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Hospice

MedPAC Report to Congress 2015: Oops, They Did It Again

[04/01/15]

Posted on April 1, 2015 in Long-Term Care, Home Health & Hospice

Written by: Robert W. Markette

On March 13, 2015, the Medicare Payment Advisory Commission (“MedPAC”) released its annual report to Congress (“Report”). The Report contains MedPAC’s recommendation for improvements to Medicare payments to providers as well as recommendations on controls to help combat fraud and waste. As usual, MedPAC has concerns about home health and hospice and makes a... READ MORE

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Caution – Pay No Mind to the Department of Labor’s Temporary Non-Enforcement Policy Relating to the Companion Services Exemption

[10/31/14]

Posted on October 31, 2014 in Long-Term Care, Home Health & Hospice

Written by: Taylor, Allison L.

In the October 9, 2014 Federal Register, the Department of Labor (“DOL”) indicated it will delay enforcement of the Companion Services Rule (“Rule”) until June 30, 2015 (the “Notice”). The DOL suggests this delayed enforcement is meant to assist the provider community with implementing changes in the Rule. In its commentary, the DOL suggests... READ MORE

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Indiana Changing the Way Residents Will Obtain Medicaid Coverage Beginning June 1, 2014 – Part 3

[04/24/14]

Posted on April 24, 2014 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

On April 21, 2014, Indiana’s Family and Social Services Administration (“FSSA”) offered a webinar for nursing facilities to provide additional information on Indiana’s Medicaid changes and Qualified Income Trusts (also known as Miller Trusts). READ MORE

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Indiana Changing the Way Residents Will Obtain Medicaid Coverage Beginning June 1, 2014 – Part 2

[04/18/14]

Posted on April 18, 2014 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

Indiana’s Family and Social Services Administration continues its efforts to communicate, address and refine questions and issues related to the upcoming Medicaid coverage changes.  READ MORE

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Obama Budget Contains Numerous Post-Acute Care Cuts

[03/05/14]

Posted on March 5, 2014 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

President Obama introduced his fiscal year (“FY”) 2015 budget yesterday, and there are many proposed cuts to post-acute care providers.  Some of the highlights include a number of bundled payment initiatives, a $100 co-pay for home health patients not discharged from a hospital and re-admission penalties for skilled nursing facilities (“SNFs”) with high hospital... READ MORE

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Report Suggests For-Profit Hospices Utilize Longer Periods of Service

[02/27/14]

Posted on February 27, 2014 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Earlier this week, McKnight’s reported on a study from the Mount Sinai School of Medicine in New York relating to the length of stay at for-profit versus nonprofit hospice providers.  This study showed that, of the 600 Medicare certified hospices nationwide, for-profit hospices were more likely to have patients with a longer expected stay than... READ MORE

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Daughter Not Liable for Mother’s Skilled Nursing Facility Expenses Because She Had No Authority Over Finances or Access to Mother’s Finances

[02/04/14]

Posted on February 4, 2014 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

The Indiana Court of Appeals (“Court”) ruled that a daughter who signed a skilled nursing facility admissions agreement as her mother’s “responsible party” was not liable for her mother’s unpaid skilled nursing facility bill because the daughter did not have authority over her mother’s finances or access to her mother’s finances. READ MORE

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Medicare Administrative Contractors Announce Intent to Review Hospice Claims

[11/08/13]

Posted on November 8, 2013 in Long-Term Care, Home Health & Hospice

Written by: Ruff, Anne M.

On October 30, two Medicare Administrative Contractors, Palmetto GBA and CGS, announced their intent to focus on certain hospice claims for patients located in Skilled Nursing Facilities (“SNFs”). Palmetto GBA announced that it has identified top providers with a large number of beneficiaries receiving hospice services in SNFs, and it intends to initiate a... READ MORE

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CMS Releases Study of General Inpatient Hospice Care

[05/07/13]

Posted on May 7, 2013 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

Recently, the Centers for Medicare & Medicaid Services (“CMS”) released the results of a study of hospice general inpatient care (“GIP”) based on an analysis of Medicare Part A hospice claims for beneficiaries who received GIP in 2011.  The intent was to identify suspected abuse of GIP in hospice inpatient facilities by hospice providers because... READ MORE

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CMS Revises Policy as to Surveys to Be Conducted Following Complaint Investigations Resulting in Condition-Level Noncompliance

[04/26/13]

Posted on April 26, 2013 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (“CMS”) recently released a Survey and Certification Letter updating the State Operations Manual (“SOM”) guidelines  on surveys of deemed status long-term care (“LTC”) providers when the provider has been found to have a condition level instance of noncompliance, including immediate jeopardy (“IJ”), in a complaint survey.  This change... READ MORE

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