tci Medicare Compliance & Reimbursement - 2009 Issue 24

INDUSTRY NOTES: OIG Report Cites Care-Plan Related Problems for Nursing Home Hospice Patients

One key strategy can protect your facility's survey record. If a recent OIG report about hospice nursing home patients isn't on your facility's radar screen, your staff may be missing an important risk management opportunity. OIG Memorandum Report, Medicare Hospice Care for Beneficiaries in Nursing Homes: Compliance with Medicare Coverage Requirements" (OEI-02-06-00221), found that a full 82 percent of all hospice claims for nursing home residents failed to meet at least one Medicare requirement, says attorney Mary Michal, with Reinhart Boerner Van Deuren in Madison, Wis. These included "failure to meet care planning requirements, or providing fewer services than...

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