ED Coding & Reimbursement Alert - 2010 Issue 10
HOSPICE: 6 Steps Help You Prep for A Hospice RAC Attack
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Article Overview
This hospice-focused article reviews audit preparedness in the context of Medicare recovery review activity. It discusses documentation practices, diagnosis specificity, coordination with nursing homes and vendors, and contract review as broad operational areas that can affect how hospice claims are evaluated. The piece is aimed at hospice billers, compliance staff, and clinical leaders who need to understand the audit risk environment and related documentation expectations.
Why This Topic Matters
Hospices and their partners may face retrospective claim review if services or equipment are viewed as having been handled outside the expected hospice payment structure. Understanding the article helps organizations assess documentation quality, inter-facility communication, and vendor oversight before an audit occurs.
What You Will Learn
- How hospice organizations can prepare for recovery audit review activity
- Why documentation quality matters in hospice compliance
- How diagnosis specificity can affect hospice-related auditing concerns
- Why coordination with partner facilities and vendors is important
- What operational areas hospices should review to reduce audit risk
Who Should Read This
- Hospice administrators
- Hospice billers and coders
- Compliance officers
- Clinical documentation staff
- Revenue integrity teams
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