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CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. As of mid-August, CMS has visited over 7,000 hospices.

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Abuse and Neglect: CMS Should Strengthen Reporting Requirements to Better Protect Individuals Receiving Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. In contrast, nursing homes and hospitals providing extended care are required to report all abuse and neglect allegations, regardless of whether the alleged perpetrator is affiliated with the hospice and prior to conducting an internal investigation.”.

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GV and GW Modifiers for 2022 & 2023: A Comprehensive Guide

p3care

In addition, GW and GV are HCPCS Level II Medicare Hospice Modifiers. What Does Hospice Mean, And How Is It Related to GV vs GW Modifier? To have the reimbursement for the services provided to these ill patients at the Hospice healthcare center, the providers should bill the hospice contactor. GV Modifier

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HHS & DOJ FY 2022 Enforcement Targeted Fraud in COVID-19, Telemedicine, Opioid and Prescription Drugs, and Substance Use Treatment Centers, Among Other Initiatives

Sheppard Health Law

HCFAC uses advanced data analytics to monitor and target high-risk public and private healthcare programs, providers, and trends to identify HHS’s most significant risk areas and to better target fraud, abuse, and waste. Enhancing program integrity in noninstitutional care settings, such as home health and hospice care.

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CMS To End Hospice MA Carve-In: Insights For Home-Based Care Providers

Home Health Care

Hospice providers began to work with Medicare Advantage (MA) via the Value-Based Insurance Design (VBID) demonstration in 2021. At the end of 2024, the “hospice carve-in” model will cease. This will have an impact on home health providers who offer hospice services, obviously. New Day Healthcare CEO G.

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Future Leader: Jordan Kunkel, Clinical Supervisor, Healing Hands Healthcare

Home Health Care

The program is designed to recognize up-and-coming industry members who are shaping the next decade of home health, hospice care, senior housing, skilled nursing, and behavioral health. Jordan Kunkel, clinical supervisor at the Texas-based Healing Hands Healthcare, has been named a 2023 Future Leader by Home Health Care News.

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What Problems has OIG Identified with the Hospice Program?

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Hospice care is for terminally ill patients who decide to forgo curative treatment and instead receive palliative care. Hospice care generally includes nursing and aide services, drugs, and supplies.