Home-based care veteran Rob Radics took the helm as CEO of Fortis Home Health & Hospice in May, and in the early days of his tenure is laser-focused on hospice growth. Radics’ 25-year career includes his founding of the hospice and home health company, Five Points Healthcare, which he led for nine years before selling […]
Hospice & Community Care has inked a deal to affiliate with Hospice of Central Pennsylvania. The affiliation is set to solidify at the beginning of next year, with each organization retaining its own brand and locations. Joining forces will also allow the two Pennsylvania-based nonprofit hospice and palliative care providers to realize cost-savings potential when […]
Fraud, waste and abuse issues that have percolated in the hospice space have put providers up against some regulatory walls. Heightened scrutiny around hospice from regulatory agencies is not without warrant, but increased oversight can have adverse effects on the ability to provide quality care, according to Bill Dombi, president, National Association for Home Care […]
The U.S. Centers for Medicare & Medicaid Services (CMS) is conducting a small pilot program for post-payment reviews of hospice stays that exceed 90 days. The agency has contracted with Noridian Healthcare Solutions, LLC as its Supplemental Medical Review Contractor (SMRC). Noridian will perform the reviews and submit findings to CMS. “CMS internal data has […]
When it comes to hospice M&A, both buyers and sellers must have their eyes out for warning signs that could kill a potential deal. Consolidation remains widespread in the hospice space, though transaction volume has slipped in 2023 compared to prior years. During Q1 of this year, about 14 hospice, home care and home health […]
UnitedHealth Group (NYSE: UNH) has been relatively quiet on its strategic plans with Amedisys (NASDAQ: AMED), which it is in the process of acquiring via its subsidiary, Optum. The company shed some light on how the home health and hospice asset will fit into its overall scope of services Friday, however. Optum announced plans to […]
The U.S Centers for Medicare & Medicaid Services (CMS) is implementing a “period of enhanced oversight” for new hospices in California, Nevada, Arizona and Texas. A key component of the enhanced oversight includes a medical review of claims before a Medicare Administrative Contractor (MAC) will pay them. These actions follow reports of potentially unethical or […]
Sens. Tammy Baldwin (D-Wisc.) and Shelley Moore Capito (R-W.Va.) have reintroduced the Palliative Care and Hospice Education Training Act (PCHETA), designed to bolster the field’s shrinking workforce with federal support. If enacted, PCHETA would support hospice and palliative care training programs for physicians, nurses, pharmacists, social workers and chaplains. The bill would also expand continuing […]
Increased regulatory and clinical oversight is needed to address common billing and documentation errors related to hospice general inpatient care, according to the U.S. Department of Health & Human Services (HHS) Office of the Inspector General (OIG). Inaccurate billing was among the driving forces behind the OIG’s recently announced nationwide audit of general inpatient hospice […]
As health care stakeholders work to improve care coordination, more hospices are exploring home-based primary care. Offering those services can help hospice and palliative care providers engage patients further upstream, as well as offer a more comprehensive suite of services to meet their needs, according to Melissa Singleton, chief learning officer at the Home Centered […]
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