Home Health & Hospice Week
HHS Doubles Senior Medicare Patrol Funding
You'll have more sets of eyes examining your claims soon -- and they may not be the eyes you would expect. CMS has awarded $9 million in grants to increase Senior Medicare Patrol fraud-fighting programs. "These grants will put more feet on the ground in the fight against Medicare fraud," CMS Administrator Donald Berwick says in a release. "We are concerned about Medicare fraud and activity by criminals seeking to defraud seniors -- and we want to ramp up our local community resources to educate seniors and people with Medicare about how they can help us stop it." The grants target states at high risk of fraud, CMS says. The grants are part of the Department of Health and Human Services' initiative to double the patrol's funding.
Home Health & Hospice Week
- Reimbursement:
Payment Suspension Proposal Draws Criticism
New anti-fraud regs increase CMS's reach to combat fraud and abuse. A disgruntled employee or [...] - Compliance:
Get Ready For Tougher Enrollment Screening
New regs would charge you for your trouble. Your Medicare payments are poised to come [...] - Fraud & Abuse:
OIG Targets These Home Care Hot Spots For Scrutiny In 2011
HHAs' profit margins, HHRG coding accuracy, and OASIS data will be some of the critical [...] - Medical Review:
Intermediary Review Grows, Thanks To New Contractors
If you get a a probe review notice, don't do this. More medical review from [...] - Audits:
Insufficient Documentation Weakness Among Medicare Providers, Auditors Say
Stay on top of audit requests so you're able to meet all request deadlines. Medical [...] - Industry Notes:
New Anti-Fraud Law Could Delay Your Medicare Payments
Law requires Medicare to use 'predictive modeling' to target claims for pre-pay scrutiny. A provision [...] - Industry Notes:
PECOS Rejections Start In Less Than 3 Months
If you want to get a closer look at the instructions for the PECOS physician [...] - Industry Notes:
HHS Doubles Senior Medicare Patrol Funding
You'll have more sets of eyes examining your claims soon -- and they may not [...] - Industry Notes:
Tap New Secondary Payor Tool
When a patient has no other insurance coverage besides Medicare, you can be sure that [...] - Industry Notes:
New Timely Filing Deadline Hits Dec. 31
You have less than three months to get in your pre-2010 Medicare claims, or risk [...] - Industry Notes:
Reset Your Billing System Password More Often
You'd better brush up on your billing security procedures if NGS/NHIC is your Medicare contractor, [...] - Industry Notes:
RHHI Gives Managed Care Billing Answers
Billing for HHA services to Medicare Advantage-enrolled patients can be a big head-ache. One regional [...] - Industry Notes:
Refer SNFs To New Community Care Brochure
If you'd like to encourage your referring skilled nursing facilities to consider discharge to the [...] - Industry Notes:
HHA Fraudster In Detroit Pleads Guilty
Another participant in a Detroit-area HHA fraud scheme has pleaded guilty. After six of the [...] - Industry Notes:
Hawaii HHA Slapped With Age Discrimination Suit
Lawsuits from employees don't just come in the false claims or wage and hour varieties. [...]
