The industry has been abuzz with the announcement that CMS will proceed with the Special Focus Program as scheduled despite much speculation that the methodology for selection of programs to participate is flawed. If you aren’t aware of this program, you will want to educate yourself on the basic premises and selection metrics. If you…
You may feel like your program is the only one that isn’t growing, but we hear from programs all over the country that they are not able to move beyond a certain census. It happens more often that you would imagine. With so many hospice and home health markets saturated with competing programs that offer…
What makes a patient eligible for hospice? Is it meeting the LCD, is it 418.20 and 418.22, or is it something else entirely? Does the patient have to decline? What do we do if we’re just not sure? If you have ever had to admit a patient, answer an additional development request (ADR) or help…
The hospice eligibility conundrum The resumption of the Hospice TPE as brought with it a rash of new technical denials, including denials related predominantly related to the new Notice of Election and Election of Benefit form requirements. Many hospices are finding themselves on the denial end of the TPE process as the MAC reviewers are…
