Make no mistake about it, the Hospice Honeymoon Period has come and gone regarding the trust level that CMS has in our provision and documentation of services. In the past few months we have assisted hospices dealing with UPIC Audits, SMRC Audits, Targeted Probe and Educate Audits. The OIG recently issued a scathing report referring to hospice survey deficiencies and citing numerous instances of patients being harmed due to lack of compliance with the Conditions of Participation. This program is designed to inform Hospice Administrators, Physicians, Clinicians and Stakeholders with practical guidance in relation to compliant documentation of services. This is an “Ounce of Prevention” that is needed by all organizations. Please join SMART Healthcare Compliance Resources, LLC presenters Randy Forrest, Partner and Lista Clark, RN for this timely and informative training session.

Topics include:

• • Hospice Initial Assessment
  • Certification of Terminal Illness (CTI) Content Requirements
  • Comprehensive Nurse Assessment
  • Beneficiary Election Statement
  • New – Election Statement Addendum – Hospice Transparency
  • Covered vs. Non-Covered Services
  • Plan of Care – Initial & Updates
  • Related vs. Unrelated to Terminal Illness
  • Hospice Physician Roles
  • Interdisciplinary Group (IDG):

• • • IDG RN Role
    • IDG Social Worker
    • IDG Chaplain
    • IDG Volunteer Roles

• • Visit Types

• • • Routine Home Care Visits
    • Continuous Care Visits
    • General Inpatient Visits
    • Inpatient Respite Care Visits

The Office of Inspector General has announced a nationwide audit to be conducted starting in 2023 relative to hospice beneficiary admissions which are not preceded by a hospital stay or emergency room visit. State Surveyors and Deemed Status Organization’s are being trained and held accountable to ensure the Hospice CoP’s are being followed with emphasis on patient safety. CMS Contractor Post-Payment Medical Review continues to ramp significantly in many areas of the country with profound overpayment determinations being made. CMS is working diligently to implement a required Comprehensive Assessment Tool for hospice – HOPE! The industry is facing the most heightened scrutiny since Hospice became a Medicare benefit in 1983. Unquestionably the Landscape is changing and this seminar is designed to provide critical and practical information for all Hospice Stakeholders.

Topics Include:

• Overview of the Hospice Medicare Benefit Policy Manual
• Overview of the Hospice Medicare Billing Manual
• Latest Hospice Regulatory Updates
• Hospice Payment Reform Update & Preparation
• Documentation Principles to Survive Medical Review
• Medical Review Risks from MAC’s/UPIC’s/SMRC’s
• VBID Pilot – Intro to Medicare Advantage in Hospice
• Billing for Physician and NP Services
• Understanding the Hospice Aggregate CAP