Hospice News October 21, 2024
Utilization of the general inpatient level of care (GIP) is frequently the subject of audits by Medicare Administrative Contractors (MACs), and avoiding or responding to that scrutiny requires strict compliance to a complex web of rules.
Audits are becoming more frequent in the hospice space, and GIP is an increasing focus, including for the most common types — Supplemental Medical Review Contractor (SMRC) and Targeted Probe and Educate (TPE). In a survey earlier this year, more than half of hospice providers reported having undergone multiple types of audits within a six-month period.
“The government is auditing to see that short term inpatient care is provided when the patient’s medical condition warrants it, because there is an acute or something that’s...
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