Hospices: ‘OIG Report Does Not Reflect Our Industry’

Between 2012 and 2016, 20% of U.S. hospices experienced a condition-level finding from regulators that posed serious risks to patient life and safety, according to a new report from the U.S. Department of Health & Human Services Office of the Inspector General (OIG), but that proverbial coin has another side: 80% of hospices did not. […]

OIG Report Includes VITAS ‘Immediate Jeopardy’ Finding

VITAS Healthcare, the nation’s largest hospice provider and a subsidiary of Chemed Corp. (NYSE: CHE), received an “immediate jeopardy” finding from Missouri state surveyors for missing required home visits, insufficient wound care for a patient’s pressure ulcer, and failing to sufficiently manage patients’ pain, according to a state survey findings report obtained by Hospice News. […]

OIG Reports Serious Patient Safety Events in 20% of Hospices

Failure to make home visits, failure to manage patients’ pain, and maggots infesting a patient’s feeding tube site are just a few of the safety deficiencies cited in a new report from the U.S. Department of Health and Human Services Office of the Inspector General (OIG). About 20% of hospices surveyed by regulators or accreditors […]

Ohio SNFs No Longer Bill Room & Board for Hospice Patients

The Ohio Department of Medicaid (ODM) now requires managed care plans in that state to make room and board payments directly to hospice providers whose patients reside at skilled nursing facilities (SNF). The rule became effective July 1.  ODM now requires the hospice to bill for room and board services provided at SNFs. The Buckeye […]

A Deeper Dive into Primary Care First, Where Hospice Fits

Though new payment models under the auspices of Medicare’s new Primary Care First initiative are designed for primary care providers, hospice and palliative care providers have a role to play. The U.S. Centers for Medicare & Medicaid Services (CMS) in April announced that they would implement Primary Care First in phases beginning in Jan. 2020, […]

Court Dismisses Fraud Case Against Heartland Hospice

A federal judge has dismissed with prejudice a False Claims Act case filed against Heartland Hospice, a subsidiary of post-acute care, skilled nursing and long term care provider HCR Manorcare. A qui tam complaint occurs when a whistleblower, called a “relator” by the courts, files a False Claims Act suit on behalf of the government […]

Care Coordination, Partnerships Key for Hospices in Primary Care First

Improved care coordination is an underlying goal of the Primary Care First payment structures recently unveiled by the U.S. Centers for Medicare & Medicaid Services (CMS). Strategic partnerships with primary care providers could be the key for hospice and palliative care providers seeking to capitalize on the emerging payment models. The U.S. Centers for Medicare […]

Primary Care First Could Be a Pathway to Profitable Palliative Care

A rising number of hospices are offering community-based palliative care, but virtually none are making a profit or breaking even from those services. New payment models such as Medicare’s recently announced Primary Care First initiative, could give palliative care providers a shot, though not a guarantee, of profitability in the long term if they navigate […]

Hospice Groups: CMS Should Reconsider Payment Rate Calculation Methods

The proposed Medicare reimbursement rate hikes for some levels of hospice care is a positive move, according to comments on the 2020 proposed rule submitted to the U.S. Centers for Medicare & Medicaid Services (CMS) by hospice industry organizations, but they also voiced concerns regarding how those rates are calculated as well as the potential […]