decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Hospices / Advisory Opinions / OIG bars payment plan for dually eligible hospice patients
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Article Overview
This article summarizes a federal advisory opinion concerning a hospice payment arrangement involving patients who are eligible for both Medicare and Medicaid. It is relevant to hospice administrators, revenue cycle staff, compliance teams, and coding/billing professionals who monitor regulatory guidance affecting hospice-related financial arrangements and Medicaid/Medicare coordination.
Why This Topic Matters
Advisory opinions can affect how hospices structure relationships with contracted facilities and how compliance teams interpret payment arrangements involving dual-eligible patients. Readers will want to understand the regulatory context and the type of plan reviewed by the OIG.
What You Will Learn
- The general subject of the advisory opinion and the payment arrangement it addresses.
- How federal guidance can affect hospice contracting and billing practices for dual-eligible patients.
- Why Medicare and Medicaid coordination matters in hospice-related financial arrangements.
- The compliance context surrounding hospice payment plans reviewed by the OIG.
Who Should Read This
- Hospice administrators
- Compliance officers
- Revenue cycle professionals
- Medical coders
- Medical billers
- Healthcare attorneys
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