Monday, December 10, 2018

Hospital's Fraudulently Claim Patient's Weren't Enrolled in Hospice (Not Legally Anyway) Because Inpatient Services Pays More

Hospital's Fraudulently Claim Patient's Weren't Enrolled in Hospice (Not Legally Anyway) Because Inpatient Services Pays More

https://www.debt.org/medical/hospice-costs/

More Fraud practiced by St. Joseph's Hospital

  • Patient must be 65 years or older
  • Diagnosed with a serious illness
  • Certification from a doctor that he or she has six months or less to live
  • Agrees to forgo life-saving or potentially curative treatment
  • Hospice provider must be Medicare-approved
Hospice costs not covered by Medicare
  • More reason's Medicare was Fraudulently billed
  • Room and board
  • Emergency care such as ambulance fees or emergency room costs
  • Treatment or prescription drugs attempting to cure illness
In 2009, Medicare paid $55 million for doctor and hospital bills incurred during the last two months of patients’ lives. Hospital inpatient charges exceed $6,200 per day, and costs to maintain someone in an ICU can reach up to $10,000 per day. Skilled nursing facilities were reimbursed at a rate of approximately $622 per day.
In comparison, total hospice spending for Medicare in 2016 was $16.8 billion, with an average cost of approximately $12,000 per patient. Medicare does not limit payments for hospice care for individuals, but enforces an aggregate cap for agencies of about $24,500 per beneficiary.
Medicare paid an average of $153 per day, per person, in 2016 to cover hospice care, in the following categories:
  • Routine home care – $193 per day for services that patients need on a day-to-day basis.
  • Continuous home care – $41 per hour for services during crises or at least eight hours a day to manage acute symptoms.
  • Inpatient respite care – $173 per day to relieve unpaid caregivers on an occasional basis for no more than five days at a time.
  • General inpatient care – $744 per day for care that cannot be provided in other settings.
Now I know why Medicare wasn't billed under Hospice/Palliative Care. Medicare Fraud!
The Hospital made more money off the Murder of my Husband by NOT claiming as Hospice/Palliative care!











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