Articles and Blogs

Hospice

CMS Releases Hospice Wage Index for FY 2013

[07/24/12]

Posted on July 24, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

This afternoon, the Centers for Medicare & Medicaid Services (CMS) issued a notice updating the Medicare Hospice Wage Index with an estimated 0.9% increase in payments for FY 2013. The payment increase is the net result of a 1.6 percent increase in the hospital market basket update, which is offset by a 0.7 percentage point decrease... READ MORE

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Collaborative Group Releases LTPAC Health Information Technology Road Map for 2012 -2014

[07/16/12]

Posted on July 16, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Since 2005, a group of associations, such as LeadingAge, AHCA, AMDA, and many others, has hosted an annual summit to discuss the information technology (IT) issues long term care and post acute care providers face.  The group, known as the Long Term and Post Acute Care (LTPAC)  Collaborative, publishes a Road Map for LTPAC providers to... READ MORE

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Another Antipsychotic Measure Fails to Pass

[07/06/12]

Posted on July 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

In an on-going push to regulate the use of antipsychotic medications in nursing facilities, another piece of legislation has failed to pass Congress.  The Senate did not pass a proposed regulation that would have standardized protocols for obtaining informed consent before administering antipsychotics for off-label use.   READ MORE

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BLS Report Details Time Spent on Elder Care

[07/06/12]

Posted on July 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

Since 2003, the Bureau of Labor Statistics (BLS) has asked Americans to detail how their time was spent during the last 24 hours.  Derived from a sample of 12,500 respondents, the American Time Use Survey (ATUS) details the average number of minutes spent daily in traffic, on the phone, shopping, cooking, etc.  Only last year was... READ MORE

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OIG Posts Video Guidance on Self-Disclosure

[02/06/12]

Posted on February 6, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As part of their on-going video series, the Office of Inspector General (OIG) has posted a video on their self-disclosure protocols. Self-disclosure is a key element of an effective compliance program, and can possibly reduce any civil monetary penalties (CMPs) associated with a violation or instance of noncompliance. The OIG has provided many videos... READ MORE

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CMS Updates MSN for Hospice Services

[01/31/12]

Posted on January 31, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) has responded to criticism detailing how Medicare contractors present hospice service charges in the Medicare Summary Notice (MSN) to beneficiaries.  In recent years, CMS has added new reporting requirements for visit data on hospice claims.  This resulted in an expansion of the information of the claim record to better understand... READ MORE

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CMS Clarifies Guidance on PPACA Mandatory Medicaid Terminations

[01/30/12]

Posted on January 30, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) released updated guidance on Section 6501 of the Patient Protection and Affordable Care Act (PPACA) that requires state Medicaid agencies to terminate the participation of any individual or entity if such individual or entity is terminated under Medicare or any other state Medicaid plan.   READ MORE

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OIG Releases Provider Compliance Videos

[01/09/12]

Posted on January 9, 2012 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

In December, the Office of the Inspector General (OIG) released an initial series of videos aimed at providers that focus on compliance issues.  These videos are part of the Health Care Fraud Prevention and Enforcement Action Team (HEAT) Provider Compliance Training initiative.  Health & Human Services Inspector General Daniel Levinson stated the videos are... READ MORE

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Nursing Home’s Failure to Notify Leaves Beneficiary Not Liable for Custodial Care Services

[11/09/11]

Posted on November 9, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

A Medicare beneficiary is not liable for custodial care services rendered by a Mississippi nursing home because the facility failed to give adequate notice the services were not covered by Medicare, a federal appeals court panel ruled on October 25.  The case (Mississippi Care Center of Morton LLC, Sebelius, 5th Cir., No. 10-60595, Oct.... READ MORE

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