Hospice News

APRIL 12, 2024

Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. However, federal regulations are inconsistent as to which physicians can certify a patient as being terminally ill under Medicare.”

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2025 Medical director Hospice Document 280

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 care Hospice Article Document 246

Hospice News

NOVEMBER 20, 2023

Though hospices are required to offer all four levels of care, more than half did not provide a single day of GIP during 2022, according to the U.S. Centers for Medicare & Medicaid Services (CMS). of hospice care days in 2013, CMS reported. Utilization overall has been declining. GIP represented 1.8%

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2013 Hospice Document Medicare 276

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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Resuscitation Document 2017 2019 307

Hospice News

MAY 16, 2024

Hospices that fail to shed a brighter light on their quality outcomes and staff training could avoid being left in the dark about their future compliance risks as new standards take shape in the forthcoming Hospice Outcomes and Patient Evaluation Tool (HOPE) tool.

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Hospice Document 2025 Medicare 291

Hospice News

JULY 30, 2024

Centers for Medicare & Medicaid Services (CMS) has unveiled its final 2025 hospice rule, which includes a 2.9% The increase represents an estimated $790 million rise in total hospice payments compared to Fiscal Year (FY) 2024. increase in per diem payments alongside new quality reporting measures.

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2025 Hospice 2024 Medicare 307

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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Home care 2013 Document Medicare 265

Hospice News

SEPTEMBER 17, 2024

Centers for Medicare & Medicaid Services (CMS) has released its first draft guidance manual for implementing the Hospice Outcomes and Patient Evaluation (HOPE) tool. The tool is slated for an October 2025 implementation, according to the agency’s 2025 final hospice rule. The document contains introductory material.

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2025 Hospice Medicare Document 300

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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Document Medicare Article Information 264

Hospice News

JULY 17, 2023

Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. CMS internal data has identified a potential area of vulnerability beginning with the second benefit period, or 91st day in hospice,” Noridian indicated in an announcement.

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Document Hospice Medicare 2021 246

Hospice News

JUNE 14, 2024

Fraudsters have bilked Medicare for millions, with some cases resulting in criminal charges and even imprisonment. Navigating compliance Calls are growing louder for increased hospice program integrity oversight. The fraudulent activity has involved the enrollment of ineligible patients, often without their knowledge or consent.

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Hospice Document Palliative care Grief 289

Hospice News

SEPTEMBER 20, 2024

Centers for Medicare & Medicaid Services (CMS) contracts UPICs to investigate instances of suspected fraud, waste and abuse. Percolating to the top is greater attention to hospice care delivered to patients in skilled nursing facilities, Pekarske stated. We’ve found flaws in how they assemble the [claims] universe.”

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Hospice Medicare Document Nursing home 291

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 Medicare Palliative care Palliate 296

Hospice News

APRIL 8, 2024

Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit.

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Hospice 2025 Palliative care Medicare 290

Hospice News

JUNE 4, 2024

The mechanics vary but the end result is the same: hospices getting paid for services they either did not provide, provided at a substandard level or had no authority to provide at all. This can be a challenge, especially when it comes to documentation. To fix that, hospices have to go deeper.

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Homecare Hospice Document 2024 265

Hospice News

OCTOBER 24, 2024

Hospice News spoke with c-suite executives who have recently stepped into their roles to learn more about what led them to the space and their top priorities. Regulatory challenges are among hospice leaders’ most significant concerns. We’re seeing a fair bit of variability in how different agencies approach documentation audits.

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Hospice Medicare End-of-life care Social worker 291

Hospice News

SEPTEMBER 8, 2023

California is among the states that have become hotbeds for fraud, including a swath of providers that were starting hospices just to flip the licenses. Centers for Medicare & Medicaid Services (CMS) honed in on hospice program integrity through a number of new regulations, including some in the agency’s 2024 hospice final rule.

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Hospice Document 2024 Registered Nurse 265

Hospice News

SEPTEMBER 1, 2023

Department of Justice (DOJ) is pursuing a qui tam lawsuit against Care Alternatives Inc., Four former employees of Care Alternatives have alleged that the New Jersey-based company billed Medicare for hospice services when patients were not eligible to receive them. The lawsuit was filed in the third circuit U.S.

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2009 Document 2008 2021 262

Hospice News

JULY 21, 2023

As federal regulators intensify their focus on hospices, operators may begin seeing an influx of Recovery Audit Contractor (RAC) activity. Centers for Medicare & Medicaid Services (CMS) contracts with RACs to conduct post-payment reviews designed to recover any funds that may have been overspent.

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Hospice 2019 Document Medicare 246

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. On Wednesday, the U.S.

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2024 Hospice Document Medicare 264

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. Centers for Medicare & Medicaid Services (CMS). Were in a better place going into 2025. Nine other de novos are also on the horizon.

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2025 Hospice 2022 Medicare 279

Hospice News

FEBRUARY 8, 2024

For example, data gathered from predictive analytics systems can give hospices an advantage when it comes to performance on measures like Hospice Visits in the Last Days of Life (HVLDL) and the Hospice Care Index (HCI), as well as predicting when patients become hospice eligible or will be in need to home health or palliative care services.

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2007 Hospice 2023 Palliative care 279

Hospice News

NOVEMBER 12, 2024

Cancer has been one of the most common conditions among patients since the Medicare Hospice Benefit was established roughly 40 years ago. Alongside these have come regulatory changes and clinical capacity constraints, creating a difficult landscape for interdisciplinary hospice care teams, Mayo stated.

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Hospice 2014 End-of-life care Document 265

Hospice News

MARCH 29, 2023

“For a hospice administrator or executive, you really have to be very focused on your length of stay data,” Young told Hospice News in a recent Elevate podcast episode. Are you in an outlier scenario with your data that Medicare contractors are looking at? Centers for Medicare & Medicaid Services (CMS) and the U.S.

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Hospice Medicare 2013 2020 279

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. 1, 2018, Summit Hospice billed both Medicare and Medicaid for hospice services that were not medically necessary to patients who were not terminally ill.

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Hospice 2018 2021 Medicare 245

Hospice News

AUGUST 24, 2023

Increased hospice oversight aimed at curbing fraud in the industry could come with a mixed bag of financial and operational impacts for providers. Centers for Medicare & Medicaid Services (CMS) has honed in on hospice program integrity, rolling out a swath of new measures to reduce fraud, waste and abuse in the space.

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Hospice Document 2012 2016 246

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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Medical director Hospice 2019 Hospice companies 287

Hospice News

JUNE 5, 2024

“I always get agencies that ask me to swap patients with them,” a hospice CEO said. Centers for Medicare & Medicaid Services (CMS) has introduced a series of new regulations to combat fraud during the past two years. Medicare claims data shows that 102 newly enrolled hospices entered California in 2023.

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Hospice Informed consent Medicare 2023 291

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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2016 Magazine Document Palliate 264

Hospice News

JUNE 13, 2023

Department of Justice (DOJ) is prioritizing hospice as the agency cracks down on health care fraud. DOJ counts hospice claims among the root causes of rising Medicare costs in recent years, according to Lisa Miller, deputy assistant attorney general overseeing the department’s Crime Fraud Section. million.

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Hospice 2009 Medicare 2012 263

Hospice News

JUNE 22, 2023

SEIU analyzed Medicare claims data showing that the average hospice transfer rate among HCA hospital discharges was nearly 40% above the national average in 2021 and represented a 50% growth rate over four years. For one, hospice utilization has been on a steady upswing nationally for several years. told Hospice News.

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Healthcare Hospice Medicare 2021 264

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 2002 Bereavement 2019 291

Hospice News

DECEMBER 14, 2023

Research around hospice care has come a long way. But data gaps exist when it comes to expanding understanding of some aspects of end-of-life care delivery. A range of researchers has amassed a growing base of data on hospice, with some common themes tied to quality outcomes, costs, length of stay and general inpatient care.

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Hospice Palliative care Palliate Medicare 279

Hospice News

AUGUST 25, 2022

Despite slowed intensity thus far in 2022 compared to previous years, the hospice sector has “remained active” and “still outpaces” other markets in health care, according to a recent report from Bass Berry & Sims. Regulators have kept a close watch on hospice deals as merger and acquisition activity swells in the space.

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Hospice Medical director Medicare Assisted living 313

Hospice News

JULY 13, 2022

In some cases, hospice leaders have been arrested for their roles, received several years or decades of prison sentences , or they have been barred from practicing all together. 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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Document Medical director Medicare Hospice 246

Hospice News

JANUARY 17, 2024

Among the signatories were 63 hospice and palliative care providers across the country, 14 state hospice and palliative associations, the National Hospice and Palliative Care Organization (NHPCO) and the health care technology company Axxess.

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Hospice Palliative care End-of-life care 2008 291

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. We knew that what they had at their disposal from a hospice perspective wasn’t enough for palliative care.

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Palliative care Palliate Hospice Medicare 265