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This Bandwagon Has a Broken Wheel: OIG Joins the Inconsistent Approach to Hospice GIP Claims

Author
Husch Blackwell
Published
Wed 18 Oct 2023
Episode Link
https://hospicelawinsights.simplecast.com/episodes/this-bandwagon-has-a-broken-wheel-oig-joins-the-inconsistent-approach-to-hospice-gip-claims-y5lR_Vcj

CMS has criticized hospices for underutilizing general inpatient care (GIP) but has also specifically targeted GIP claims for audit and medical review. In addition to CMS’s standard tools for reviewing GIP claims, such as UPIC audits and TPEs, the OIG is now getting involved with a GIP audit of its own. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss the divergent approaches to GIP care and what this may mean for the hospice benefit.

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