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Home Health & Hospice Week

Compliance:

Take These 4 Steps To Minimize Compliance Risk With OIG Stats

Published on Wed Aug 08, 2012

Where do you stand on these 6 risk factors?In an unprecedented move, the OIG has revealed the benchmarks it's using to identify questionable billing in home health agencies. Now it's your turn to use that information to your advantage.The HHS Office of Inspector General found that one in four home health agencies exceeded at least one of the thresholds the agency set for six questionable billing measures in 2010, it says in a new report. (For the measures and threshold figures, see box, p. 231.)The six measures are interrelated, observes attorney Robert Markette Jr. with Benesch Fried-lander Coplan & Aronoff in Indianapolis. For ex-ample, high outlier payment amount and high number of visits are likely correlated.HHAs can expect close scrutiny of these factors, if the measures aren't under the microscope already, advises attorney John Gilliland with The Gilliland Law Firm in Indianapolis. "All agencies, especially those in Texas, Florida, California [...]
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