At first glance, the new hospice and home health moratorium may seem like good news. Fewer new providers entering the market could mean less competition and greater stability for existing organizations. But the reality is far more complex. While the moratorium limits new entrants, it also signals a dramatic escalation in government oversight across the…
The recent announcement from CMS placing a moratorium on new hospice and home health enrollments isn’t just about limiting new agencies—it’s a clear signal of increased scrutiny across the entire industry. What does this mean for existing providers? More ADRs and denials Heightened focus on eligibility and recertification documentation Increased audits and compliance reviews Greater…
How can we provide Continuous Care services without going broke? Continuous care (CC) has gained significant popularity in recent years. Many savvy competitors have aggressively marketed their continuous care services as a means of enticing referral sources. Why is this level of care so popular? The most important reason is that so many of our…
As promised, the first 50 hospices to be chosen for scrutiny and participation in the CMS Special Focus Program have been named. There were no surprises as states that have recently come under scrutiny are well represented including California (14 programs), Texas (10 programs) and a respectable showing for the state of Georgia (5 programs).…
Can third party wound care providers bill Medicare Part B for wound supplies for hospice patients? This is a question that has come up frequently in the last year. Many of our hospice clients have been approached (repeatedly and aggressively) by wound care organizations who offer free wound supplies for hospice patients, free unlimited consultation…