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Hospice Execs: Medicaid Reform Needed for Better Grip on Hospice RCM

Hospice News

Hospices are traversing complex revenue cycle management processes that can hinder their ability to thrive amid growing demand, rising economic pressures and a complex regulatory environment. Croix Hospice. When you talk to hospice operators thats a real challenge in managing their back office.

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New Red Flags Emerge in Hospice UPIC Auditing

Hospice News

Unified Program Integrity Contractor (UPIC) auditors are taking a sharper look at nursing home room-and-board for hospice patients. Hospices have increasingly faced more regulatory scrutiny in recent years amid rising program integrity concerns, including ramped up UPIC audits , among various others.

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AGG, New Day’s Bill Dombi: Hospices’ ‘Vibrant Evolutionary Path’ Spurs Legal Growing Pains 

Hospice News

Todays hospice landscape is reaching a pivotal point of evolutionary growth that has come with increased oversight as regulators seek to curb fraudulent activity in the space, according to Bill Dombi, senior counsel for the law firm Arnall Golden Gregory (AGG). What are the leading legal concerns facing hospice providers right now?

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Hospice Medical Director Receives 50-Month Prison Sentence for $150M Fraud

Hospice News

A federal judge has sentenced Jesus Virlar-Cadena, formerly a medical director for the Texas-based hospice company Merida Group, to 50 months in prison for his role in a $152 million scheme. Evidence at the trial showed that the Merida Group marketed their hospice programs through a group of companies,” the U.S.

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Hospice Length of Stay: Balancing Patient Needs Against Regulatory Compliance

Hospice News

Though evidence shows that longer hospice stays reduce costs, providers are still walking a regulatory tightrope. On one hand, longer hospice stays can lead to improved patient and family satisfaction and greater cost saving opportunities. Young told Hospice News. Centers for Medicare & Medicaid Services (CMS) and the U.S.

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Medicare Claims for Unrelated Services Put Hospices at Risk

Hospice News

Medicare claims for unrelated services creates serious financial and legal risks for hospice providers — even if they are not the ones who sent the bill. During recent years, payouts for non-hospice services provided to Medicare beneficiaries have tipped into the billions. Centers for Medicare & Medicaid Services (CMS).

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Stratis Health Builds Framework for Expanding Rural Community-Based Palliative Care

Hospice News

Hospice News spoke with Karla Weng, senior program manager for Stratis Health, about how health care providers and other stakeholders serving rural communities can come together to better serve their patients and clients. Hospice is often not available. Oftentimes it’s either combination of home visits and telephonic services.