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 [...]
Highest-ranking states may surprise you. Medicare’s payment error rate for hospices and home health agencies together varies widely from state to state, shows the latest Medicare payment error report. Among the many figures included in the report is a state-by-state [...]
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might choose to crack down next with stepped up claims review or more intense fraud and abuse-fighting activity? Stats included in the latest Medicare payment error [...]
Demo enrollees averaged 64 days in MCCM. Medicare officials will be making major decisions about whether hospice services still must go to patients who forego curative care based on the Medicare Care Choices Model demonstration project. Take a look at [...]
Nearly 40 percent of demo enrollees also receive HHA services. Whether Medicare will move forward with a concurrent care option for hospice-eligible beneficiaries may eventually depend on the statistics coming out of the Medicare Care Choices Model demonstration project. Take [...]
Will case mix points for resolved conditions become a thing of the past?Home health providers are wary about chan-ges the Centers for Medicare & Medicaid Ser-vices suggests making to the home health PPS grouper logic.The proposed change "will deprive home [...]
Will case mix points for resolved conditions become a thing of the past?Home health providers are wary about changes the Centers for Medicare & Medicaid Services suggests making to the home health PPS grouper logic. The proposed change "will deprive [...]
Say goodbye to a slew of resolved conditions and hello to less detailed reporting.The changes the Centers for Medicare & Medicaid Services suggests making to the home health PPS grouper logic could have far-reaching consequences, commenters to the proposed rule [...]
Look for accompanying conditions with spine bifida, reasons for congenital hydrocephalus.When ICD-10 is implemented, you will need to revisit your choice of codes to report hydrocephalus. In ICD-10, you'll find codes that map to a corresponding code in ICD-9 and [...]
