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Fundamentals Subscriber webinar October 2015 Hospice Fundamentals 2015 All Rights Reserved1 Medicare Payment and The Plan of Care - Understanding the ConnectionSubscriber AudioconferenceOctober 2015 Today s Plan The Background The Bridge Between Payment and Survey Critical Elements Survey and Payment Issues Key IDG Competencies and Education Actions of the Prudent Hospice When Did Care Planning Become A Payment Issue? Fundamentals Subscriber webinar October 2015 Hospice Fundamentals 2015 All Rights Reserved2 OIG Report OEI-02-06-00221 Medicare Hospice Care for Beneficiaries in Nursing Facilities: Compliance with Medicare Coverage Requirements September 2009 Reviewed 450 randomly selected claims of Medicare beneficiaries residing in nursing homes receiving Hospice services Services provided in 2006 Eligibility was not assessed The results were horrible are mentioned frequently and guiding many review activities 18%Yes82%NoFrom the OIG s Perspective, % of Claims That Met Payment RequirementsProblem Fundamentals Subscriber webinar October 2015 Hospice Fundamentals 201

www.hospicefundamentals.com Hospice Fundamentals Subscriber Webinar October 2015 © Hospice Fundamentals 2015 All Rights Reserved 1 Medicare Payment and The Plan of Care - Understanding the

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