New PDGM is HHGM with a few tweaks. If you didn’t like Medicare’s ideas on home health payment reform last year, you’re probably not going to be happy with its … Continue Reading →
For once, HHAs have no rebasing or case mix creep cuts to contend with. For the first time in nearly a decade, Medicare is proposing to increase home health agencies’ … Continue Reading →
Feds will examine cases where one visit translates to additional thousands of dollars. Just where do you fall in relation to your peers when it comes to episodes barely exceeding … Continue Reading →
Your PEPPER report could come in handy. With attention on low-visit episodes heating up, now’s the time to make sure your related claims can stand up to reviewer examination. In … Continue Reading →
Medicare to spend nearly $400 million on RCD project, it says. While recently released documents on the Review Choice Demonstration for Home Health Services are shedding some lights on a … Continue Reading →
Hospice nursing supervisor admits to hastening patients’ death with overmedication. Two hospice fraud and abuse cases have widely publicized developments that may make hospices’ missions harder. Case #1: Trustbridge, the … Continue Reading →
Nearly $1.5 billion in recoveries keeps the OIG on task. If you’re waiting for federal fraud-fighting efforts to lighten up, you’ll be waiting a long time. So indicates the latest HHS … Continue Reading →
Even agencies that qualify for exemption will be subject to 5% ‘spot check.’ One of the most pressing questions for the home health agencies scheduled to undergo the relaunched Pre-Claim … Continue Reading →
Watchdog agency profiles Texas, Florida cases. The feds continue to paint home care with a broad fraud brush, as evidenced by the OIG’s latest Semiannual Report to Congress. “Home- and community-based … Continue Reading →
Only slight improvement shown by claims data. Medicare’s hoped-for solution for boosting care levels in the last days of life has yet to materialize, the 2019 proposed rule for hospice … Continue Reading →
