Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
A A A
Print
:: NAHC Report
NAHC Report: Issue# 2191, 5/8/2013
Follow us on:     
ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
OIG Report on Medicare Hospice Use of General Inpatient (GIP) Level of Care
NUBC Approves Pre-hospice/Palliative Care Service Codes
For Your Information: CMS has asked NAHC to share the following message about opportunities for providers to partner with CMS by disseminating preventative information to the public with its Members
NAHC/Home Care & Hospice Events
Email Center

Manage Your Account Contact the Editor Ensure Delivery Advertise in NAHC Report

OIG Report on Medicare Hospice Use of General Inpatient (GIP) Level of Care

The Department of Health and Human Services’ Office of the Inspector General (OIG) recently issued a Memorandum Report to the Center for Medicare & Medicaid Services (CMS) on Medicare Hospice: Use of General Inpatient Care, OEI-02-10-00490. This report is based on general inpatient care (GIP) provided to Medicare hospice beneficiaries in 2011.

Hospice GIP is for pain control or symptom management provided in an inpatient facility that cannot be managed in other settings. The care is intended to be short-term and is the second most expensive level of hospice care available after continuous care. GIP may be provided in one of three settings: a Medicare-certified hospice inpatient unit; a hospital; or a skilled nursing facility (SNF). CMS staff has expressed concerns about possible misuse of GIP, such as care being billed for but not provided, long lengths of stay, and beneficiaries receiving care unnecessarily.

The OIG found that the majority of GIP care was provided in hospice inpatient units as opposed to hospitals or SNFs. Twenty-three percent of Medicare hospice beneficiaries received GIP during the year. One-third of beneficiaries’ GIP stays exceeded five days, with 11 percent lasting 10 days or more. The hospices that used inpatient units provided GIP to more of their beneficiaries and for longer periods of time than hospices that used other settings.

:: Read Full Article

CMS has asked NAHC to share the following message about opportunities for providers to partner with CMS by disseminating preventative information to the public with its Members

The Centers for Medicare & Medicaid Services (CMS) conducts Outreach and Education for consumers on a variety of topics related to better health and program benefits. You can help us spread the word!

CMS is currently focusing outreach on the availability of preventive screenings and services for people with Medicare. As a result of the Affordable Care Act, many of these services are available now for little to no out-of-pocket costs to consumers. Publications and other educational materials are available for your organization to use to help CMS educate your patients and their families about these important program benefits. See the Related Links below, and check back often for additional information.

Related Links:

Visit the CARING Store online for the latest Resources

NUBC Approves Pre-hospice/Palliative Care Service Codes

Earlier this year the National Uniform Billing Committee (NUBC) received a request from Blue Cross Blue Shield of Michigan for a new a revenue code to report pre-hospice services. The request defined “pre-hospice” as including services that are provided prior to the formal election of hospice care.

These services would consist of evaluation, consultation and education, and support services. Their benefit plan indicates that twenty-eight visits are available prior to the patient’s electing hospice care. These services are less intensive than services associated with end-of-life care, and do not apply to the hospice benefit limit. Their plan allows continuation of curative treatment concurrent with the pre-hospice services until the patient is ready to forgo curative care. That is, the patient continues with his/her full medical/surgical benefits until he/she elects end-of-life care. When the patient and physician together decide to forgo curative treatment for the terminal illness, the patient may then elect hospice care benefits.

:: Read Full Article

©  National Association for Home Care & Hospice. All Rights Reserved.