Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.

Last October, Palmetto, one of the nation’s largest Medicare Administrative Contractors to the federal government, released their Electronic Comparative Billing Report (eCBR) for 2018 data between April 1 – September 30 that focused on hospice providers’ Non-Cancer Length of Stay (NCLOS) rates.

Last month, Centers for Medicare and Medicaid Services (CMS) expanded the Targeted Probe and Educate (TPE) to include Hospice.

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.