widely, another care type has made entry into the conversation: palliative care.

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Hospice News

FEBRUARY 13, 2024

Employee feedback has most commonly centered around the importance of understanding the nature of hospice care and the interdisciplinary components involved, Psaras stated. For example, some clinicians may lack the communication skills needed to discuss goals of care at the end of life, she said.

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Hospice News

AUGUST 25, 2022

When considering a sale, hospices should anticipate scrutiny across the board — and be ready with data and documentation to back their decisions, according to Carrie Uebel, vice president and chief ethics and compliance officer at Compassus. Buyers want to make deals that won’t put them at legal or financial risk.

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Hospice News

NOVEMBER 27, 2023

Person-centered care is becoming increasingly important in all care settings, as the Centers for Medicare and Medicaid Services continues to prioritize value-based care and individual care outcomes. What is person-centered care? These span culture, training and communication, to name a few.

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Hospice News

JUNE 2, 2022

A third hospice FCA case, involving Molina Healthcare, has also been referred to the Supreme Court over questions of particularity. These cases often hinge on the question of patient eligibility for hospice care based on a six-month terminal prognosis, and typically involve a qui tam complaint.

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