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Rules and Regulations – Nurses

Home » Nurses » Rules and Regulations - Nurses
Length of stay – active or discharged patients?

Length of stay – active or discharged patients?

  • Post category:Compliance and Regulatory - Directors/Metrics and KPIs/Rules and Regulations - Nurses/Rules and Regulations - Office Team

Patient length of stay is monitored to detect instances of inappropriate use of the hospice benefit or other deficiencies in the services delivered by the hospice…

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Average length of stay versus median length of stay

Average length of stay versus median length of stay

  • Post category:Compliance and Regulatory - Directors/Metrics and KPIs/Rules and Regulations - Nurses/Rules and Regulations - Office Team

Patients are eligible for hospice if they have a terminal diagnosis and a prognosis of six or fewer months to live if their disease runs its…

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What is a False Claims Act investigation?

What is a False Claims Act investigation?

  • Post category:Billing/Documentation - Nurses/Hospice 101 - Aides/Hospice 101 - Chaplain/Hospice 101 - Nurses/Hospice 101 - Office Team/Hospice 101 - Social Workers/Intake/Rules and Regulations - Nurses/Rules and Regulations - Office Team

What is the False Claims Act? The False Claims Act (FCA) was established in 1863 during the Civil War to combat fraud and abuse perpetrated by…

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What is the hospice governing body?

What is the hospice governing body?

  • Post category:Compliance and Regulatory - Directors/Documentation - Nurses/Hospice 101 - Aides/Hospice 101 - Chaplain/Hospice 101 - Nurses/Metrics and KPIs/Rules and Regulations - Nurses

What is the governing body? In accordance with the Conditions of Participation, a Medicare certified hospice agency must have a governing body. The governing body has…

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What is a UPIC audit?

What is a UPIC audit?

  • Post category:Compliance and Regulatory - Directors/Documentation - Nurses/Hospice 101 - Nurses/Metrics and KPIs/Rules and Regulations - Nurses

What is a UPIC? Unified Program Integrity Contractors (UPICs) are contracted by CMS to conduct detailed medical review, data analysis, and audits of healthcare providers to…

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What is the TPE audit process?

What is the TPE audit process?

  • Post category:Compliance and Regulatory - Directors/Documentation - Nurses/Hospice 101 - Nurses/Metrics and KPIs/Rules and Regulations - Nurses

What is a TPE? A Targeted Probe and Educate (TPE) is an audit program that was rolled out by CMS in 2017. The stated goal of…

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