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Inside the Medicare Advantage Reform Act

Hospice News

A bill currently before Congress seeks to overhaul aspects of the Medicare Advantage program. recently introduced the Medicare Advantage Reform Act. 3467, would make wholesale changes to the Medicare Advantage (MA). Hospice is currently carved out of Medicare Advantage. David Schweikert (R-Ariz.) Beginning Jan.

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California Hospice Physician Sues CMS, HHS Over Fraud Allegations

Hospice News

Centers for Medicare & Medicaid Services (CMS) in response to fraud allegations that have resulted in licensure and billing privilege revocation. court documents stated. District Court for the Central Division of California to allow for continued Medicare licensure until the fraud dispute is resolved through the U.S.

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CMS to Surveyors: Keep Eyes Open for Hospice Fraud

Hospice News

Centers for Medicare & Medicaid Services (CMS) has issued a memo to accreditation bodies and state agencies advising surveyors to watch out for potential hospice fraud. CMS said that reviewing certain documents and information that identify key managers, services and locations is “essential.”

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Hospices Traverse the ‘New Twists’ in Increasingly Complex Auditing Processes

Hospice News

Auditors are raising new questions around two common issues in hospices Medicare claims documentation supporting patient eligibility and the physician narrative. Centers for Medicare & Medicaid Services (CMS), he indicated. For the physician, they need to understand the perspective of who they are documenting for.

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Medicare Making Fewer Improper Payments to Hospices

Hospice News

Medicare fee-for-service programs made $31.23 of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S. The leading cause of these payments were inaccurate or incomplete documentation. The post Medicare Making Fewer Improper Payments to Hospices appeared first on Hospice News.

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Under the Radar Challenges for Hospice Nurses

Hospice News

A great deal of time, effort and education goes into understanding clinical documentation requirements and hospice regulations, he indicated. Nurses receive ongoing training around the compliance standards and ways to ensure solid documentation. What were noticing right now is documentation and regulatory burden, Cox told Hospice News.

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Hospice Attorneys: Regulatory Deck Stacked Against New Amid ‘Wide Net’ of Oversight

Hospice News

Centers for Medicare and Medicaid Services (CMS) regulatory oversight approach could potentially put some new hospices out of business, according to Bryan Nowicki, partner at the law firm Husch Blackwell. The risks include potential revocation of Medicare privileges and licensure and termination of the hospices provider number.

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