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Hospice Insider

Lawsuits:
Lawsuit Over Cap Calculations Appears Headed To Federal Court
As expected, PRRB sides with CMS over including sequestered funds in cap methodology. Hos... Read more
Per Beneficiary Cap:
Medicare Presents A Convincing Argument On Cap Math
Without sequestered funds in calculation, over-cap hospices aren't penalized by reduction,... Read more
Compliance:
Beware These Immediate Jeopardy Survey Changes That Could Impact You
Should you worry more about IJ determinations under new regs? Hospices aren't singled out... Read more
Survey & Certification:
Stay On Top Of These 6 Immediate Jeopardy Manual Changes
Make sure you steer clear of the most serious survey risk. Whether your next survey is a ... Read more
Billing:
MBI Change Gives Rise To Sequential Billing Errors
Plus: Use zeroes to become an MBI hero. Now that all existing Medicare beneficiaries have... Read more
Hospice News:
Who Benefits From Bundling Demonstrations? It Varies By Demo Type, OIG Says
Providers should hope for more voluntary bundling tests. How likely is mandatory bundling... Read more
Hospice News:
GIP Under Yet Another Microscope
Hospices can thank the HHS Office of Inspector General for new scrutiny on high-paying cla... Read more
Hospice News:
Hospices Hope For RHC Rate Resolution
Will Medicare's latest claims system update finally clear up problems related to Routine H... Read more
Hospice News:
Compare Data Updated In February
Take a look at your most updated Hospice Compare data, which is now up on the website, the... Read more
Hospice News:
HQRP Info Is At Your Fingertips
If the holiday rush kept you from tuning in to Medicare's training webinar on hospice qual... Read more
Hospice News:
National Chain Builds Its Hospice Business
Amedisys Inc. has agreed to purchase RoseRock Healthcare, a hospice in Tulsa, Oklahoma, th... Read more
Hospice News:
Hospices Open Inpatient Units In Busy Markets
The number of hospice inpatient facilities is increasing. In Texas: Hospice of Wichita Fa... Read more
Quality:
Watch For Your Stats On ‘Visits When Death Imminent’ Measure
Plus: Tune in for a HEART update. Medicare appears to be on track for a May public debut ... Read more
Medical Review:
Proving Terminal Prognosis Continues To Trip Up Hospices In TPE
Another quarter brings another round of dismal results. HHH Medicare Administrative Contr... Read more
Managed Care:
Certain MA Plans May Offer Hospice Starting In 2020
But at least the carve-in is only a limited experiment — for now. Hospices have long be... Read more
Billing:
CMS And MACs Tackle NOTR Problems
Medicare fixes 1 NOTR problem, but more may be lurking. Hospices are getting a helping ha... Read more
Mergers & Acquisitions:
Hospice Market Activity Brisk Nationwide
Another statewide nonprofit alliance is formed. Cold months have contrasted with a hot ho... Read more
Industry Note:
MedPAC Wants Your Pay To Drop 2 Percent Next Year
The unfavorable recommendation is now official. As expected, the Medicare Payment Advisor... Read more
Industry Note:
Another Newspaper Puts Hospice In The Hot Seat
The latest high-profile newspaper article lambasting the hospice industry comes in the for... Read more
Industry Note:
Growing Majority Of Claims Use MBIs Now
The percentage of claims using beneficiaries' new MBI numbers is nearing two-thirds. For ... Read more
Targeted Probe and Educate:
Hospice TPE Failure Rate 100% At This MAC
Use this expert advice to head off, or defend against, TPE probes. The Targeted Probe and... Read more
Medical Review:
One Denial Reason Dominates TPE Results
See the TPE probe details. HHH Medicare Administrative Contractor CGS reviewed two hospic... Read more
Payment:
MedPAC Readies Recommendation That Congress Cut Hospice Pay 2% In 2020
Hospice payment reform may need to go further, commissioners also suggest. Soaring Medica... Read more
Audits:
New RAC Hospice-Related Topics Zero In On Hospice Bundling
Hospitals, DME suppliers may come looking to you for their payments. Recovery Audit Contr... Read more
Finance:
You Can’t Afford To Be Late On Cap Self-Reporting
Caution: It may take extra time to get your PS&R data this year. If you fail to submi... Read more
Regulations:
Emergency Preparedness Burden Could Diminish Under Recent Proposed Rule
A real disaster would preempt your next training exercise. A rule published earlier this ... Read more
Hospice News:
Hospice Chain Acquired By Humana Settles Whistleblower Charges For $5.9 Million
Former clinical director is one of the qui tam relators. Two former hospice employees wil... Read more
Hospice News:
DOL Wage & House Division Offers Opinion On Aide Compensation
If you don't want to risk a punishing lawsuit from your aides about their compensation, yo... Read more
Hospice News:
How Does Your CNA Pay Stack Up?
Visiting Nurse Association hospices pay certified nursing assistants nearly 10 percent mor... Read more
Hospice News:
More TPE Probes On Deck For Hospices
The annual Comprehensive Error Rate Testing report may affect you more than you'd expect. ... Read more
Hospice News:
Know The OC 27 Ropes To Avoid U5181 Returns
If you're running into U5181 claims returns and can't figure out why, you may want to look... Read more
Hospice News:
Give The Feds Feedback On Accrediting Organizations That Offer Consulting
Do you think there's something shady about accrediting organizations and the financial rel... Read more
Payment:
Hospices Lead The Pack In Claims Payment Errors
 But Medicare's improper pay rate for hospices has fallen significantly. Hospices lo... Read more
Reimbursement:
Get Clues For Review Target Areas From State Error Rates
Highest-ranking states may surprise you. Medicare's payment error rate for hospices and h... Read more
Compliance:
OIG Takes Another Run At Hospice Program Integrity Recommendations
Watchdog agency reiterates advice to toughen surveys, implement alternative sanctions, and... Read more
Fraud & Abuse:
OIG Adds Wide-Ranging Hospice Topic To Work Plan
Don't be surprised if OIG investigation leads to tougher surveys. With Medicare hospice p... Read more
Emergency Preparedness:
Medicare Considers Lightening Your Emergency Preparedness Load
Recent months' string of natural disasters emphasize why EP changes matter. Hospices used... Read more
Quality:
New Hospice Compare Composite Measure Now Live
Plus: Take a look at your preview report before it's too late. Hospices' scores for the n... Read more
Industry Note:
High-Profile Novus Case Sees More Guilty Pleas From DON, Marketers
Nursing head admitted to falsifying documentation, among other misdeeds. Nine defendants ... Read more
Industry Note:
Although HIS Has Stayed The Same, Your Should Check Out Updated Guidance
Access new guidance on completing Hospice Item Set questions accurately in the updated HIS... Read more
Industry Note:
New Claims Rejections, Returns May Be Errors — But Don't Jump To Conclusions
Beware a new payment glitch hitting hospice claims. “Hospice claims are incorrectly reje... Read more
Industry Note:
Regional Chain Makes 2 Buys
Bristol Hospice, a portfolio company of Webster Capital, has bought the Colorado operation... Read more
Industry Note:
Medicare Issues Statistical Sampling Marching Orders To Contractors
In hopes of increasing consistency across contractors, Medicare recently sent new statisti... Read more
Reader Question:
Here's How To Give CMS Your Ideas On Reducing Burden
Do you wish you were seeing more benefit from Medicare's Patients Over Paperwork initiativ... Read more