Outpatient Facility Coding Alert - 2009 Issue 24
INDUSTRY NOTES: OIG Report Cites Care-Plan Related Problems for Nursing Home Hospice Patients
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Article Overview
This article reviews an OIG memorandum report on hospice services for nursing home residents and explains why the findings matter to facility compliance and survey readiness. It is aimed at nursing home and hospice administrators, compliance staff, and coding or reimbursement professionals who need a broad understanding of Medicare coverage expectations, care coordination, and regulatory oversight themes.
Why This Topic Matters
The topic is important because deficiencies in hospice-related care planning and documentation can create survey exposure and compliance risk for nursing facilities and their hospice partners. Understanding the broad issues discussed can help organizations assess coordination processes and reduce the chance of avoidable findings during review.
What You Will Learn
- The general compliance issues highlighted by an OIG hospice review involving nursing home residents.
- Why coordinated care planning between nursing homes and hospices is a compliance concern.
- How survey and audit activity can intersect with hospice care in skilled nursing settings.
- Why hospice partner selection and coordination processes may affect operational risk.
Who Should Read This
- Nursing home administrators
- Hospice administrators
- Compliance officers
- Revenue cycle and coding staff
- Long-term care consultants
- Survey preparedness teams
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