Home Health & Hospice Week

Enforcement:

Check Out 5 New Alternative Sanctions

How long would you survive under a payment suspension?As always, the Medicare program will retain its ability to terminate home health agencies for noncompliance with the Conditions of Participation (COPs). But if the new alternative sanctions proposal is finalized, surveyors will also wield these tools when they find condition-level or repeated deficiencies:Civil Money Penalties. Surveyors can impose CMPs on a per instance or per day basis. Fines will range from $500 to $10,000 per day or instance (see chart, p. 208, and story, p. 209, on what factors contribute to the CMP fine levels set). HHAs can appeal the CMPs, but will receive a 35 percent lower CMP rate if they forego an appeal. CMPs will begin accruing on the date of the survey and will be due 15 days from the final administrative notice of the penalties, the Centers for Medicare & Medicaid Services says in the 2013 home [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All