Hospices in a Regulatory ‘Fight’ for Quality

Posted July 19, 2023

Fraud, waste and abuse issues that have been stirring in the hospice space have put providers up against some regulatory walls.  Heightened scrutiny around hospice from regulatory agencies is warranted, but increased oversight can have adverse effects on the ability to provide quality care, according to Bill Dombi, president, National Association for Home Care & Hospice (NAHC).

Corrupt people in the hospice space can cost the nation’s health care system millions in fraudulent billing practices and hinder access to care among terminally ill patients. Though these are substantial issues to address, regulators need to strike a balance, Dombi indicated.

“We have a lot of harm that hits us as much as it hits [payers] from fraud, waste and abuse,” Dombi said during the NAHC Financial Management Conference in New Orleans. “An important area to address is quality of care and hospice services. We do not want just a regulation pass that crosses everybody and creates a lot of paperwork for everybody but doesn’t do anything about the bad that is going on there. We need to be a step ahead of the bad people, because many of them aren’t even delivering any care.”

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