What we do

Hospice

Myers & Stauffer provides hospice consulting services that help state Medicaid agencies strengthen oversight of hospice reimbursement, utilization, program integrity, and compliance. Our experts support data-driven evaluation of end-of-life care services, helping agencies improve payment accuracy, monitor utilization trends, and ensure effective Medicaid program oversight.

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Supporting Oversight of End-of-Life Care Services

Hospice services provide palliative and end-of-life care to Medicaid beneficiaries, focusing on comfort, quality of life, and support for individuals and their families. These services are typically reimbursed through per diem payment methodologies and may be delivered through fee-for-service or managed care arrangements. 

Myers & Stauffer supports state agencies in evaluating and overseeing hospice services to ensure appropriate reimbursement, utilization, and compliance with program requirements. 

Hospice Oversight & Financial Review Services

Myers & Stauffer provides specialized hospice consulting services that help Medicaid agencies evaluate reimbursement methodologies, monitor utilization patterns, strengthen program integrity, and support effective oversight of hospice services.

Reimbursement & 
Payment Review 

We assist agencies in assessing hospice reimbursement methodologies and payment structures. 

Our services include: 

  • Evaluation of per diem payment rates and methodologies. 
  • Analysis of reimbursement trends and policy impacts. 
  • Review of managed care payment arrangements. 
  • Financial analysis to support program decision-making. 
Utilization & 
Length-of-Stay Analysis 

Hospice services often involve variability in length of stay and service intensity. 

We support agencies through: 

  • Analysis of claims and encounter data. 
  • Evaluation of length-of-stay patterns. 
  • Identification of utilization trends and cost drivers. 
  • Detection of outliers and unusual service patterns. 
Program Integrity & 
Compliance 

We assist agencies in maintaining oversight of hospice services. 

Our work includes: 

  • Support for audit and program integrity activities. 
  • Review of documentation and eligibility-related considerations. 
  • Identification of risks related to billing and utilization. 
  • Development of monitoring approaches and controls. 

Supporting Medicaid Program Oversight 

Our work related to hospice services is part of a broader approach to Medicaid reimbursement, managed care, and program integrity. 

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Jerry Dubberly, PharmD
Principal

Email: jdubberly@mslc.com
Phone Number: 404-524-9519

Ryan Farrell, CFE
Principal

Email: rfarrell@mslc.com
Phone Number: 512-342-0800

Tim Guerrant, CPA
Member

Email: tguerrant@mslc.com
Phone Number: 317-815-2935

In the Words of our Clients…

Completes works in a timely manner, provides expert suggestions specific to our issues, and allows for consistency to be implemented throughout our program reviews.”

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