tci Medicare Compliance & Reimbursement - 2012 Issue 24

Compliance: Hospice-SNF Relationships On OIG Radar For 2013

Medicare coverage requirements not met in most cases of benes sent to nursing homes. The 2013 Work Plan reflects the concerns of the HHS Office of Inspector General with regard to the kind of relationships that hospices have with nursing homes and the probability of violation of the Stark laws. The OIG announced only two Medicare hospice topics for review for next year -- "Marketing Practices and Financial Relationships with Nursing Facilities" and "General Inpatient Care." Both are reviews carried over from the current year. "In a recent report, OIG found that 82 percent of hospice claims for...

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