19 09, 2016

Really?

By | September 19th, 2016|4 Comments

These are a few of the headlines and articles generated by the most recent OIG report entitled: Hospices Should Improve Their Election Statements and Certifications of Terminal Illness published September 15, 2016. Beginning with the leader in negative hospice hysteria, the Washington Post’s Peter Whoriskey (yes, that guy again), the relatively benign and definitely limited findings of [...]

24 08, 2015

Returning Medicare and Medicaid Overpayments – Better Act Fast!

By | August 24th, 2015|Comments Off on Returning Medicare and Medicaid Overpayments – Better Act Fast!

Don’t shoot the messenger but compliance with Medicare and Medicaid rules just got tougher for hospice organizations.  In the first judicial opinion on when a Medicare or Medicaid “Overpayment” is “identified” for purposes of the Affordable Care Act’s (ACA) 60-Day Repayment Law, a New York federal court’s interpretation complicates the already difficult task providers face in having sufficient time to assess and quantify potential overpayments. 

19 11, 2014

OIG Hospice Audit – Despite Extremely Low Error Rate, OIG Claims Significant Refund Liability on Basis of Extrapolation

By | November 19th, 2014|Comments Off on OIG Hospice Audit – Despite Extremely Low Error Rate, OIG Claims Significant Refund Liability on Basis of Extrapolation

The OIG clings to its tenuous position that, even with its concession that CMS will determine the overpayment amount, the hospice was overpaid “at least $447,467.”  This suggests OIG is driven to show Congress that it will continue to “come down hard” on hospices, even those with very low error rates.  

5 05, 2014

Damned when you do, damned when you don’t: A response to the Washington Post Article

By | May 5th, 2014|3 Comments

With a heavy heart I read the latest Washington Post article lambasting the hospice industry for not providing the higher levels of care: continuous care and general inpatient (GIP) when patients need it. Citing numerous examples, and naming specific hospices at fault, this latest investigative reporting by the Washington Post continues its general thesis from a previous article last December: the hospice industry, dominated by for profit providers, is doing a lousy job.

21 10, 2013

The General Inpatient Level of Care: Still Misunderstood?

By | October 21st, 2013|Comments Off on The General Inpatient Level of Care: Still Misunderstood?

Like so many other areas in hospice, the general inpatient level of care (GIP) is coming under increased scrutiny by the Department of Health and Human Services (HHS), Office of the Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). The OIG is currently conducting a series of studies and audits on the GIP level of care.