Some accreditation organizations (AOs) have balked at the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed rule designed to strengthen oversight of those institutions. CMS in February released a proposed rule that would introduce a number of provisions aimed at avoiding conflicts of interest and establishing more consistent standards, processes and definitions among accreditation […]
The U.S. Centers for Medicare & Medicaid Services’ (CMS) proposed 2025 hospice rule contains clarifications on which physicians may certify patients for hospice enrollment. According to language in the proposal, designated physician members of the hospice interdisciplinary team may certify patients for hospice if the medical director is unavailable. The clarification was intended to reconcile […]
The U.S. Centers for Medicare & Medicaid Services’ (CMS) 2025 proposed hospice rule contained requests for information (RFIs) that could signal changes in the agency’s thinking on key issues. Through RFIs, CMS tries to take the pulse of providers’ positions on certain questions that could impact the Medicare Hospice Benefit. In its 2025 proposal, one […]
If the U.S. Centers for Medicare and Medicaid Services’ (CMS) proposed 2025 hospice rule is finalized as written, hospices may encounter some hurdles implementing some of the new requirements. CMS late last month issued its proposed hospice rule for 2025. The proposal called for a 2.6% increase in hospice per diem base rates, a number […]
Members of Congress are raising questions about the continued Medicare certification for new hospices in areas rife with fraud. U.S. Health and Human Services (HHS) Secretary Xavier Becerra fielded questions in a House Ways & Means committee hearing on Capitol Hill on Wednesday. Rep. Michelle Steel (R-Calif.) and Rep. Beth Van Duyne (R-Texas) fired questions […]
In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! Program integrity and an onslaught of audits are top of mind for many hospice providers in 2024. The nation’s four largest hospice industry organizations — LeadingAge, the National […]
In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! A new legislative package winding its way through Congress could re-allocate hospice funds to other programs. Lawmakers incorporated language from proposed amendments to the Social Security Act into a six-bill […]
In case you missed it, Hospice News has launched a new specialty publication for palliative care professionals. You can subscribe to Palliative Care News here: Subscribe today! The Medicare Advantage hospice carve-in will be carved back out by the end of this year. Many operators were glad to see it go, but the questions the […]
When deprescribing medications for hospice patients, providers have to navigate a complex web of factors. But according to some clinicians, the prospect of cost savings often takes precedence over clinical outcomes. Medication costs are among hospices’ biggest expenses, and deprescribing some medications deemed “curative” or “unrelated” to the patient’s terminal diagnosis is a standard practice. […]
A new report is casting doubt on the heightened regulatory efforts seeking to curb fraud, waste and abuse from hospice agencies in select states. The questionable success of those oversight efforts is best reflected in the fraud hotbed of California, which continues to see a swarm of new hospices emerging and receiving federal funding, despite […]
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