Hospice Providers Seeing an Uptick in Regulatory Audits

Posted Sunday, April 25, 2021

Hospice providers are on high alert as regulators increasingly focus in on the industry. While Regulatory enforcement activity was temporarily stopped last year due to the pandemic, audits have since resumed. These events can be expensive and time consuming for providers. Complete and accurate documentation will be key for hospices to ward off and respond to auditory review.

“The U.S. Centers for Medicare & Medicaid Services (CMS) suspended audits and medical reviews by Medicare Administrative Contractors (MACs) in July 2020, but resumed enforcement activity by August, despite the continued status of the federally declared COVID-19 national emergency.

Hospice providers remain concerned about facing a potential audit as the public health emergency persists. COVID-19 continues its spread across the country, with nearly 444,000 new cases and more than 5,000 deaths nationwide in the last week alone, according to data from the U.S. Centers for Disease Control and Prevention (CDC).”

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