Hospice News February 18, 2022
Medicare between 2010 and 2019 paid a total $6.6 billion to non-hospice providers for services provided to hospice beneficiaries, according to a new report from the U.S. Department of Health & Human Services Office of the Inspector General (OIG).
While hospices themselves do not bill Medicare for the non-hospice services, OIG recommended that CMS study whether hospice reimbursement reform is needed to address duplicate payments. OIG reached similar conclusions in a 2019 report about Medicare Part D claims.
The agency is repeating earlier calls for stronger oversight of potentially inappropriate “unbundling” of services, though industry stakeholders question whether those efforts should be directed as hospices.
“A factor not specifically addressed in the report is that hospices are not billing for...
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