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Don’t send another RHC claim until you’ve reviewed these key changes for 2022. A Rural Health Clinic (RHC) is a clinic located in a rural, underserved area with a shortage of primary care providers, personal health services, or both. Medicare pays RHCs for the provision of certain primary care and preventive health services in these […]
The post Rural Health Clinic Policies Revised appeared first on AAPC Knowledge Center.
As more health apps flood the market, app developers need to be aware of their responsibilities to consumers. The U.S. Federal Trade Commission (FTC) issued a policy brief on Sept. 15 clarifying when healthcare apps would be subject to Health Breach Notification Rule 16 C.F.R. Part 318 (the Rule). The Rule was created to help […]
The post Apps Fall Under Health Breach Notification Rule, Cautions FTC appeared first on AAPC Knowledge Center.
Proposed rule improves payment rates, incentives, and ESRD treatment choices. Disadvantaged Medicare patients suffer from end-stage renal disease (ESRD) at higher rates and are also more likely to be readmitted to hospitals, experience higher costs, and receive in-center hemodialysis when their kidneys are no longer able to function properly. Furthermore, non-white patients with ESRD are […]
The post CMS Forecasts Increase in Dialysis Payment, Health Equity Gap Reduction appeared first on AAPC Knowledge Center.
Tallahassee Health Care Provider Arrested for Medicaid Fraud
A Tallahassee health care provider has been arrested for billing the Florida Medicaid Program around $ 50,000 for fraudulent medical services, according to Florida Attorney General Ashley Moody.
Rodney Burt, 57, was arrested Friday on Medicaid fraud charges after he billed the state’s Medicaid program for phony services from May 2016 to November 2019, the press release said.
“That is why my Medicaid Fraud Control Unit attorneys and investigators aggressively chase down leads and uncover abuses in this taxpayer funded health care program to ensure those who would aim to rip off taxpayers are stopped and brought to justice.”
The investigation revealed he was assigning inaccurate billing codes to claims he submitted to the Florida Medicaid Program to increase reimbursements, which fraud investigators call “upcoding.” Burt’s charge of Medicaid provider fraud of $ 50,000 or more is a first-degree felony.
The post Tallahassee Health Care Provider Arrested for Medicaid Fraud appeared first on The Coding Network.
Does new ‘lost revenues’ clarification help or hurt agencies? On Dec. 16, 2020, the Department of Health and Human Services (HHS) announced that it added $ 4.5 billion to the Provider Relief Fund’s (PRF) phase 3 distribution to mitigate the impact of COVID-19 on healthcare providers. “HHS is providing more than $ 24 billion in new relief […]
The post More Provider Relief Fund Money for Home Health appeared first on AAPC Knowledge Center.
About $ 150 million less will make it into home health than proposed. The scores of comments on the Home Health final rule for 2021 fell mostly on deaf ears. The Centers for Medicare & Medicaid Services has changed almost nothing from the 2021 proposed rule. What HHAs wanted: Home health agencies (HHAs) and their representatives […]
The post Home Health Pay Increase Scaled Back for 2021 appeared first on AAPC Knowledge Center.
Health and Human Services Secretary Alex Azar has once again renewed the public health emergency (PHE) for the coronavirus pandemic (COVID-19). Set to expire Oct. 23, the PHE is now set to expire Jan. 21, 2021 — one year after declaring a PHE for COVID-19 in the United States. The renewal has many implications, including […]
The post Public Health Emergency Extended appeared first on AAPC Knowledge Center.
Medicare policy waivers will stay effective for another 90 days. U.S. Health and Human Services (HHS) Secretary Alex Azar has extended the public health emergency (PHE) for COVID-19. Azar said in the July 23 declaration that the extension is necessary “as a result of the continued consequences of Coronavirus Disease 2019 (COVID-19) pandemic.” The extension […]
The post HHS Renews Public Health Emergency appeared first on AAPC Knowledge Center.
The pandemic-sparked reprieve is nearly at an end for home health agencies (HHAs) in Review Choice Demonstration (RCD) states.
The post Home Health Review Choice Demo to Resume appeared first on AAPC Knowledge Center.
June is National Men’s Health Month, and the week leading up to Father’s Day, June 15-21, is National Men’s Health Week. These annual national observances help raise awareness about common health problems in the male population and serve as a reminder for men to take steps to be healthier. This month is all about encouraging […]
The post June Brings Awareness to Men’s Health appeared first on AAPC Knowledge Center.