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The Office of Inspector General (OIG) offers its fraud and abuse perspective for home health and hospice in its latest Semiannual Report to Congress — and it’s not a warm, fuzzy hug. For home health, the OIG lists two high-profile fraud cases. Case No. 1: SHC Home Health Services of Florida and its related entities […]
The post OIG Reports on Home Health and Hospice Fraud and Abuse appeared first on AAPC Knowledge Center.
Case is just one of many in an alleged $ 8 billion pandemic fraud spree, according to DOJ. The feds are keeping an ever-sharper eye out for fraud related to COVID-19 relief funds, and a California hospice owner was one of the fraudsters spotted. Gurgen Israyelyan owned Saint Christopher Hospice Inc. in North Hollywood, which closed […]
The post Owner Of Shuttered Hospice Pleads Guilty To COVID Aid Fraud appeared first on AAPC Knowledge Center.
Prices at the pump set shocking new records. Increased gas prices are a headache for nearly everyone, but they are especially burdensome for home health and hospice agencies and their visiting staff. Right when agencies are getting slammed by COVID-19 and the labor shortage, gas prices are exacerbating difficulties finding and retaining workers. “As the […]
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New Work Plan item bodes ill for hospices. Hospices should get ready to defend their industry’s reputation all over again. Why? The HHS Office of Inspector General (OIG) plans to conduct a nationwide review of hospice beneficiary eligibility, it says in a new addition to its Work Plan. The watchdog agency plans on “focusing on […]
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2022 Hospice proposed rule would help with addendum statement snags, but other problems remain. In the Hospice proposed rule, published in the April 14 Federal Register, the Centers for Medicare & Medicaid Services outlines these changes to the election statement addendum that was implemented on Oct. 1, 2020. Three vs. Five Days In the 2020 […]
The post Hospice Addendum Problems Solved appeared first on AAPC Knowledge Center.
HHAs, hospices need direct telehealth reimbursement, industry reps maintain. Medicare is giving home health agencies and hospices freer rein with telehealth visits, but providers must make sure the plan of care reflects that new usage. Telehealth for Home Health The Centers for Medicare & Medicaid Services’ Home Health Prospective Payment System final rule for calendar […]
The post Telehealth Coverage Expanded for Home Health, Hospice appeared first on AAPC Knowledge Center.
If the Medicare Payment Advisory Commission (MedPAC) gets its way, lawmakers will require Medicare to reduce the hospice aggregate cap amount by 20 percent and freeze hospice payment rates for 2021. A 20 percent cap reduction would equal nearly 3 percent less in hospice payments. MedPAC Recommendations In its forthcoming March report to Congress, MedPAC will include […]
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