Home Health & Hospice Week
Senator Wants Medicare Contractors To Get Tough
Obtaining the Medicare payments that are rightfully yours may get even tougher if one influential lawmaker gets his way. In an Oct. 6 letter to Health and Human Services Secretary Kathleen Sebelius and CMS Administrator Donald Berwick, Senate Finance Committee Ranking Member Charles Grassley (RIowa) asks CMS to hold its Medicare contractors more accountable for overpayments due to fraud and abuse. Grassley cites billing from DME fraudsters as an example of the losses for which Medicare contractors should be held accountable. He also highlights the OIG's latest series of reports on DME claims using KX modifiers, in which the OIG detected overpayments. Grassley is concerned about "the lack of or inadequate management and oversight of contractors by" CMS, he says in the letter.
Home Health & Hospice Week
- Reimbursement:
PECOS Edit Delay Gives Providers Breathing Room
Stay on your docs to enroll, however. You now have an extra six months to [...] - Reader Question:
Know When To Submit Your Claims For PECOS-Pending Docs
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Proposed CHOW Exceptions Don't Go Far Enough
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Learn These 4 Exceptions To The 36-Month Rule
In the 2011 prospective payment system proposed rule, the Centers for Medicare & Medicaid Services [...] - Fraud & Abuse:
Anti-Fraud Moratorium, Compliance Plan Rules On Deck
A moratorium would help some, hinder others. Medicare has some newly proposed antifraud regulations that [...] - Industry Notes:
Keep Your Flu Shot Billing Straight With These Resources
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The big changes to hospice regulations that have taken place recently have officially hit surveyors' [...] - CMS Takes OIG Recommendation On Date Of Death Payment Errors.
Starting next April, your patients' Common Working File charts may get more accurate thanks to [...] - Submit ADR Responses Carefully To Avoid Confusion
When you receive an additional development request, submitting comprehensive documentation to back up the services [...] - Senator Wants Medicare Contractors To Get Tough
Obtaining the Medicare payments that are rightfully yours may get even tougher if one influential [...] - Keep Tabs On Employees To Avoid Payroll Theft
You might want to look within your own ranks for your biggest financial threat. That's [...] - Hospital Company Founder Launches Home Care Venture
A new provider is looking to enter the high-acuity home care market. Laughlin Healthcare Group [...] - 29-State Hospital Chain Buys Florida HHA
Lakeland, Fla.-based Advantage Home Health Services has been acquired by an affiliate of Franklin, Tenn.-based [...] - Feds Bust Organized Crime Medicare Fraud Scheme
The feds have taken down one of the huge Medicare fraud schemes of the type [...]
