Home Health & Hospice Week
Recert Survey Leads To Stiff CMPs.
Don’t think CMPs will only come into play if you are undergoing a complaint-driven survey. Under the civil money penalties that went into place last July, home health agencies may be fined up to $10,000 a day.
One Ohio home health agency found that out the hard way recently (see Eli’s HCW, Vol. XXIV, No. 15). That agency’s $84,000 CMP arose from deficiencies found in a recertification survey, a CMS source tells Eli.
According to a CMS internal report run in March, surveyors have imposed 22 sanctions on 15 HHAs since the sanctions went into effect, the CMS source confirms. (HHAs may receive more than one sanction at a time.) Eight of the sanctions were CMPs, 8 suspended payments, 2 Directed Plans of Correction, and 4 Directed In-Service Training.
Home Health & Hospice Week
- Face-To-Face:
Medicare Issues Streamlined F2F Forms While HHAs Crushed By Burden
Physicians unlikely to comply, expert predicts. The latest versions of the face-to-face physician encounter forms [...] - Reimbursement:
Palmetto Continues To Decimate Claims For F2F Errors
Significant therapy visit denials also lead to reduced reimbursement. Your claims may not have much [...] - Medical Review:
Will Your Documentation, Coding Back Up Your Diabetes Claims?
Make sure you have these 3 bases covered for daily insulin injection coverage. Don’t get [...] - Diagnosis Coding:
Check For These Diagnosis Codes To Support Insulin Injection Need
Some codes missing from CMS’s list may surprise you. Wondering exactly which patients the Centers [...] - Fraud & Abuse:
CMS Ramps Up Fraud Pilot
Plus: Community physician pleads guilty in home care fraud case. The results of an untested [...] - Industry Notes:
OIG Throws Spotlight On Chain's Fraud Settlement
Amedisys records loss for recent quarter. National chain Amedisys Inc. has recorded a loss for [...] - Industry Notes:
Recert Survey Leads To Stiff CMPs.
Don’t think CMPs will only come into play if you are undergoing a complaint-driven survey. [...] - Industry Notes:
OIG Issues Guidance For Health Care Boards.
Think the feds aren’t keeping an eye on providers’ compliance plans? Think again. The HHS [...] - Industry Notes:
Beware Newly Identified Claims System Glitch
You’ll have to wait and see on a claims glitch that may be disrupting your [...] - Industry Notes:
Therapy Cap Elimination Almost Made It Into Doc Fix
Providers of Part B therapy, including home health agencies who furnish the service in patients’ [...] - Industry Notes:
Social Security Numbers Ordered Off Medicare Cards
You and your patients won’t have to deal with the risks of their Social Security [...] - Industry Notes:
Hospices Can Now Access New HIS Data Reports
You’ve now got more Hospice Item Set data at your fingertips. Three new hospice provider [...] - Industry Notes:
HHA That Employed Excluded Nurse Goes Under
Be careful to check your employees against the OIG’s exclusion list, or you could pay [...] - Industry Notes:
Learn From HIPAA Examples Of What Not To Do
Looking for the HHS Office for Civil Rights’ “Wall of Shame” page, which lists the [...]
