Hospice News August 7, 2023
As regulatory agencies crack down on hospice spending, providers can benefit from recognizing the links between revenue cycle management and compliance.
Regulatory activity is increasing on multiple fronts.
For example, the U.S. Department of Health & Human Services (HHS) Office of the Inspector General (OIG) has launched a nationwide audit of general inpatient hospice services (GIP), citing that roughly one-third of providers improperly bill for these services.
Meanwhile, the U.S. Centers for Medicare & Medicaid Services (CMS) has ramped up auditing activity tied to longer stays and more expensive levels of care such as GIP. Hospices have encountered a variety of audit types as CMS contractors conduct post-payment reviews designed to recoup Medicare funds that may have been overspent.
The...
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