Home Health & Hospice Week
OIG IDs Billions In Improperly Calculated PRF Payments
Postpayment review of Provider Relief Fund payments may tighten up following a new HHS Office of Inspector General report. While the Department of Health and Human Services did a pretty good job in correctly disbursing PRF monies, it did not ensure that about $2.16 billion (5.5 percent) in automatic PRF payments were properly calculated as intended; did not prevent more than $247 million in payments (less than 1 percent) from being disbursed to ineligible providers, including not utilizing all readily available lists to identify these providers; and did not identify all ineligible providers and exclude them from receiving PRF payments, the OIG reports. The HHS Health Resources and Services Administration agreed with the OIG’s recommendations to perform postpayment quality control reviews of selected providers and recoup any overpayments, the OIG says in the 42-page report at https://oig.hhs.gov/oas/reports/region2/22001025.pdf.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
HHAs Look To Congress For Relief As CMS Imposes Crushing Rate Adjustment
Scaled-back cut won’t stave off access problems, industry reps warn. A meager 0.8 percent reimbursement [...] - Value-Based Purchasing:
VBP Model Baseline Moves Yet Again, Among Other Program Changes
Get friendly with PPH and other new measures. Do you think you have the hang [...] - Hospice:
Medicare Plows Ahead With Half Baked Special Focus Program For Hospices
More details about SFP selection process come to light. If you perused the hospice Special [...] - Quality:
DC Function Measure May Pose Problems, Expert Worries
Plus: COVID vaccination rates are about to become more important to HHAs. Most of the [...] - Enrollment:
Watch Out For These Enrollment Changes
Get used to the 36-month rule for hospices. Life is about to get harder for [...] - Regulations:
Aide Utilization, Health Equity, And More Round Out Final Rule
Plus: Health equity is on CMS’ mind. The voluminous 531-page 2024 home health final rule [...] - Industry Notes:
VBP Recalculation Deadline Looms
An OASIS data glitch isn’t fixable right now, however. Don’t miss your chance to get [...] - Industry Notes:
MAC Punts On RCD Direction
Is no news good news when it comes to the fate of the Review Choice [...] - Industry Notes:
OIG IDs Billions In Improperly Calculated PRF Payments
Postpayment review of Provider Relief Fund payments may tighten up following a new HHS Office [...] - Industry Notes:
Here's A Survey You May Actually Want
Want to give the Centers for Medicare & Medicaid Services your two cents on how [...] - Industry Notes:
November Is Home Care & Hospice Month
Don’t forget to celebrate Home Care & Hospice Month this month. Access ideas for recognizing [...] - Industry Notes:
Medicare Officials Prepare To Field Questions On Health Equity Reports
Not sure how to use those Health Equity Confidential Feedback Reports CMS gave you last [...] - Industry Notes:
Check Out PPH And More Updated Data On Care Compare
Your latest Home Health Quality Reporting Program data is up on Medicare’s Care Compare website, [...] - Industry Notes:
Beware Automatic Reinstatement Claims For Exclusions
If a potential hire tells you their exclusion from Medicare or Medicaid has timed out, [...]
