OIG Report Scrutinizes Hospice Care Provided in Assisted Living Facilities
The report finds the following:
Based on the above findings, the report recommends that CMS take the following actions:
While the report does not expressly accuse hospices of overbilling for ALF-based services, it does send a clear message that the OIG considers certain billing practices to be questionable. In response to the report, CMS has acknowledged that hospice reimbursement should be evaluated, but that further investigation will be necessary before it can implement many of the report’s recommendations. Nevertheless, hospices are well-advised to review their ALF-based practices now to reduce the risk of becoming a target for CMS audits later.
 Office of Inspector General, Medicare Hospices Have Financial Incentives to Provide Care in Assisted Living Facilities (2015), available at: http://oig.hhs.gov/oei/reports/oei-02-14-00070.pdf. Last accessed March 9, 2015.
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