Home Health & Hospice Week
State DOH Settles Fraud Allegations For $13.4M
State governments and hospice fraud settlements don’t usually go hand-in-hand, but a recent case is proving the exception. The Louisiana Department of Health has agreed to pay $13.4 million “to resolve allegations that it submitted false and inflated Medicaid claims for long-term nursing home and hospice care,” the Department of Justice says in a release. Louisiana padded its federal share of hospice payments by orchestrating early billing dates for hospice claims that weren’t even submitted yet, the DOJ says. The Louisiana DOH “received a Federal share based upon the higher percentage rate in effect in those months, rather than the lower percentage rate in effect the following months when the providers actually submitted their claims to Louisiana,” the DOJ explains.
Home Health & Hospice Week
- Reimbursement:
MedPAC To Ratchet Up Cut Recommendation To 7%
Increase comes as a surprise. While home health agencies are facing down the biggest change [...] - Finance:
Here's How HHA Profit Margins Have Stacked Up This Decade
Profits have seen some sharp peaks and valleys. With the 2010s about to close, it’s [...] - Know Your Facts:
MedPAC Predicts Higher Profit Margin Under PDGM
Agency number and episode volume fall — again. Take a look at the facts and [...] - Billing:
Ring In The New Year With Functioning Billing
Warning: HICNs will reject in a few weeks. Don’t get so caught up in PDGM [...] - HIPAA:
You Must Protect All Of These PHI Identifiers
If you mess up on what’s PHI and what isn’t, the price tag may be [...] - Industry Note:
MedPAC Readies Rate Freeze, Cap Reduction Recs
Cap reduction will risk access, expert warns. Hospices’ relatively high average profit margin of 12.6 [...] - Industry Note:
Prepare For RAP Hold On Jan. 1
Many things will change with PDGM’s implementation Jan. 1, but some things will stay the [...] - Industry Note:
OIG Beats Hospice Survey Drum Again
The HHS Office of Inspector General’s Semiannual Report to Congress is another chance for the [...] - Industry Note:
Where Is Rural Add-On Help?
A Nov. 21 blog post by CMS Administrator Seema Verma extolls the Centers for Medicare [...] - Industry Note:
Benchmark Yourself Against These Stats
The more information you have at your fingertips, the easier PDGM implementation and other challenges [...] - Industry Note:
5-State Hospice Chain Expands With Acquisition
Heart of Hospice based in Columbia, South Carolina, has purchased the operations of Heartstrings Hospice, [...] - Industry Note:
LHC-LifePoint Makes Arkansas Buy
LHC Group Inc. and LifePoint Health are further expanding their joint venture with an agreement [...] - Industry Note:
Another Texas Hospital Sells HH Unit
In Texas, the Gainesville Hospital District board has voted to sell North Texas Medical Center’s [...] - Industry Note:
State DOH Settles Fraud Allegations For $13.4M
State governments and hospice fraud settlements don’t usually go hand-in-hand, but a recent case is [...] - Industry Note:
HH Spending Grows
Total national healthcare spending in 2018 grew 4.6 percent to $3.6 trillion, according to new [...]
