Hospice compliance is all about detailed regulations and documentation requirements. But strong compliance programs rely on more than policies and audits. When leadership expresses the value of compliance and makes it part of daily workflows, it gives staff a better understanding of expectations.
This agency faced a LUPA rate consistently more than 13%, which reflected room for improvement in patient care and in reimbursement. A nursing and therapy staff shortage combined with high patient volume made it difficult to achieve proper visit utilization.
The provider had more than $428,000 in aged receivables, 39% of which was aged over 360 days, and struggled to resolve the aged receivable before the timely filing deadline.
