tci Medicare Compliance & Reimbursement - 2016 Issue 8

Fraud Control Measures: Is Reduced Reimbursement for Hospice Residents in Nursing Homes On the Horizon?

MedPAC zeroing in on discrepancies. The significant difference in key statistics for hospice patients residing in facilities continues to draw unflattering attention. “It’s just striking that there are such different lengths of stays for the different facilities, and … even for the same diagnoses, there are different length of stays,” noted Commissioner Rita Redberg, a cardiologist at the University of California at San Francisco Medical Center, in the Medicare PaymentAdvisory Commission’s (MedPAC’s) December meeting. “Are there any other differences, like in certain diagnoses tend to go to certain places? I’m just wondering...

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