Home Health & Hospice Week
CMS Adds Requirements Before HHAs Are Certified
Newly enrolling providers will have a few more hoops to jump through before obtaining Medicare certification, CMS indicates in a new transmittal. After a home health agency passes its state survey, the enrollment application will go back to the HHA's Medicare contractor for a "post regional office" period. The MAC will then verify that the HHA still meets minimal capitalization requirements, and will "review each entity and individual listed in sections 2, 5 and 6 of the HHA's CMS- 855A application against the Medicare Exclusion Database (MED) (or the [HHS] Office of Inspector General's (OIG) List of Excluded Individuals and Entities) and the General Services Administration Excluded Parties List System (GSA List)," CMS directs in Sept. 16 Transmittal No. 388 (CR 7525). The CR is at www.cms.gov/transmittals/downloads/R388PI.pdf.
Home Health & Hospice Week
- Fraud & Abuse:
Expect Therapy Pay Changes In Wake Of Senate Report
Senate investigation blasts 3 of the 'big 4' companies for gaming the system. Regarding home [...] - Know Your Facts:
Publicly Traded Companies Changed Therapy Utilization In Response To Reimbursement
One chain saw 10-therapy-visit episodes drop from 20 to 7 percent in one year. Law- [...] - Compliance:
OIG Ramps Up HHA Oversight For 2012
OIG work plan adds 5 new HHA topics to 4 existing ones. Monitoring home health [...] - Industry Note:
NGS To Take Over HHH MAC Contract In Jurisdiction 6
NGS is currently subcontractor in the J6 area. Home health agencies who have NHIC as [...] - Industry Note:
Hospice Cap Selection Deadline Up In The Air
Give your hospice cap methodology selection careful thought, because doing nothing may be your best [...] - Industry Note:
RACs Make Money For Returning Money Too
A new CMS report reveals the results of Recovery Audit Contractors nationwide, and the numbers [...] - Industry Note:
Discharge Hospice Patients When F2F Is Missed
CMS has put some of its face-to-face billing guidance for hospices in a more official [...] - Finance:
Home Care Companies Stand By Their Practices
The home care companies that are the subject of the Senate Finance Committee's report are [...] - Enforcement:
LHC Group Pays $65 Million To Settle Lawsuit
National chain enters into CIA with OIG. It doesn't have to be your own employee [...] - Industry Note:
Beware This Cash Flow Hiccup Under CGS
Don't think a bump in your cash flow from last week will continue into this [...] - Industry Note:
CMS Adds Requirements Before HHAs Are Certified
Newly enrolling providers will have a few more hoops to jump through before obtaining Medicare [...] - Industry Note:
Hospice Quality Reporting Info Available Online
You can take a look at the proposed forms for the voluntary hospice quality reporting [...] - Industry Note:
HIPAA Breach Comes From Government Payor This Time
HIPAA breaches don't always come from providers. Tricare, the massive U.S. military insurer, announced last [...] - Industry Note:
Tip: Educate Docs' Billers To Boost Hospice Referrals
You may boost your hospice referrals if you help your referring physicians learn to navigate [...] - Industry Note:
Nurses Plead Guilty, Receive Sentence In Fraud Schemes
The feds continue to rack up fraud convictions of home care providers in Miami. An [...]
