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Newsletter for Week of 04/04/2022

CALIFORNIA AUDITOR’S REPORT SAYS STATE’S LACK OF CONTROLS HAS CREATED OPPORTUNITIES FOR “LARGE-SCALE FRAUD AND ABUSE” California’s Acting State Auditor, Michael S. Tilden, forwarded a letter and a complete report of the audit examining the State’s licensure and oversight of hospice provider agencies. The report cites lax oversight of hospices as leading to widespread fraud, […]

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2022 Hospice CAHPS Honors

TNMHO is proud to recognize members who have been given this prestigious honor for continuously providing the highest level of quality, as measured from the caregiver’s point of view. CONGRATULATIONS!! ANGELS CARE HOSPICE WICHITA FALLS, TX HEART TO HEART HOSPICE OF EAST TEXAS LLC HEART TO HEART HOSPICE OF TYLER LTD HEARTSWAY HOSPICE OF NORTHEAST […]

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Newsletter for Week of 03/29/2022

CMS OFFERS UPDATES AND CHANGES TO THE VBID MODEL AND HOSPICE BENEFIT PAYMENTS The CMS Innovation Center recently held a webinar to address the Medicare Advantage Value-Based Insurance Design (VBID) Model. “During this webinar, presenters provided a brief review of the recently released Calendar Year (CY) 2023, Requests for Applications (RFAs) for the VBID Model, and […]

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Regulatory Update – 03/31/2022

Center for Medicare and Medicaid Services (CMS) CMS Hospice Election and Addendum Form: It has been strongly recommended that hospice providers consider utilizing the CMS hospice election and addendum form to avoid issues in medical review.  You can access the form at: https://www.cms.gov/files/document/model-example-hospice-election-statement.pdf.   Implementation of the GV Modifier for Rural Health Clinics (RHCs) and […]

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Regulatory Update – 03/24/2022

Federal News and Information: Palmetto: Reminder to share with your billers.  This addresses new system edits to prevent billing gaps in hospice transfer, what happens when there is a billing gap, and how to handle transfers from out of services areas. Gap Billing Between Hospice Transfers There are new system edits to prevent gap billing […]

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Newsletter for week of 03/21/2022

MEDPAC ISSUES REPORT TO CONGRESS:  MedPAC issued its Report to Congress. Chapter 11, of the 14-chapter report, addresses hospice services. The report reviews the Medicare Hospice Benefit and shares that, in 2020, “more than 1.7 million Medicare beneficiaries (including almost half of Medicare decedents) received hospice services from 5,058 providers, and Medicare hospice expenditures totaled […]

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Regulatory Update – 03/18/2022

New Mexico Register: REGULATION AND LICENSING DEPARTMENT BOARD OF SOCIAL WORK EXAMINERS repealed and replace rules which are effective March 13, 2022. Topics covered are:  application, reciprocity, and disciplinary actions.  To review, go to:   https://www.srca.nm.gov/nmac/nmregister/pdf/xxxiii05.pdf.      Federal News and Information: Telehealth and the Public Health Emergency (PHE) Congress passed HR 2471, Consolidated Appropriations Act […]

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Hospice News of the Week 03/14/2022

FY 2022 OMNIBUS BILL ADDRESSES HOSPICE ISSUES: The FY 2022 Omnibus Appropriations bill was released by the House on March 9 and is expected to be quickly finalized.  There are several hospice-specific inclusions in the bill. The changes and lack of changes in the bill impact all hospice providers. Two articles from Leading Age report […]

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Regulatory Update for the Week of 03/10/2022

Texas Register: HHSC is adopting a new emergency rule that address visitation for the following provider types. The purpose of the new rule is to describe the requirements related to such visits.  You can access the rules at:  https://www.sos.state.tx.us/texreg/archive/ March42022/Emergency%20Rules/26.HEALTH%20AND%20HUMAN%20SERVICES.html#2.   TITLE 26. HEALTH AND HUMAN SERVICESPART 1. HEALTH AND HUMAN SERVICES COMMISSION CHAPTER 551. […]

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Regulatory Update for the Week of 03/03/2022

Federal News and Information: Palmetto: Gap Billing Between Hospice Transfers There are new system edits to prevent gap billing between hospice transfers, additional instructions about hospice transfers to administer existing hospice benefit policy and revisions to Pub 100-04, Chapter 11, Section 20.1.3 – Change of Provider/Transfer Notice.  These changes can be accessed at:https://www.cms.gov/files/document/mm12619-gap-billing-between-hospice-transfers.pdf.   Texas […]

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