Sky-high profit margin puts target on HHAs’ backs. Home health agency numbers and Medicare home health spending are both down yet again, but that isn’t stopping the Medicare Payment Advisory Commission from readying a steep cut recommendation. The influential advisory [...]
Higher hospice M&A volume persists. National chain LHC Group Inc. has had a busy few months on the acquisition trail — and they aren’t the only ones. More than the weather has been hot in the home health and hospice [...]
Pill mills, telemedicine fraud high on Feds’ watch list. With the opioid epidemic showing no signs of slowing down any time soon, it should come as no surprise that the government is keeping very close watch on fraud and abuse [...]
Prevent problems by getting prescribing procedures in place. As 2020 kicks off, PM practices are potential targets of the federal government’s fraud investigations for two very different services. All medical providers that report telemedicine services or prescribe opioids for pain [...]
Get all your procedures in place to prevent trouble. As 2020 kicks off, PM practices find themselves in the crosshairs of the federal government’s fraud investigations for two very different services. All medical providers that report telemedicine services or prescribe [...]
Be warned: The feds are watching for potential fraud. If you report telemedicine services or if your providers prescribe opioids for pain management purposes, pay attention: Those are two areas on the HHS Office of Inspector General’s (OIG) watch list [...]
Hint: OIG steps up its vigorous enforcement. New technologies can be a boon to healthcare and research, but a recent brief shows they are easily hijacked by fraudsters, too. Context: In the HHS Office of Inspector General’s (OIG) Semiannual Report [...]
Medicare needs to examine its requirements, experts charge. The latest results from the Targeted Probe and Educate medical review program indicate you are virtually doomed if you land on TPE review. Why? Out of the 122 home health agencies that [...]
Tip: Have nurses start documenting time on verbal orders right now. Instead of relaxing and enjoying the holidays over the next month, many home health agencies will be scrambling to get into compliance with the imminent Conditions of Participation. "Merry [...]
Tip: CPT® code 67112 isn’t always for subsequent repairs. With thousands of new detached retina cases each year – as well as a projected doubling in the number of diabetic retinopathy cases by 2050 – retinal specialists are routinely kept [...]
