Important COVID-19 Updates for Providers from the OIG

The Office of the Inspector General (OIG) has updated COVID-19 information related to Corporate Integrity Agreement (CIA) deadlines, OIG review deadlines and OIG enforcement activity. The OIG is trying to minimize burdens on providers and be flexible where possible.  It is coordinating closely with Health & Human Services (HHS), the Centers for Medicare & Medicaid…

CMS Revises Safeguards for Medicare Patients in Hospice Care Fact Sheet

NAHC advocacy is a win for hospice As reported at the beginning of February, the Centers for Medicare & Medicaid Services (CMS) posted a MLN Hospice Fact Sheet, Safeguards for Medicare Patients in Hospice Care, and NAHC communicated with CMS regarding our concerns about some of the fact sheet’s contents. Specifically, a reference to the…

Key Congressional Leaders Develop Legislation to Address OIG Hospice Survey Concerns

NAHC is working with Congress on legislatoin to support hospice, address concerns The reports targeting hospice survey deficiencies and quality of care by the Department of Health & Human Services’ Office of the Inspector General (OIG) last summer have generated considerable activity in Congress, federal agencies, and among hospice stakeholders. While Senate legislation was introduced…

CMS Releases Safeguards for Medicare Patients in Hospice Care

The Centers for Medicare & Medicaid Services (CMS) recently posted a MLN Hospice Fact Sheet, Safeguards for Medicare Patients in Hospice Care, in response to two reports on hospice care by the Health and Human Services (HHS) Office of the Inspector General (OIG). (See previous coverage of these reports here and here.) The fact sheet…

OIG Report on Hospice Aide Supervisory Visits

Deficiencies found and remedies recommended by OIG The Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG) recently released another report pertaining to the quality of hospice care.  In this report, Registered Nurses Did Not Always Visit Medicare Beneficiaries’ Homes At Least Once Every 14 Days To Assess The Quality Of…

Legislation to Address OIG Hospice Survey Concerns Introduced in Senate

Today, November 7, 2019, Senators Rob Portman (R-OH) and Ben Cardin (D-MD) introduced the “Hospice Care Improvement Act of 2019”, which is designed to refine the hospice survey process, improve compliance, and increase transparency. The bill is a legislative response to the findings of two reports from the Health and Human Services’ Office of the…

OIG Updates Work Plan to Include Review of Hospice Inpatient and Aggregate Cap Calculations

On October 4, 2019, the Medicare Payment Advisory Commission (MedPAC) began discussions around potential reform of the hospice Aggregate Cap (Cap). MedPAC is considering a recommendation under which the Aggregate Cap would be wage adjusted for the first time in history but may also consider a reduction in the Aggregate Cap amount: at the October…

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. …