Home Health & Hospice Week
Maxim To Pay $14.2 Million For Billing 'Error'
After Massachusetts announced last year that it was taking a number of fraud and abuse-fighting actions after MassHealth spending on home care skyrocketed over 80 percent in just two years (see Eli's HCW, Vol. XXV, No. 7), Maxim Healthcare Services Inc. will pay $14.2 million for a billing "error" the company "identified and selfreported" in 2016, the Columbia, Maryland-based chain says in a release. "Maxim discovered and self-reported the error after MassHealth issued a notice to all providers clarifying eligibility requirements ... and implementing a new prior authorization process in February 2016." Centrus Premier Home Care Inc., doing business as Maxim, "misinterpreted a regulation concerning the provision of home health aide services to beneficiaries who fail to meet certain criteria," the company continues.
Home Health & Hospice Week
- Compliance:
OIG Pushes HH Surety Bonds In Latest Report To Congress
HHAs, hospice occupy basement in overpayment collections. Home care providers waiting for the other shoe [...] - Enforcement:
OIG Lists HHA Owners Who Have Headed To The Slammer
Owner on OIG's Most Wanted list caught. Ready to get hit with a fraud reputation [...] - Fraud & Abuse:
Whistleblower Case Against HHA Moves Forward
'Uncooperative and obstructive' behavior amps up fine levels. Kickbacks were a defining feature in multiple [...] - HIPAA:
Know When To Report A HIPAA Breach — And When Not To
Include this critical info with any breach report. Reporting a HIPAAbreach may be necessary, but [...] - Industry Note:
Keep Your Eye On The Tax Bill
Will home care providers get coal in their stockings or presents under their trees? Signs [...] - Industry Note:
Joint Replacement Bundling Rollback May Help Your Hospital Referral Situation
Medicare has finalized its August proposal to cut the Comprehensive Care for Joint Replacement (CJR) [...] - Human Resources:
Stay Away From These Potentially Illegal Interview Questions
Some of these off-limits questions may surprise you. Whether you're new to interviewing potential hires [...] - Industry Note:
Proceed With RHC, SIA Adjustments, MAC Says
Did you let the window to submit a list of claims needing hospice payment reform [...] - Industry Note:
Learn From Hospice Quality Reporting Program FAQs
Check out the newest frequently asked questions received by the Hospice Quality Help Desk in [...] - Industry Note:
LHC, Tenn. Health System Form Joint Venture
Lafayette, Louisiana-based LHC Group and Chattanooga, Tennessee-based Erlanger Health System have finalized a new joint [...] - Industry Note:
Former Hospice Administrator Guilty Of Murder
It's not unusual these days to see home health agency and hospice executives in the [...] - Industry Note:
Maxim To Pay $14.2 Million For Billing 'Error'
After Massachusetts announced last year that it was taking a number of fraud and abuse-fighting [...]
