Hospice News August 5, 2024
Regulators are sharpening their focus on several aspects of hospice quality data to help weed out fraud, waste and abuse. ‘
Hospice Quality Reporting Program requirements have seen an overhaul in recent years as the U.S. Centers for Medicare & Medicaid Services’ (CMS) works to curb malfeasance in the industry. Program integrity concerns have been ignited in part by poor and negligent hospices that bill for services that were never provided or and in some cases enroll patients who were not eligible or terminally ill.
Understanding how regulators shape and evaluate data algorithms will play a significant role in hospice compliance. Some of the changes in CMS’ methodologies around quality data collection and analysis can be complex for hospices to...
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