Hospice Enforcement Trends: Recent Decisions, Opinions & Other Guidance for the Increasing Scrutiny on Hospice

Thursday, February 9, 2017

10:00 am – 11:30 am HST
11:00 am – 12:30 pm AKT
12:00 pm – 1:30 pm PT
1:00 pm – 2:30 pm MT
2:00 pm – 3:30 pm CT
3:00 pm – 4:30 pm ET

For years, hospice providers were less concerned about compliance and enforcement than their home health colleagues, because hospices were not viewed with the same scrutiny.  However, with the growth of for-profit hospice providers and hospice spending, the government has begun to closely monitor hospices.  Recent years have seen False Claims Act matters against hospices, additional guidance from the Office of Inspector General regarding potential suspect relationships, and an increased focus on audits. 

This seminar will help providers identify areas of concern for hospice compliance enforcement and provide strategies to prepare for and protect against regulatory scrutiny.  Learn proactive compliance measures for auditing, monitoring employee education, and areas of identified noncompliance, including overpayments and self-reporting.


  • How the growth in hospice use and spending is driving Medicare enforcement
  • Why hospice in nursing home relationships are a continued concern for the OIG
  • Why the RAC program is a bigger concern
  • Hot topics in hospice audits – medical necessity, beneficiary eligibility, and face-to-face
  • Using auditing and monitoring to find mistakes before the government does
  • Risk areas in facility relationships
  • Why educating staff is important
    • CMS, OIG, ZPIC, RAC, and MIC guidance


This informative session is designed for administrators, nursing directors, compliance officers, billers, auditors, and owners.

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