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Beyond the Moratorium: Why Every Hospice Will Be Audited — and How to Be Ready
Compliance expert Sharon Harder (C3 Advisors) and Farrokh Abadi (CEO, Akssi) break down what auditors are looking for, the triggers that put hospices on the radar, and the documentation practices that reversed $147,000 in denials.
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The ROI of Getting Hospice Decisions Right the First Time
The ROI of Getting Hospice Decisions Right the First Time Hospice organizations pay for unsupported eligibility and recertification decisions twice. First through the time and labor required to fix documentation after the fact. Second through denials, clawbacks, and audit exposure when those same gaps repeat across claims. Hospice audit risk is primarily caused by decisions that are not fully supported by consistent, complete documentation. Most teams see the rework. The larger financial risk builds in the background. The real ROI comes from eliminating both.
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What the CMS Hospice Moratorium Signals About Audit Risk and Oversight
What the CMS Hospice Moratorium Signals About Audit Risk and Oversight CMS’s hospice enrollment moratorium is officially tied to fraud prevention and program integrity concerns. But for established hospice organizations, the larger issue is what the announcement signals about where hospice oversight is heading next and how quickly the operating environment is changing beneath it.
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Proactive Preparation for Provisional Period of Enhanced Oversight (PPEO) in Hospice
Proactive Preparation for Provisional Period of Enhanced Oversight (PPEO) in Hospice The compliance environment for hospice providers has shifted. CMS has intensified scrutiny of the hospice program in response to improper payments, suspected fraud, and rapid growth in certain markets. A central enforcement tool is the Provisional Period of Enhanced Oversight (PPEO), which places selected new hospices under heightened review that may include prepayment review of Medicare claims.
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Operationalized Insights: The Next Frontier in Healthcare Workflow Management
Operationalized Insights: The Next Frontier in Healthcare Workflow Management The healthcare industry generates massive amounts of data every day from electronic health records and digital health apps to monitoring devices and reporting tools. Artificial intelligence can now analyze this information and surface meaningful patterns and risks. When used effectively, these insights help reduce administrative burden, guide better decisions, and support safer, more consistent care across senior living, home health, and hospice environments.
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The Anatomy of a Defensible Hospice Recertification
The Anatomy of a Defensible Hospice Recertification
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Lost in Translation: Why Certain Clinical Narratives Fail Hospice Recertifications
Lost in Translation: Why Certain Clinical Narratives Fail Hospice Recertifications
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The Hidden Challenges of Change Management in Healthcare Technology
Healthcare is evolving at a rapid pace. Tools like electronic health records, digital health apps, and virtual medical assistants promise better patient care, streamlined workflows, and stronger communication with families.
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Assisted Living Family Updates: How Transparent Communication Improves Trust
On a beautiful fall day a son is in the process of moving his mother into an assisted living facility. For this family today is a significant life transition. While he knows it is the right decision, with the rising demands of raising young kids and managing busy schedules her adjustment period weighed heavily on his mind.
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Why Monitoring Assisted Living Care Levels in Real-Time is a Must
Today, there are more than 1,000,000 Americans residing in assisted living, a number expected to rise as our population ages.
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