Home Health & Hospice Week
DOJ Ups Prosecutions
You can expect the Department of Jus-tice to keep the heat on Medicare providers. "The Justice Department’s Medicare Fraud Strike Force has set record numbers for health care prosecutions in Fiscal Year 2013," the DOJ crows in a release. "The strike force set records in the number of cases filed (137), individuals charged (345), guilty pleas secured (234) and jury trial convictions (46)."
Plus: "The defendants who were charged and sentenced are facing significant time in prison — an average of 52 months in prison for those sentenced in FY 2013, and an average of 47 months in prison for those sentenced since 2007.
For every dollar DOJ and HHS have spent fighting health care fraud, they have returned an average of nearly eight dollars to the U.S. Treasury, the Medicare Trust Fund and others, DOJ adds.
"These record results underscore our determination to hold accountable those who take advantage of vulnerable populations, commit fraud on federal health care programs, and place the safety of others at risk for illicit financial gain," Attorney Gen-eral Eric Holder says in the release. "By targeting our enforcement efforts to ‘hot spots’ in nine cities, the Medicare Fraud Strike Force is allowing us to fight back more effectively than ever before."
Home Health & Hospice Week
- HIS:
Kick Your HIS Preparations Into Gear With These 6 Tips
Make room for new HIS training sessions on your calendar. Even though it’s the dead [...] - Quality:
7 New Hospice Quality Measures
How well you prepare to fill out the new Hospice Information Set tool may influence [...] - Hospice:
Nail HIS Data Submission Details For HQRP Success
What software do you plan to use? Collecting the clinical information you need for the [...] - Reimbursement:
Reduce Your PECOS Edit Denials With These Pointers
MAC makes PECOS RAP correction. There’s no doubt that home care providers were starting to see Phase [...] - Reader Question:
Test Your ICD-10 Coding This Spring
Question: I have heard that there will be a test period for using ICD-10 codes [...] - Medical Review:
MAC Targets More High-Therapy Claims For Review
High payment equals high levels of scrutiny. Be ready to defend your high-dollar claims, because [...] - Industry Note:
Face-To-Face Rises To Top Of Claims Denial List
Rely on physician office staff to help avoid reimbursement-draining denials. If you feel deluged with [...] - Industry Note:
Beware HIPAA Exposure With Common Software
You may have heard that Microsoft announced it will stop supporting Windows XP on April [...] - Industry Note:
Sound Off On Emergency Preparedness Problems
Do you think CMS’ proposed emergency preparedness requirement is a bad fit for the unique [...] - Industry Note:
OIG Tells Provider It's OK To Pay For Referrals
Providers that furnish a wide array of services may be able to pay for referrals [...] - Industry Note:
HCBS Program Changes May Lead To More Home Care In Your State
CMS is making it easier for your state to provide home care and community living [...] - Industry Note:
Get Patient Status Codes Right Following HH Patient Deaths
Is your home health agency using the correct patient status code on claims when the [...] - Industry Note:
Figure Out Overpayments With New MAC Tool
Being under so much medical review, home care and hospice providers are getting hit with [...] - Industry Note:
DOJ Ups Prosecutions
You can expect the Department of Jus-tice to keep the heat on Medicare providers. "The [...]
