Total Medicare spending for hospice care for nursing facility residents grew by 69 percent from 2005 to 2009, increasing from $2.55 billion to $4.31 billion. At the same time, the number of hospice beneficiaries in nursing facilities increased by 40 percent.
The OIG is well aware of this increase and recently completed a study on hospices that rely heavily on nursing home patients (Office of Inspector General 2011). The OIG found that these hospices are more likely to be for profit and to treat patients with conditions that typically have longer stays and require less complex care. The OIG recommended that CMS: (1) monitor hospices that rely heavily on nursing home patients and (2) reduce payment rates for hospice services provided in nursing homes.
With an estimate that by 2020, 40% of Americans will die in a nursing facility, provision of hospice care in the nursing home will undoubtedly keep increasing as well as the governmental scrutiny. Hospice providers need to be aware of the potentials for missteps when providing care in the nursing home setting.
This session will help you:
Who should attend? Hospice administrators and directors, hospice directors, hospice sales and marketing staff, clinical managers, compliance officers, QAPI managers
Roseanne Berry, MSN, RN With more than 25 years of operational, clinical and regulatory compliance leadership experience within the hospice and home care industry, Roseanne Berry, MSN, RN has a proven track record as a nursing and business professional.
In her current role as a hospice consultant and a founding partner of R&C Healthcare Solutions, and Hospice Fundamentals, Roseanne uses her in-depth expertise to provide a range of services,...
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