CMS: Hospice election statements lack required information or have other vulnerabilities

After a stratified random sample review of hospice election statements and certifications of terminal illness, the Office of the Inspector General (OIG) reports that more than one-third of hospice General Inpatient (GIP) stays lack required information or had other vulnerabilities.
Hospice election statements did not always mention – as required – that the beneficiary was waiving coverage of certain Medicare services by electing hospice care or that hospice care is palliative rather than curative
In 14 % …

CMS extends deadline for low-volume appeals settlement option for home health providers

The following post is provided by Home Health Line.
CMS has decided to extend the deadline for appellants who wish to take advantage of a settlement option for a low volume of pending appeals at the third and/or fourth levels of appeal.
Appellants now can submit an expression of interest for the Low Volume Appeals Initiative through June 8.
This applies to appellants that meet eligibility criteria and have either an odd or an even NPI. They should …

Involving the whole staff in theft prevention

This article is an excerpt from HCPro’s popular title, The Theft Prevention Guide for Senior Living, by Stefanie Corbett, DHA.
Unfortunately, if it is left up to the individual employee to decide whether something appears suspicious, some employees will not report anything. Different people have different perceptions. Each facility needs to identify what would be considered suspicious and provide examples to employees.
A visitor of one resident observed going into another resident’s room on another hall may …

MedPAC weighs in on several topics affecting post-acute care in public meeting

The Medicare Payment Advisory Commission (MedPAC) held their public meeting over two days this week at the Ronald Reagan Building, International Trade Center in Washington to discuss multiple topics impacting post-acute care. The meeting agenda included the following:
Medicare Advantage encounter data validation and potential uses:

ISSUE: During public sessions, Commissioners regularly highlight situations in which both FFS and MA payment policies could be informed by information on MA plan practices. In this paper, we expand on …