Redundancy Key to Avoid Hidden Red Flags in Hospice Election Status

November 3, 2022

According to experts, building in redundancies around patient admission processes may help hospices escape regulatory scrutiny.

This means it’s “critically important” that hospices have solid election statements that can stand up against regulatory questions, according to Andrew Brenton, hospice attorney at the law firm Husch Blackwell. Modeling this documentation after CMS’ guidelines may be a key to avoiding scrutiny, he said.

“Your election statement should hold up against audits and other types of regulatory scrutiny,” Brenton told Hospice News. “We typically suggest that hospices follow the hospice election model form from CMS, because if you use language that CMS has essentially vetted, then Medicare contractors are going to be hard-pressed to invalidate an election statement. But this may be more complicated in practice.”

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