Medicare audits are on the rise. The government has made clear its intention to crackdown on those who use unethical and illegal billing practices to take advantage of Medicare. Although these audits aim to root out bad actors, they are not infallible and can target...
Healthcare Audit Defense
Navigating Texas Hospice Compliance Audits: Key Provider Insights
Hospice providers in Texas now face closer reviews from Medicare and state agencies as regulators push to reduce fraud, waste and abuse. You can lower your risk by knowing what auditors look for and tightening documentation before a request arrives. Why audits are...
How hospice providers can prevent fraud, waste and abuse
Hospice providers are an important part of society, providing much-needed care and comfort to individuals facing terminal illnesses. However, the potential for fraud, waste and abuse in hospice services poses significant risks to both patients and the healthcare...
Medicare Hospice CAP Demands and Appeals
Medicare Hospice CAP Demands and Appeals Beginning in 1982, Medicare began offering a hospice benefit to covered individuals needing end of life palliative care. Provisions for Medicare hospice reimbursement were set out in Hospice Statute of 1982. Under the system,...
