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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. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

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Discrepancies In Home Health Enrollment Data Raise Red Flags In Congressional Hearing

Home Health Care

Steel also pointed to a potential discrepancy in the way home health agencies are accounted for, and how HHS and the the Centers for Medicare & Medicaid Services (CMS) tracks enrollment data. We are constantly doing program integrity work in this field as well.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

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Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid

NASHP

Strengthening Care for People with Serious Illness Seven Steps for Building a Community-Based Palliative Care Benefit Within Medicaid. People with complex or life-threatening conditions often need extra support to manage symptoms and make critical decisions about their care and quality of life. March 14, 2022.

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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

HHS-OIG conducted investigations resulting in 661 criminal actions against individuals related to Medicare and Medicaid, as well as 726 civil actions, including false claims, unjust-enrichment lawsuits, and civil monetary penalty settlements. Enhancing program integrity in noninstitutional care settings, such as home health and hospice care.

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How States Can Embed Palliative Care in Health Care Reform Initiatives

NASHP

State policymakers have a number of different opportunities to integrate palliative care into current health care initiatives. Palliative care can be an important component of these strategies. Palliative care can be an important component of these strategies. As of 2022, over 300 waivers are active across states.

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VCU Health Brings Hospital-At-Home Program To Central Virginia

Home Health Care

VCU Health at Home’s service lines includes home-based primary care, primary and specialty telehealth appointments, remote patient monitoring as well as skilled home health and hospice care. Centers for Medicare & Medicaid Services’ (CMS) Acute Hospital Care At Home waiver program.