14 09, 2017

Just Culture and Hospices

By | September 14th, 2017|Comments Off on Just Culture and Hospices

Introduction Here is the conundrum: A hospice clinician makes an error (she did not provide patient education on proper use of oxygen in the home because she thought the DME company provided it). Her error/omission resulted in an adverse patient outcome (patient smoked while using oxygen and set himself and surroundings on fire). Even though [...]

27 04, 2017

It’s Spring Cleaning Time. Is Your Hospice In Order?

By | April 27th, 2017|Comments Off on It’s Spring Cleaning Time. Is Your Hospice In Order?

It’s that time of year again when the blooming landscape and longer days inspire a thoughtful inspection of how well our homes are in order. As we know, it is not uncommon during this process to stumble upon some areas of wear and tear that need fixing (e.g., broken gutters, missing shingles, clogged vents, the [...]

21 05, 2015

The Physician Narrative Attestation: Beware of the Not-So-Fine Print

By | May 21st, 2015|Comments Off on The Physician Narrative Attestation: Beware of the Not-So-Fine Print

Last year, a hospice medical director in Pennsylvania, was convicted of Medicare fraud for false certifications of the clinical eligibility of patients for hospice care. The wrongdoing involved appears to be fairly black and white.  However, another more nuanced area of regulatory oversight of physicians is looming on the horizon.