Home Health & Hospice Week
OIG Tells MCFU To Prosecute More
If you operate in a state that hasn’t seen a lot of activity from its Medicaid Fraud Control Unit, don’t expect it to stay that way. The HHS Office of Inspector General investigated the Hawaii MFCU when it had “low case outcomes during Federal fiscal years (FYs) 2016–18,” says a new report. At fault were a low volume of fraud referrals from the state’s Medicaid Program Integrity Unit and an agreement with the state’s Adult Protective Services unit for processing patient abuse and neglect complaints that “led to the Unit screening thousands of complaints unsuitable for investigation, which diverted the Unit’s time and resources from working viable cases with substantial potential for criminal prosecution.” Hawaii’s MFCU agreed to the OIG’s recommendations to increase fraud referrals from Medicaid and other stakeholders; train MFCU investigators; and revise its agreement with APS to establish minimum criteria for a complaint to be sent to the MFCU, according to the report at https://oig.hhs.gov/oei/reports/oei-06-19-00110.pdf.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
HHAs To See Largest Rate Increase In More Than A Decade — But It Could Be Higher
Productivity adjustment chips away at inflation update. A calm home health annual payment rule for [...] - Reimbursement:
Watch Out For Wage Index Wallop
Mid Atlantic agencies win, New England agencies lose under new OMB system. Are you ready [...] - Payment:
Rural Add-On Is Going, Going, Almost Gone
Activate your plans for dealing with reduced reimbursement in rural regions. Home health agencies in [...] - Regulations:
Proposed Rule's Telehealth Changes Don't Measure Up To Home Health Agencies' Wish Lists
Direct reimbursement for telehealth visits is not in the rule. The future of home care [...] - Conditions of Participation:
Check Out The Newly Proposed CoP Language On Telehealth
Don’t miss any new requirements. If the telehealth proposal in the home health 2021 proposed [...] - OASIS:
New HHAs Get A Slight Break In Proposed Rule
Plus: Rule lays out home infusion therapy details, misses OT certification opportunity. Newly enrolling home [...] - Industry Notes:
Providers Get More Breathing Room On Cost Reports
Blanket extension means it’s automatic. Medicare has pushed cost report deadlines once again. The same: [...] - Industry Notes:
Costs Are Up And Admissions Are Down
Costs are up and admissions are down under COVID-19, a new industry survey shows. “The [...] - Industry Notes:
Medicare Extends MCCM Concurrent Care Demo
Medicare’s concurrent care demonstration project will get another year. The Centers for Medicare & Medicaid [...] - Industry Notes:
VA Ups HH Referrals, GAO Report Says
HHAs are receiving more Veterans Administration referrals due to COVID-19. So says a new report [...] - Industry Notes:
Gear Up For Quality Data Reporting Resumption
You might still be in the middle of a pandemic, but your quality reporting duties [...] - Industry Notes:
Pick Back Up Where You Left Off With MAC's Advice
All may not be as you left it when you left your office weeks, or [...] - Industry Notes:
HH Employees Plead Guilty, Get Probation, Home Detention, Restitution
Two home health billers have been sentenced in the ongoing Moriarty Consultants Medicaid fraud case [...] - Industry Notes:
Texas-Based Hospice Chain Makes Buys, Plans Growth
A Texas-based hospice chain is setting its sights outside of the state. “We have done [...] - Industry Notes:
OIG Tells MCFU To Prosecute More
If you operate in a state that hasn’t seen a lot of activity from its [...]
