Where Hospice Compliance Meets Revenue Cycle Management

As regulatory agencies crack down on hospice spending, providers can benefit from recognizing the links between revenue cycle management and compliance. Regulatory activity is increasing on multiple fronts. For example, the U.S. Department of Health & Human Services (HHS) Office of the Inspector General (OIG) has launched a nationwide audit of general inpatient hospice services […]

Hospices Avoid General Inpatient Care Audits with Solid Documentation

As hospices seek to keep up with the demand for general inpatient care, careful attention to documentation is essential to avoid potential audits by the U.S. Centers for Medicare & Medicaid Services (CMS) or other agencies. Patients are admitted to inpatient hospice care when their symptoms are too severe to manage in the home, or […]

Hospices Need to Demonstrate Value in Managed Care

When negotiating with managed care payers, hospices must take pains to show how they bring value to that relationship. This requires a detailed look at the provider’s business and clinical operations with a focus on quality, perceptions of care, and cost reduction. Many hospices will need to brush up on their negotiating skills as hospice […]