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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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Long-Term Care Nurse Fired for Not Falsifying Documentation

Nurse.com

A long-term care nurse shared that her facility was accused of negligence in failing to use bed rails properly to prevent residents from falling out of bed. . The RN did the assessment and documented her results. The administrator had another RN change the documentation done initially by the RN in question.

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HSPN ELEVATE: The Common Thread Linking Documentation, Satisfaction, and Revenue Protection

Hospice News

Hospice News: Today we will talk about threads of clinical documentation and satisfaction and also revenue protection. Here’s an area that you missed from a documentation perspective where you could get dinged by CMS for not documenting it, either this element or this way.” One example is a CTI. They love doing it.

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3 Strategies for Hospice GIP Compliance

Hospice News

Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules. If GIP billing exceeds that metric, the hospice must refund those payments to Medicare.

Hospice 291
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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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Regulatory Focus in Hospice Giving Buyers Pause in M&A Deals

Hospice News

A leading cause of fraud involves hospices billing Medicare for services for which patients were not eligible, according to a 2021 report from Bass, Berry, & Sims. Some hospices have already begun seeing penalties from a rise in UPIC audit activity, including reimbursement suspensions or Medicare claim repayments.

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

Hospice News

Oftentimes, we say the hospital, but the hospital also manages the home care and the long term care. Typically, that is somebody from the health care community who’s leading the charge and is the coordinator or the team. For example, who’s doing advanced care planning? Who is aware of it?