Home Health & Hospice Week
Feds Make Another Record-Breaking Fraud Bust
Another nationwide coordinated fraud bust has taken place. Hundreds of federal agents fanned out around the country, raiding businesses, seizing documents, and arresting Medicare fraud suspects in Miami, Los Angeles, Houston, Detroit, Chicago, Tampa, Fla., and Baton Rouge, La., according to news reports. More than 105 people across the nation were charged with $452 million in Medicare fraud, reports the Associated Press. Medicare suspended payment to 52 providers as part of the investigations. For a change, community mental health centers were the focus of the busts. But the FBI made 19 arrests in the Detroit area, with some suspects related to home care, , reports WDIV on its affiliated website www.clickondetriot.com. Miami arrests also included home care providers, AP says. The busts "are at the heart of an administration-wide commitment to protecting American taxpayers from health care fraud," said U.S. Attorney General Eric Holder.
Home Health & Hospice Week
- Medical Review:
MAC Denies Almost All Long-Stay HTN Claims
Medical necessity can be hard to prove for hypertension patients. If you're treating a patient [...] - Coverage:
Take These 8 Steps To Torpedo HTN Denials
Make patient, treatment changes the cornerstone of your documentation for hypertension patients. Don't write off [...] - Hospice:
Hospices Off The Hook For Some Hospital Costs
CMS rep answers providers' hospice coverage questions in forum. Every hospice has been there -- a [...] - Billing:
CMS Clarifies Rules For Submitting MSP Claims
Hint: Record all beneficiary insurance cards, not just the Medicare one. Don't let Medicare Secondary [...] - Reimbursement:
Your Top 3 Secondary Payer Questions Answered
Understand coordination of benefits to receive your rightful reimbursement. Still have questions about the often-confusing [...] - Industry Note:
Don't Pay Docs For Face-To-Face Documentation
Physicians must turn to Medicare for payment, Q&A says. If you cave in to physicians' [...] - Industry Note:
Facilities Pay For Late Data
Have you been wondering if Medicare would follow through on penalizing home health agencies for [...] - Industry Note:
Make Sure Your Docs Are Enrolled In PECOS Before It's Too Late
Indicators that PECOS edits may be right around the corner are increasing. Background: In May [...] - Industry Note:
New HHS Initiatives Boost Medicaid Home Care
The Department of Health and Human Services is sending mixed messages about the value of [...] - Industry Note:
OIG Blasts Use Of KX On DME Claims
You may need to get more careful about using KX modifiers on your DME claims. [...] - Industry Note:
Copay Proposals Dog Home Care Providers
The specter of copays continues to plague home care providers this budget season. After being [...] - Industry Note:
Heed MAC Clarification On Hospice Revocation Billing
Billing can get tricky for patients who choose to revoke their hospice election. HHH MAC [...] - Industry Note:
Miami HHA Owner Draws 10-Year Prison Sentence
Three Miami HHA operators who pled guilty to Medicare fraud early this year have received [...] - Industry Note:
Feds Make Another Record-Breaking Fraud Bust
Another nationwide coordinated fraud bust has taken place. Hundreds of federal agents fanned out around [...]
