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Survey Enforcement for Medicare Hospice Programs Increases

Friday, January 15, 2021
Tucked away in the recently enacted 5,500+ page Consolidated Appropriations Act of 2021 (the “Act”) are important provisions tightening up the survey and enforcement procedures for Medicare hospice programs. The Act (Pub. L. 116-260) was signed into law on December 27, 2020. Among other things, the Act’s hospice provisions require that the Secretary of Health and Human Services (the “Secretary”), by October 1, 2022, develop intermediate sanctions, including civil monetary penalties, and impose these sanctions on Medicare-certified hospice programs in response to survey deficiencies.
This spotlight on hospice survey enforcement comes as no surprise. For a few years, Congress has considered several bills to put more rigor into the Medicare survey process for hospices, including the Helping Our Senior Population in Comfort Environments Act (“HOSPICE Act”). This legislative effort was fueled by a series of recent repo ....

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Hospice reform crafted by Reed passes House

WBFO s Tom Dinki reports.
On Tuesday the House approved the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act. It mostly deals with Medicare eligibility, but also includes language from a previous piece of legislation, the Helping Our Senior Population in Comfort Environments (HOSPICE) Act, which lawmakers say would increase the accountability and transparency of hospice providers.
Currently, hospices are only inspected once every three years and are not subject to fines. They can be cut off from Medicare funding, but the penalty is rarely used. It happened to less than 1% of the nation’s over 4,000 hospices from 2014 to 2017.
Language from the HOSPICE ACT would allow the Department of Health and Human Services level monetary fines on hospices for poor care, publicize their inspection results online, and create a toll-free hotline for patients and families to report abuse. ....

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