decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Hospice Model Compliance Plan / Using OIG's hospice model compliance program / Services provided to hospice patients in nursing homes
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Article Overview
This article discusses hospice compliance considerations when hospice patients reside in nursing homes. It summarizes OIG concerns, Medicare hospice participation requirements, coordination of care between the hospice and the facility, and documentation and oversight practices relevant to compliance staff, hospice administrators, and nursing home partners.
Why This Topic Matters
Hospices that serve nursing home residents face heightened compliance risk because responsibility for care is shared across providers and must remain aligned with Medicare hospice requirements. The article helps readers understand the general framework for oversight, coordination, and recordkeeping in this setting.
What You Will Learn
- The compliance issues that can arise when hospice patients live in nursing homes.
- The need for coordinated planning and communication between hospice and facility staff.
- General oversight and documentation practices discussed for hospice program compliance.
- The role of Medicare and OIG-related guidance in hospice compliance contexts.
Who Should Read This
- Hospice administrators
- Compliance officers
- Nursing home administrators
- Clinical managers
- Health care auditors
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