Home Health & Hospice Week
Home Health Moratoria Heads Into 5th Year
As expected, the Centers for Medicare & Medicaid Services has extended for another six months the statewide moratoria on newly enrolling home health agencies in Florida, Illinois, Michigan, and Texas. "A significant potential for fraud, waste, and abuse continues to exist regarding those provider and supplier types in these geographic areas," CMS says in a Jan. 30 Federal Register notice. "The circumstances warranting the imposition of the moratoria have not yet abated, and CMS has determined that the moratoria are still needed as we monitor the indicators and continue with administrative actions to combat fraud and abuse, such as payment suspensions and revocations of provider/supplier numbers." History: CMS first implemented the moratoria in July 2013 in Miami-Dade and Chicago (see Eli's HCW, Vol. XXII, No. 27), two years after the moratorium authority was enacted. Then in February 2014, it added Fort Lauderdale and counties in Texas and Michigan (see Eli's HCW, Vol. XXIII, No. 6) and in 2016 took the moratoria areas statewide (see Eli's HCW, Vol. XXIV, No. 30).
Home Health & Hospice Week
- Audits:
RACs Get 8% Of Every Denial They Make
Bounty hunter contract tempered with some protections. If you're wondering just how much incentive Recovery [...] - Medical Review:
Here's How RAC Reimbursement Works — And Affects You
Some successful appeals don't count against Performant. Look to Performant's contract with Medicare to find [...] - Documentation:
Put QA On Your Short List Of Duties To Tackle
Invest resources on the front end of RAC review, so the back end doesn't close [...] - Budget:
Watch For Payment Reform In Budget Legislation
What the FECCA? Home care industry experts have expected Medicare to come back with a [...] - Hospice:
Hospital Early Discharge Provision Pops Up In Budget Legislation
Penalty for discharging early to hospice would limit hospice access. The new bill passed by [...] - Medical Review:
MAC Releases Probe & Educate Round 2 Stats
Did you land in the minority? Close to half of home health agencies that Palmetto [...] - Industry Note:
Get Ready To Change Billing Procedure For Transfer Patients
Medicare to straighten out start date/admission data snarl. This summer, Medicare plans to implement the [...] - Industry Note:
Home Health Moratoria Heads Into 5th Year
As expected, the Centers for Medicare & Medicaid Services has extended for another six months [...] - Industry Note:
OIG Wants Your Ideas
Don't miss your chance to pitch a new safe harbor to the OIG. You have [...] - Industry Note:
Beware This Review & Correct Report Glitch
If you'd like to learn more about Review and Correct Reports for Home Health Agencies, [...] - Industry Note:
Medicare To Allow Non-Skilled Home Care In MA Plans
A change to Medicare Advantage plan structure may benefit home care providers as well as [...] - Industry Note:
HQRP Manual Updated
Make sure you're using the most up-todate version of Medicare's Hospice Quality Reporting Program Quality [...] - Industry Note:
State Bill Would Require Hospices To Destroy Pain Meds
Hospice providers in Kentucky may have a new duty added to their already full plates. [...] - Industry Note:
Hospice Fraud Settlement Pays Whistleblower $900K
Haven Hospice, the hospice provider that recently announced the closing of affiliate VNA and Hospice [...] - Industry Note:
Hospice Nonprofits Merge
Nonprofits West Texas Rehabilitation Center and Hospice of San Angelo will merge March 1, becoming [...]
