Home Health & Hospice Week
Medicaid Audit Programs Hemorrhaging Money, GAO Says
Medicaid is paying twice for audit activities, according to a GAO report released on Dec. 10. The Medicaid Integrity Group has been hiring separate review and audit contractors for its National Medicaid Audit Program, causing serious inefficiencies and duplicate efforts -- not to mention double the costs.
"Review contractors analyze state claims data to identify aberrant claims or billing anomalies, while audit contractors conduct post-payment audits to determine if payments to providers were improper," the GAO states. These functions are far too similar, and the "poor coordination and communication" among the two camps yielded duplicative data analysis and inefficiencies -- leading to lengthy audit timeframes. The average audit took nearly two years to complete. You can view the GAO report at www.gao.gov/products/GAO-13-50.
Home Health & Hospice Week
- Audits:
Use These Tactics To Prepare For ZPIC Audits
Why you should focus on 7 specific problems. With the wide variety of compliance issues [...] - Compliance:
How To Win A ZPIC Appeal
What evidence is most compelling to auditors. Wading through the appeals process for Zone Program [...] - Regulations:
What The New Informal Dispute Resolution Provision Means For You
Keep these factors in mind when pursuing this alternative sanction. Along with a myriad of [...] - Coding Corner:
Keep Your Functional Status Codes & Modifiers At Arm's Reach
Cozy up to G-codes and modifiers for tracking patient status, goals and severity level. If [...] - Management Strategies:
Build A Winning Team That's Loyal For The Long Run
Unlock the secret that motivates your employees and unleash their productivity with this one tool. [...] - Industry Note:
MedPAC Calls For Lower Payments To HHAs
Commission wants to repeal the Medicare SGR, too. You’ll have lower home health payments and [...] - Industry Note:
CMS Announces Possible Future Hospice Data Collection
The Centers for Medicare & Medicaid Services wants more hospice data, responding to an outcry [...] - Industry Note:
WebEx Training Module for Hospice QRP Data Entry Now Available
You now have help with the Hospice Quality Reporting Program, in the form of a [...] - Industry Note:
False Claims Act Nets Nearly $5 Billion in FY 2012
Federal watchdog agencies netted nearly $5 billion in False Claims Act collections -- setting a massive [...] - Industry Note:
HHA Fraudsters Get Prison Time, Multi-Million-Dollar Restitution
Michigan HHA employees get prison sentences and millions in restitution for a $13.8 million home [...] - Industry Note:
IRS Passes New Medical Device Tax
The new medical device tax may make your costs skyrocket, especially when the added costs [...] - Industry Note:
OIG Wants Tougher Scrutiny of Hospice Claims
The OIG released its Compendium of Unimplemented Recommendations (December 2012 Edition), fighting for -- among numerous [...] - Industry Note:
Fiscal Cliff Talks Focus on Medicare Cuts
Medicare cuts and changes come to the table as the "fiscal cliff" looms, with suggestions [...] - Industry Note:
Medicaid Audit Programs Hemorrhaging Money, GAO Says
Medicaid is paying twice for audit activities, according to a GAO report released on Dec. [...] - Industry Note:
Your Dual-Eligible Patients Have Varying Consumer Protections
Your dual-eligible patients have varying consumer protections depending on the particular programs, payment systems and [...]
