Servicios Suplementarios de Salud, Inc., Improperly Claimed Medicare Reimbursement for Some Hospice Services

摘要

The Medicare hospice benefit allows providers to claim Medicare reimbursement for hospice services provided to individuals with a life expectancy of 6 months or less and who have elected hospice care. Previous Office of Inspector General reviews found that a high percentage of hospice claims did not meet certain Medicare requirements. Our objective was to determine whether hospice services claimed for Medicare reimbursement by Servicios Suplementarios de Salud, Inc. (the Hospice) complied with Medicare requirements.