NAHC Issues Recommendations in Response to OIG Reports on Hospice Survey Performance and Related Concerns

NAHC address OIG concerns, recommend improvements In July the Department of Health & Human Services Office of the Inspector General (OIG) issued two reports representing in-depth study of findings from Medicare hospice recertification and complaint surveys. One report, Hospice Deficiencies Pose Risks to Medicare Beneficiaries, provides broad findings on frequencies of deficiencies and recommends greater public…

OIG Report Recommends CMS Use CERT Data to Identify High Risk Home Health Agencies

CMS Remains Opposed to Using CERT Data to Identify Improper Payments, Prefers TPE & RCD The Health and Human Services (HHS) Office of the Inspector General (OIG) recently released a report pertaining to home health agencies (HHA), The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home…

OIG Finds Medicare Part D Still Spending Millions for Hospice Drugs

Over recent years the Department of Health & Human Services Office of the Inspector General (OIG) and others have conducted analyses of spending outside of hospice while patients are on service and determined that Medicare may be paying separately for care (including prescription drugs under Part D) that should be the responsibility of the hospice. …

Abuse & Neglect in the Medicare Population: A Recent OIG Report

Editor’s Note:  Special thanks go to Bill Musick, President of Integriti3D, for his contribution of this article.  Integriti3D helps hospice chief executives and boards of directors reach their highest potential through strategic planning, board development and creating a culture of integrity, fairness and respect. While not specifically focused on home health or hospice, the OIG’s…

OIG Releases Two Reports Targeting Hospice Survey Deficiencies and Quality of Care

Earlier this week the HHS Office of the Inspector General (OIG) issued two reports representing in-depth study of findings from Medicare hospice recertification and complaint surveys. One report, Hospice Deficiencies Pose Risks to Medicare Beneficiaries, provides broad findings on frequencies of deficiencies and recommends greater public access to survey findings as well as increased CMS-sponsored…

OIG: CMS & States Must Work Together on Background Checks for Long-Term Care Employees

The Centers for Medicare & Medicaid Services (CMS) must help states completely implement background checks for long-term caregiver employees, according to a new report released by the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS). Nine million beneficiaries rely on long-term-care services each year for safe, dependable care and…

Reports: Medicare Advantage Plans Improperly Denying Claims

— Anthem Adds Home Care Benefits Under Relaxed Medicare Advantage Rule Medicare Advantage plans are improperly denying medical insurance claims to patients and physicians, according to a report from the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) and a separate report in the New York Times. Roughly 20…