Home Health & Hospice Week
2 HHAs Pay $10 Million To Settle Fraud Charges
Massachusetts’ ongoing crackdown on home health fraud has resulted in some big-dollar settlements. Two home care companies will pay more than $10 million to resolve allegations that they falsely billed MassHealth, the state’s Medicaid Program, Attorney General Maura Healey says in a release. Amigos Homecare in Lawrence will pay $2.1 million and Avenue Homecare Services Inc. in Dracut will pay $8.3 million to resolve allegations that both entities submitted false claims to MassHealth for home health services that had not been appropriately authorized by a physician. Among the problems that investigators found were missing or invalid plans of care and claims for services when patients were actually in the hospital. “These civil settlements are part of a larger effort by AG Healey and MassHealth to combat fraud in the home health program,” the AG says.
Home Health & Hospice Week
- Medical Review:
Even If You Get Off TPE, You're Not All The Way Off
Successful TPE rounds are followed by 12 months of monitoring, MAC reveals. The Targeted Probe [...] - Hospice:
Will Election Statement Additions Deter Hospice Use?
Here are the 4 items Medicare wants you to add to your election statement. Hospices [...] - Compliance:
Election Addendum Would Contain These Elements
And the new addendum would have to be updated along with the plan of care. [...] - Hospice:
Election Statement Addendum Proposal Riddled With Problems
Timeframe is one of the most obvious faults. While hospices are all for having their [...] - Therapy:
Don't Forget OT, SLP In Your Therapy Goals
Will your plan of care’s therapy components stand up to scrutiny? Home care providers are [...] - Industry Note:
Can You Tick Off Everything On This RCD Checklist?
Plus: Make sure your billing staff can follow this how-to guide. With the Review Choice [...] - Industry Note:
Patient Assessment Submission Deadline To Change
You’ll have less time to submit and correct OASIS and HIS data, under a new [...] - Industry Note:
Take This Action On RAP Elimination Right Now — Even If You're Not Yet Affected
If you’re just watching and waiting to see whether Medicare eliminates Requests for Anticipated Payment [...] - Industry Note:
Medicare Interest Rate Changes For The Quarter
As of April 17, Medicare is using a new interest rate for under- or overpayments. [...] - Industry Note:
CMS Eyes Capitation, Other Strategies For Dual Eligibles
Stand by for potential changes to how you are reimbursed for your patients who are [...] - Industry Note:
MAC Updates Dysphagia LCD
If your staff provides surface electrical stimulation to treat dysphagia, check out the newly updated [...] - Industry Note:
Physician Payment Test May Benefit Hospice
Medicare’s newly proposed “Primary Care First” payment model should benefit your patients and the physicians [...] - Industry Note:
2 HHAs Pay $10 Million To Settle Fraud Charges
Massachusetts’ ongoing crackdown on home health fraud has resulted in some big-dollar settlements. Two home [...]
