As part of OIG’s ongoing efforts to fight waste, fraud, and abuse in Medicare, Medicaid, and more than 100 other HHS programs, it recently released a report identifying vulnerabilities to fraud and poor care. The new report covers hospice care since 2005 and increases in utilization and reimbursement.
OIG made more than a dozen recommendations to the Centers for Medicare & Medicaid Services (CMS) for strengthening the Medicare hospice program. They include improving the survey process, along with taking steps to tie payment to beneficiary care needs and quality of care. OIG also recommended that CMS seek statutory authority to establish additional remedies for hospices with poor performances. In response, CMS agreed with fewer than half of the recommendations.
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