Articles and Blogs

Hospice

Update to Revalidation Enrollment Procedures

[08/11/11]

Posted on August 11, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

As an update to the previous post on the revalidation enrollment procedures it is important for hospices, home health agencies, and DMEPOS to know what level of screening they will receive from the Medicare Administrative Contractor (“MAC”).  In some instances these providers and suppliers will be screened at either a “high” or “moderate” level... READ MORE

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Medicare Providers and Suppliers Must Begin Enrollment Revalidations

[08/10/11]

Posted on August 10, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As of March 2011, the Centers for Medicare & Medicaid Services (CMS) implemented new screening criteria in the Medicare provider/supplier enrollment process.  Newly enrolling and revalidating providers and suppliers are placed in one of three categories – limited, moderate, or high – each representing the level of risk to the Medicare program for that... READ MORE

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Providers Should Anticipate Reimbursement Changes in Debt Ceiling Agreement

[08/08/11]

Posted on August 8, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

While Congress was able to present the President with a compromised solution to cut Federal spending and raise the Government’s debt ceiling earlier this month, all long-term care providers should anticipate future reimbursement changes.  Under the current law, the Budget Control Act of 2011t , Medicare and Medicaid are unchanged. However, the Act requires for... READ MORE

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In FY 2012: Medicare Hospice Wage Index Increases 2.5%, Other Hospice Changes

[07/29/11]

Posted on July 29, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) increased fiscal year (FY) 2012 Medicare payments by 2.5% for hospice providers in a final regulation released July 29.  Also included in the final regulation are requirements for hospice providers to start collecting quality of care data and changes to the way CMS counts hospice patients... READ MORE

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OIG: Expand Oversight and Reduce Incentives to Hospices Focusing on Nursing Facility Residents

[07/22/11]

Posted on July 22, 2011 in Long-Term Care, Home Health & Hospice

Written by: Kendra Conover

Recently, the Office of Inspector General (“OIG”) published a report of its findings pertaining to the nearly 70% growth of Medicare spending for hospice care provided to nursing facility (“NF”) residents from 2005 – 2009.  During that time, Medicare spending on hospice care for residents in NFs increased sixty-nine percent (69%) from $2.55 billion to... READ MORE

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Michigan Begins Medicaid Estate Recovery

[07/08/11]

Posted on July 8, 2011 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

Michigan’s Department of Community Health will enforce Michigan’s Medicaid Asset Recovery Act (MCL Sec. 400.112g) with efforts starting July 1, 2011.  Michigan may file claims in the probate estates of individuals age 55 or older who received Medicaid benefits that paid for long term care services after September 30, 2007.   Michigan’s claim would seek... READ MORE

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Hospice Contracts With Assisted Living Facilities

[07/07/11]

Posted on July 7, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

When the new hospice Conditions of Participation (CoPs) became effective in Decmeber of 2008 there was a provision in the CoPs stating a hospice must have an agreement with a nursing home if the hospice provides services in the nursing home.  While it was a standard business practice for hospices to have agreements with nursing homes prior... READ MORE

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Updates to Hospice Face-to-Face Encounters

[07/01/11]

Posted on July 1, 2011 in Long-Term Care, Home Health & Hospice

Written by: Selby, Todd J.

In response to the changes contained in the Patient Protection and Affordable Care Act (ACA) designed to address increasing lengths of stay in hospice programs, CMS added a “face-to-face encounter” requirement to the hospice certification requirements. Effective January 1, 2011, a hospice physician or nurse practitioner must have a “face-to-face” encounter with each hospice... READ MORE

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Indiana Enacts Uniform Adult Guardianship and Protective Proceedings Act

[06/24/11]

Posted on June 24, 2011 in Long-Term Care, Home Health & Hospice

Written by: Fahey, Sean J.

Indiana recently enacted the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act (the “Act”).  The Act is effective July 1, 2011, and is designed to eliminate multi-state jurisdictional issues and “Granny snatching” cases.  The Act is located in Indiana Code 29-3.5. Typically, the fact pattern arises when (1) an Indiana older adult resident visits... READ MORE

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