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3 Strategies for Hospice GIP Compliance

Hospice News

GIP is used for acute symptom management that cannot be addressed in the home or other setting, according to Hold-Weiss. Operators may not provide that level of care in a home, hospice residential facility, assisted living or a long term care nursing home, she said.

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

Hospice News

Fielding room-and-board reimbursement for hospice patients in nursing home settings represents a significant challenge plaguing hospices, according to Stephen Phenneger, president and CFO of St. Croix Hospice. The intricacies of the billing process can often create bottlenecks that stymie revenue flow, he stated.

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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. Ensuring documentation around dually eligible beneficiaries is important when it comes to hospice patients based in skilled nursing facilities, she added.

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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. She refused.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. He’s been a hospice and nursing home director.

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

Hospice News

“They enrolled patients with long-term incurable diseases such as Alzheimers and dementia as well as patients with limited mental capacity who lived at group homes, nursing homes and in housing projects.” All told, Merida personnel submitted 47,000 claims for more than 9,000 patients, totalling $152 million.

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HopeHealth CMO: Hospice Rules for ‘Unrelated Care’ Getting Stricter

Hospice News

If they’re able to take it by mouth, we switch the medicines to oral and get them out to a nursing home or to a home. There is no nursing home in our state, and I’m not sure in the country, that will come in and give a patient 24 injectable medications. So it’s not really a useful document.

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