article thumbnail

California Hospice Physician Sues CMS, HHS Over Fraud Allegations

Hospice News

Rami Moustafa Shaarawy recently filed a civil action lawsuit against HHS, CMS and Noridian Healthcare Solutions LLC, seeking to prevent termination of his physician billing privileges following Medicare fraud risk allegations presented by an independent contractor. court documents stated.

Hospice 257
article thumbnail

How Health System Palliative Providers Can Leverage Data to Gain More Resources

Hospice News

Other issues included misconceptions about palliative care, a lack of effective communication and documentation in the health care system and staffing shortages. I wanted to find that, because when you go then to a CMO or CEO and say ‘I want another physician in palliative care,’ I can then tell them, this is what you told us.

Palliate 243
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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.

Document 246
article thumbnail

OIG: Dedicated Leadership Key to Effective Hospice Compliance

Hospice News

It’s not required,” Jillian Sparks, attorney at the OIG’s Industry Guidance Branch, said during a presentation at the National Hospice and Palliative Care Organization’s Annual Leadership Conference.

Hospice 204
article thumbnail

How Palliative Care Can Better Support Transplant Patients’ Caregivers

Hospice News

Most transplant centers require that a caregiver be present and available to patients in order for them to be considered for a transplant, Montoya told Palliative Care News. Nearly half (40%) of transplant centers either lack procedures, or are unaware of documentation processes for assessing caregiver needs.

article thumbnail

3 Strategies for Hospice GIP Compliance

Hospice News

Effective documentation The importance of complete and accurate documentation cannot be overstated. Errors and omissions in clinical documentation are the leading cause of audit and survey deficiencies, as well as claims denials when it comes to GIP. In addition to these routine MAC audits, the U.S.

Hospice 290
article thumbnail

Partners in Care Sues HHS Over Claims Denials

Hospice News

Partners in Care supplied OIG with the requested documents, amounting to thousands of pages, according to court documents. Mitchell Cox, that according to court documents identified “numerous flaws” in the OIG’s sampling and extrapolation methodology. The audit examined medical and billing records for 100 patients from Jan.

Document 264