Home Health & Hospice Week
Industry Notes:
Beware Stealth Excluded Staff
Published on Fri Jun 24, 2022
If you don’t want to pay the feds to the tune of five figures, you’d better check employees against the HHS Office of Inspector General’s exclusion list. Case in point: Vicki Roy Home Health Service in Harlingen, Texas, has entered into a $38,115 settlement agreement with OIG, the watchdog agency reports on its Civil Money Penalties website. “The settlement agreement resolves allegations that VRHHS employed an individual who was excluded from participating in any Federal health care program,” the OIG says. “The excluded individual, a personal care attendant, provided items or services that were billed to Federal health care programs.”
Other Articles in this issue of
Home Health & Hospice Week
- Patient-Driven Groupings Model:
Drastic Proposed Pay Cut Takes HHAs By Surprise
CMS rule a ‘gut punch,’ one industry veteran judges. If you think the Centers for [...] - Reimbursement:
Take A Close Look At CMS Justification For -7.69% Behavioral Adjustment
HHAs’ pay exceeds costs by 34%, according to feds. If you are shocked that Medicare [...] - Payment:
5% Wage Index Cap, LUPA Threshold Changes Ahead
Plus: CMS pulls back on outliers a tad. The 2023 home health proposed rule contains [...] - Patient-Driven Groupings Model:
Tweaks To Case Mix, Functional Impairment Levels, Comorbidity Subgroups Could Impact Your Reimbursement
A larger diagnosis coding PDGM revamp is afoot. How will recalibration of key PDGM components [...] - Oasis:
All-Payer OASIS Is On The Horizon
Medicare wants to see assessment data on all your patients — including those with very [...] - Value-Based Purchasing:
Medicare Wants New VBP Baseline Year To Be 2022
Get ready for your improvement between 2019 and 2022 to get erased. Have you been [...] - Regulations:
Keep Tabs On These Proposed Rule Provisions
GG items, telehealth, and more round out the newly proposed home health rule. Home health [...] - Hospice:
VBID Billing Problems Plague Hospices
Operational wrinkles continue to have reimbursement impact on providers. Hospice providers are having trouble getting [...] - Industry Notes:
As Gas Prices Hit Record Highs, IRS Increases Mileage Rate
The question is, what should you do about it? Skyrocketing fuel prices have hit home [...] - Industry Notes:
Mind Your Exception Requests
Be careful when making NOA or NOE exception requests, or you could find your HHH [...] - Industry Notes:
Survey SOP Changes For Vax Mandate
Medicare is loosening up its oversight of vaccination mandate compliance a smidge. “Survey oversight of [...] - Industry Notes:
Nail Down Hospice Cap Liability
Whether you’re on the buying or selling end of a hospice acquisition, you can stave [...] - Industry Notes:
Check Out New VBP Info
Add two more items to your Value-Based Purchasing educational to do list. No. 1: A [...] - Industry Notes:
Hospice-Drug Pilot In The Works
Is miscommunication with Part D plans over hospice coverage is bugging you? If so, you [...] - Industry Notes:
Beware Stealth Excluded Staff
If you don’t want to pay the feds to the tune of five figures, you’d [...] - Industry Notes:
Home Health CPO Claims Lead To Prison Sentence
The former owner of a Chicago physician practice is facing jail time related to bogus [...] - Industry Notes:
ONC Wants Your 2 Cents On Hospice-SNF Interoperability
You may be used to not picking up if you see a caller ID for [...] - Industry Notes:
HCA Florida Agencies Get New Name
HCA Florida Healthcare, an affiliate of health care behemoth HCA Healthcare, has renamed its 14 [...] - Industry Notes:
Tap These Tools To Ward Off Cyberthreats
In today’s world of phishing and ransomware spikes in the healthcare industry, there’s a way [...]
View All
