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Hospices Inappropriately Billed Medicare over $250 Million for General Inpatient Care
Daniel R. Levinson (au)
Recent investigations have shown a number of instances in which hospices inappropriately billed Medicare for hospice general inpatient care (GIP). Misuse of GIP includes care being billed but not provided and beneficiaries receiving care they do not need. Such misuse has human costs for this vulnerable population as well as financial costs for Medicare. The goals of hospice care are to help terminally ill beneficiaries with a life expectancy of 6 months or less to continue life with minimal disruptions and to support beneficiariesäó» families and other caregivers. GIP is the second most expensive level of hospice care and is intended to be short-term inpatient care for symptom management and pain control that cannot be handled in other settings. This study found that hospices billed one-third of GIP stays inappropriately, costing Medicare $268 million in 2012. Figures. This is a print on demand report.
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