tci Part B Insider - 2009 Issue 32

HOSPICE: OIG Finds Startling 82 Percent Error Rate in Hospice Billing, Accounting for $1.8 Billion

Plus: Get ready for new requirements in your hospice certification statements. The OIG thoroughly examined hospice care payments -- and didn't like what it found. A new OIG study focused on hospice claims for beneficiaries in nursing facilities in 2006, for which the OIG reviewed medical records and random samplings of hospice claims. The result was the Sept. 8 report, "Medicare Hospice Care for Beneficiaries in Nursing Facilities: Compliance With Medicare Coverage Requirements." Outcome: The OIG found that "82 percent of hospice claims for nursing facility beneficiaries did not meet at least one Medicare coverage requirement pertaining to...

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