Outpatient Facility Coding Alert - 2017 Issue 23
Industry Notes: Hospices Need Increased Physician Involvement, OIG Warns
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Article Overview
This industry note reviews an HHS Office of Inspector General report focused on hospice program integrity, payment policy, and oversight concerns. It highlights broad areas of hospice compliance and quality monitoring, CMS and HHS oversight actions, and recommended policy and operational changes affecting hospices, Medicare, and related stakeholders.
Why This Topic Matters
It helps hospice administrators, compliance teams, coders, and health policy readers understand the main oversight and payment issues the OIG is flagging and the types of operational scrutiny that may affect hospice claims and reporting.
What You Will Learn
- The main hospice oversight and program integrity concerns raised by the OIG.
- How the report frames hospice payment policy and financial incentives.
- The kinds of CMS and HHS oversight improvements the OIG encourages.
- Why hospice quality, enrollment, and documentation issues matter to Medicare stakeholders.
Who Should Read This
- Hospice providers
- Health information management professionals
- Medical coders
- Compliance officers
- Healthcare administrators
- Health policy readers
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