Home Health & Hospice Week
HHAs Near Top Of MFCU Conviction List For 2020
If you’re feeling the heat of state fraud scrutiny, you are not alone. Home health agencies had the third-most open fraud investigations with Medicaid Fraud Control Units in 2020 at 804, the HHS Office of Inspector General says in a new report about MFCU activity in 2020. The only medical service providers with more open investigations were drug manufacturers (2,851) and retail pharmacies (1,231), the OIG says. On the hospice side, MFCUs have 76 open investigations against hospices for fraud and three for patient abuse or neglect, reveals the report. Cha-ching: MFCUs secured 21 HHA convictions in 2020 producing $4.9 million in recoveries, the OIG says. More financially rewarding were the nine civil judgments and settlements with HHAs that produced $15.2 million in recoveries, according to the government watchdog. MFCUs recorded two hospice convictions with about $347,000 in recoveries and two civil judgments/settlements with $1.3 million in recoveries, according to the 34-page report at www.oig.hhs.gov/oei/reports/OEI-09-21-00120.pdf.
Home Health & Hospice Week
- Budget:
Decline In Key HH Indicators Doesn’t Stop MedPAC’s Cut Rec
Data analysis fails to acknowledge HHAs’ average non-Medicare payer load is around one-third, expert says. [...] - Know Your Facts:
Every Home Health Indicator Except One Declined In Latest Period
Highest profit margin in nearly a decade may contribute to cut recommendation. The Medicare Payment [...] - Hospice:
MedPAC Takes Aim At Hospice Long Stays With Cap Cut, Rate Freeze
Commission IDs long lengths of stay, live discharges, nursing and independent living facility patients, and [...] - Hospice:
Hospices, Reps Decry Potential Cap Cut
Adopting MedPAC recommendation would prove catastrophic. When lawmakers go looking for budget savings to fund [...] - Fraud & Abuse:
CEO In Notorious Hospice Fraud Case Finally Pleads Guilty
Plus: Home health cases snare physician, SNF worker fraudsters. Five years after federal raids and [...] - Administration:
Agencies Hope New HHS Secretary Becerra Will Boost Care At Home
Confirmation comes 3 months after nomination, 2 months after inauguration. After a lengthy waiting period, [...] - COVID-19:
Are Home Health, Hospice Agencies Largely Missing Out On Administering Vaccinations For Homebound?
Some agencies are blazing the way, however. The good news is that Americans confined to [...] - Industry Notes:
All Eyes Are On Sequestration Legislation As Deadline Looms
Will 2% sequestration cut hit March 31? President Biden’s 1.9 trillion COVID-19 relief package contained [...] - Industry Notes:
HHAs Near Top Of MFCU Conviction List For 2020
If you’re feeling the heat of state fraud scrutiny, you are not alone. Home health [...] - Industry Notes:
Climbing Rates Of Hospital Discharges To Home Aren't New
The trend of patients being discharged from hospitals to home health rather than skilled nursing [...] - Industry Notes:
Amazon Care, Including Home Visits, Expands
Keep an eye on Amazon Care, the online retail behemoth’s telemedicine business unit. It’s expanding [...]
