Home Health & Hospice Week
Excluded Staffer Costs Provider Six Figures
Beware: Even if you don’t self-disclose your employment of a staffer excluded from Medi-care, you could still get in big trouble for it.
For example: Rayburn Health Care & Rehabilitation, a nursing and rehab center located in Jasper, Texas, has agreed to pay $110,712.60 for employing an individual who was excluded from participating in any Federal health care programs, the HHS Office of Inspector Gene-ral says on its website.
“When the excluded individual applied to be reinstated into Federal health care programs, she reported on her application that she was employed by RHCR as a nurse for two years during her exclusion,” the OIG says. “During her employment ten-ure, she allegedly provided items or services reimbursed by Federal health care programs, which is prohibited for excluded individuals.”
Home Health & Hospice Week
- OASIS:
Take An OASIS Submission Break Over The Holidays
Claims system glitches, COPs, CAHPS also addressed in Open Door Forum. In case you didn’t [...] - Hospice:
Submit Your Concurrent Care Demo Application This Month
HIS Manual, NOE deadline also raised in ODF. If you want to get in on [...] - Reimbursement:
Medicare Overpays Hospitals $32 Million For Home Care Patients, OIG Says
Medicare claims system fails to apply postacute transfer policy. Hospitals are feeling pressured on both [...] - HIPAA:
Avoid Paying The HIPAA Bill For Your Associate's Mistakes
Warning: Private lawsuits can be just as costly as federal HIPAA fines. You might think [...] - Compliance:
Do Your Pre-Existing BA Agreements Need An Update?
Start work now to meet the September deadline. Don’t let your BAAs put you at [...] - Industry Notes:
OIG Puts Employee Background Checks Under The Microscope
Popular press isn’t happy that 10 states require no checks on home care workers. If [...] - Industry Notes:
Add Certifying Physicians To Your PECOS Edit Checklist
Don’t forget to prepare for the next wave of so-called PECOS edits, which hits next [...] - Industry Notes:
Hospitals Sue HHS Over Long ALJ Wait
A lawsuit from the American Hospital Association aims to shorten wait times for appeals. Background: [...] - Industry Notes:
Excluded Staffer Costs Provider Six Figures
Beware: Even if you don’t self-disclose your employment of a staffer excluded from Medi-care, you [...] - Industry Notes:
Test ICD-10 Claims After October, CMS Suggests
Don’t feel like you have to hold off on claims testing for ICD-10, just because [...] - Industry Notes:
Religious Meetings Lead To Employee Lawsuit
False claims and Wage and Hour violations aren’t the only things that may land you [...] - Industry Notes:
Hospital Agency Expands Service Area
Sonoma Valley Hospital in California is expanding its home care services into Marin and Napa [...] - Industry Notes:
Detroit HHA Owner Draws 6-Year Prison Sentence
A year after pleading guilty to Medicare fraud, a Detroit home health agency owner and [...]
