tci Medicare Compliance & Reimbursement - 2017 Issue 23

Industry Notes: Hospices Need Increased Physician Involvement, OIG Warns

Hospices do important work, which is why they aren't exempt from scrutiny, the OIG's latest hit list suggests. In addition to being labeled a high-fraud area, in the HHS Office of Inspector General's recent report on "Top Management and Performance Challenges," the OIG gives hospice payment as an example of "paymentpolicies [that] create financial incentives that may drive up Medicare costs without improving care for beneficiaries." Specifically, the report says that "Medicare payments for hospice care to beneficiaries in assisted living facilities have risen much more quickly than payments for hospice care in other settings and that...

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