Home Health & Hospice Week
Guard Against Whistleblowers.
With all the new regulatory and payment burdens hitting home care providers, don't overlook an important area that needs your attention -- safeguarding against whistleblowers and their costly lawsuits. To take home a part of the money recovered in a federal qui tam case, the government must recover at least $1 million -- that's the only condition. In cases recovering $1 million or more, a whistleblower will make between $100,000 and $300,000 at least. In larger cases, she gets at least 10 percent of the money recovered. The largest healthcare fraud settlement in U.S. history against Pfizer Inc. paid six whistleblowers more than $102 million. Whistleblowers often come from the ranks of your employees, so make sure to set up a good employee complaint reporting system as part of your corporate compliance plan, legal experts recommend. Employees who feel heard by management may not resort to outside lawsuits.
Home Health & Hospice Week
- Fraud & Abuse:
Take These 6 Steps To Prepare For ZPIC Audits
You can bet homebound status will be a vulnerable point. ZPIC audits are shutting down [...] - Audits:
Use These 7 Tips To Survive A ZPIC Audit
Hop on probe letters to avoid a full-blown audit. Like many home care providers nationwide, [...] - Policy:
MedPAC Sets Sights On Home Care -- Again
HHA, hospice, and DME prone to overutilization, fraud, and abuse, commission says. If you thought [...] - Diagnosis Coding:
Use This Checklist To Help You Implement ICD-9 Changes
Fewer changes this year signal that ICD-10 preparations are under way. It's that time again. [...] - Competitive Bidding:
Bidding Hearing Gives Suppliers Little Hope Of Delay
Jan. 1 implementation date for DME competitive bidding looms. Durable medical equipment suppliers hoping to [...] - Industry Notes:
New Legislation Takes Aim At Medicare Fraud
OIG powers would be expanded under bill. Congress' assault on fraud in the Medicare program [...] - Medicare Issues PECOS Enrollment Instructions For Ordering Docs.
The Centers for Medicare & Medicaid Services is clearing one more obstacle from the path [...] - Guard Against Whistleblowers.
With all the new regulatory and payment burdens hitting home care providers, don't overlook an [...] - Schedule Around PECOS 'Dark Days'
You'd better reschedule any PECOSrelated work you have planned for this week. The Internet-based Provider [...] - Home Care Cuts Hurt Patients, Newspaper Says
States making big Medicaid cuts to home care are also making a big mistake. So [...] - OIG Blasts Suppliers' KX Modifier Claims
Another OIG report is projecting millions in Medicare overpayments for DME billed with the KX [...] - Keep Dates Straight Or Risk RAP Rejections
If you mix up the dates on your request for anticipated payment, you'll have to [...] - Payment Glitch Holds Up Palmetto Providers' Pay
If Palmetto is your Medicare contractor and you have claims suspending in status and location [...] - Stable Patients Equal Hospice Denials, Contractor Says
You'd better beef up documentation for your hospice patients whose conditions are holding steady, or [...]
