Posted Sunday, May 16, 2021

Hospice providers need to be well-versed in laws and regulations, as well as active in compliance education to avoid bringing regulators to their doorstep. This Increasingly includes careful adherence to laws and regulations pertaining to civil rights and protections for the disabled.

“There has been increased scrutiny of hospice in several areas. These include federal fraud and abuse investigations and indictments related to Medicare claims by the OIG and [the U.S. Department of Justice], as well as quality of care complaints and audits, and concerns about profit margins and payment model issues by the [Medicare Payment Advisory Commission (MEDPAC)],” Dombi told Hospice News. “With respect to quality of care, Congress took the unusual step of including legislation authorizing hospice intermediate sanctions, including civil monetary penalties in the end of the year COVID bill.”

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