HealthStream Brands

Hospice Compliance

Millions of Americans enter hospice care each year. These admissions lead to many opportunities for fraud, waste and abuse. Hospice agencies are under strict scrutiny by the Centers for Medicare and Medicaid Services, Office of Inspector General and the U.S. Department of Justice to mitigate fraudulent activity and eliminate harm to hospice patients.

This course covers several important topics related to hospice compliance, including Fraud, Waste and Abuse, Medicare Conditions of Participation, Documentation and Coding, and Billing and Reimbursement issues.

1 to 100 Learners?

Number of Learners:

More than 100 learners?

Course Outline

  • Fraud, Waste and Abuse Module
    • Potential consequences of false certification
    • OIG's compliance program guidance for hospice agencies
  • Conditions of Participation Module
    • Conditions of participation in the Medicare program
    • Core requirements
  • Documentation and Coding Issues Module
    • Eligibility requirement documentation
    • Notice of Election
    • Documentation supporting terminal illness
    • Recertification requirements
  • Billing and Reimbursement Module
    • Four levels of hospice care
    • Hospice Quality Reporting Program (HQRP)
    • Hospice ICD-10

Target Audience

  • Administrative/Corporate Officers
  • Hospice managers and directors
  • Hospice medical directors/physicians
  • Patient care staff/interdisciplinary care team including nursing staff, psychologists, counselors, therapists, nutritionists,
  • Non-clinical administrative staff
  • Medical records
  • Coding/billing staff