Posted Wednesday, August 9, 2023
The steps that the U.S. Centers for Medicare & Medicaid Services (CMS) has put forth to strengthen hospice program integrity mirror rules implemented in years past for home health providers, including medical review processes and rules for when a provider can sell their business.
Generally, when applied to home health, policies like these were effective at improving compliance and reducing unethical or illegal activity, according to Bill Dombi, president of the National Association for Home Health & Hospice (NAHC).
“There was a scramble first to understand them, and then there were efforts to try to find workarounds. And then there were efforts to comply. We then started seeing the greater degree of impact,” Dombi told Hospice News. “Providers sharpened their games relative to compliance for purposes of claims and quality of care, and then those people who were trying to get into the home health business without the best of intentions just disappeared.”
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