Plus: Neuro diagnosis codes are most common, data shows. As hospice continues its explosive growth trajectory, policy- and lawmakers are looking at how to get a handle on the benefit and ensure its program integrity. To that end, the 2024 [...]
HCFAC rakes in $5 billion. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why it will continue. “During Fiscal Year (FY) 2021, the Federal Government [...]
Pro tip: Calling a payment to a physician a ‘copay’ doesn’t mean it’s not a kickback. Hunting health care fraud is big business for the feds, and the latest annual Health Care Fraud and Abuse Control Program Report shows why [...]
Hospice audits get a second spotlight. If you were hoping the HHS Office of Inspector General’s focus on hospice fraud scrutiny would be in your rearview, that’s not the case quite yet. In its new semiannual report to Congress, the [...]
Report to Congress conveniently omits the fact that OIG had to walk back nearly half of its noncompliant determinations in HHA audits. For anybody who missed the HHS Office of Inspector General’s slew of hospice audit reports this year, they [...]
Project reached 1.7 million people last year. The fanfare over the Senior Medicare Patrol has died down since the program’s debut in 1997, but the fraud-fighting initiative is still going strong — and racking up millions in related recoveries. In [...]
Medicare expects rural New England hospices to see a 3.4 percent positive impact. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be right on target. In the 2019 final rule released Aug. [...]
Medicare holds fast to its volatile wage index methodology. If you made budget plans based on Medicare’s proposed rule for 2019 hospice payment, they should be right on target. In the 2019 final rule released Aug. 1, the Centers for [...]
Did you land in the minority? Close to half of home health agencies that Palmetto GBA reviewed under the Probe & Educate Round 2 initiative passed the test, so to speak. Results: The HHH Medicare Administrative Contractor says it included [...]
Rates essentially unchanged from proposed rule. No payment surprises unfortunately doesn’t mean no payment headaches in Medicare’s 2018 proposed rule for hospice payment. The Centers for Medicare & Medicaid Services sticks almost exactly to its proposed payment rate increases for [...]
