Home Health & Hospice Week
OIG Calls For More Home Health Cuts
Add the HHS Office of Inspector Gene-ral to the list of organizations that want lower home health agency payment rates for Medicare.
In its latest semiannual report to Congress, the OIG reiterates its recommendation to "reduce the Home Health Agency update factor to account for the high error rate found in OIG’s review."
In the report, the OIG also notes the home health industry’s fraud vulnerabilities. It cites the case of Safe Home Health Care Agency in Miami, where the owner, administrator and seven other defendants were sentenced to more than 16 years combined for a kickback scheme. Maria Rueda and Jorge Sell used beneficiary information obtained from kickbacks to submit false claims and prescriptions that either were never provided or were medically unnecessary, the OIG says.
Home Health & Hospice Week
- Reimbursement:
PECOS Edits Are Upon You
Edits are based on Jan. 6 ‘From’ dates. You may have some extra weeks before [...] - Edits:
Ready Your PECOS Response Plan
Be prepared to turn away referrals from noncompliant physicians. Hopefully the vast majority of your [...] - Documentation:
Focus On These 7 Qualities To Boost Documentation
Support medical necessity, codes or risk denials. You already know that when the clinical record [...] - OASIS:
Watch for Under-Documented OASIS, Billing Areas
Be sure your documentation backs up your OASIS responses and resulting claims, especially with these [...] - Patient Privacy:
Implement An Information Security Management Process Before It's Too Late
Tip: Run your data security like a business. With so many reimbursement and regulatory changes [...] - HIPAA:
Get Expert Help For Your Security Policy
Follow the right framework to create and update your policy. As you wade through the [...] - HIPAA:
Follow This HIPAA Security Process Checklist
As you’re preparing your information security management process, keep this checklist from Jim Sheldon-Dean of [...] - Industry Note:
MedPAC Lobbies For Lower Home Health Payment Rates
Advisory body pushes home health copayment once again. Declining utilization and profit margins aren’t enough [...] - Industry Note:
MedPAC Wants A Rate Freeze For Hospices In 2015
Hospices have often gotten a pass from the Medicare Payment Advisory Commission — but not [...] - Industry Note:
OIG Calls For More Home Health Cuts
Add the HHS Office of Inspector Gene-ral to the list of organizations that want lower [...] - Industry Note:
Newspaper Exposé Slams For-Profit Hospices For Long-Stay, Ineligible Patients
Expect hospice payment reform to get on an even faster track, thanks to a high-profile [...] - Industry Note:
Comment On Hospice Drug Coverage Guidance ASAP
If you were slammed by the holidays and didn’t have time to comment on Medicare’s [...]
