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News & Views
Thursday, April 6, 2017   (0 Comments - view/add)
CMS Posts FAQs on Pre-Claim Review »
The Centers for Medicare and Medicaid Services (CMS) just posted a series of Frequently Asked Questions (FAQs) regarding t...
Wednesday, April 5, 2017   (0 Comments - view/add)
Start Up for Medicare Fraud Program Delayed After Bipartisan Request »
A bipartisan effort to delay implementation in Florida of a program meant to ferret out Medicare fraud at home health agen...
Friday, March 31, 2017   (0 Comments - view/add)
Rx Drugs, Home Health Lead Government’s Anti-Fraud Agenda »
Prescription drugs and home health services are the top two anti-fraud priorities for the government, due to high spending...
Friday, March 31, 2017   (0 Comments - view/add)
Evaluation of Corporate Compliance Programs: Policies and Procedures »
by Elizabeth Hogue, Esq. Fraud enforcers recently declared that their expectation is that every provider has a Complian...
Friday, March 31, 2017   (0 Comments - view/add)
What the Failure of Repeal and Replace Means for Home Health »
As readers have no doubt heard and read, the Republican plan, the American Health Care Act (AHCA) to repeal and replace th...
Friday, March 31, 2017   (0 Comments - view/add)
Edit for Claims and OASIS Submission To Begin April 1 »
The Centers for Medicare and Medicaid Services (CMS) issued MLN matters article SE 170009 that reiterates the instruct...
Thursday, March 30, 2017   (0 Comments - view/add)
CMS Delays Pre-Claim Review Demonstration »
This week, the new administrator of the federal Centers for Medicare and Medicaid Services Seema Verma requested a direct...
Friday, March 24, 2017   (0 Comments - view/add)
Senior Population Surges in South and West »
The population of senior citizens increased from 36.6 million to 47.8 million between 2005 and 2015 and should more than d...
Friday, March 24, 2017   (0 Comments - view/add)
HHS Again Delays CMMI's Bundled Payments »
The U.S. Department of Health and Human Services (HHS) is further delaying two Medicare bundled payment programs from the...
Friday, March 24, 2017   (0 Comments - view/add)
Industry Leaders Discuss Pre-Claim Review, Face-to-Face at National Advocacy Event »
This week, more than 20 Florida home health care leaders traveled to our nation’s capital to advocate for Medicare and Med...
Friday, March 24, 2017   (0 Comments - view/add)
April 5 Webinar on Home and Community-Based Services »
The Administration for Community Living (ACL) is launching a webinar series about ACL’s commitment to home and community-b...
Friday, March 24, 2017   (0 Comments - view/add)
Evaluation of Corporate Compliance Programs: Policies and Procedures »
BY ELIZABETH HOGUE, ESQ. Fraud enforcers recently declared that their expectation is that every provider has a Complia...
Thursday, March 23, 2017   (0 Comments - view/add)
New RAC Contractor Introduces Itself to Providers »
Performant Recovery, the new Medicare Recovery Audit Contractor (RAC) introduced itself to the home health care industry v...
Friday, March 17, 2017   (0 Comments - view/add)
Evaluation of Corporate Compliance Programs: Autonomy and Resources »
by Elizabeth hogue, esq. Fraud enforcers recently declared that their expectation is that every provider has a Complian...
Friday, March 17, 2017   (0 Comments - view/add)
NAHC Urges Speaker Ryan, Leader Pelosi To Defend Home Care and Hospice in Health Reform »
The National Association of Home Care & Hospice (NAHC) has written a letter to Speaker of the House Rep. Paul Ryan (R-...
Friday, March 17, 2017   (0 Comments - view/add)
Lawmaker Calls for Review of TPAs and Risk for Providers »
As legislative session continues, a top industry priority to reform third-party administrators (TPA) is advancing thanks t...
Friday, March 17, 2017   (0 Comments - view/add)
Advocates Push Industry Priorities at Home Care Day in Tallahassee »
More than a dozen industry leaders descended on Florida's capital city on March 15 to lobby lawmakers on home care ind...
Friday, March 17, 2017   (0 Comments - view/add)
MedPAC Recommends 5% Cut to Medicare Rates »
The Medicare Payment Advisory Commission (MedPAC) released its 2017 report to Congress on March 15 that called for Congres...
Friday, March 17, 2017   (0 Comments - view/add)
State Telehealth Advisory Council To Meet March 21 »
The state’s Telehealth Advisory Council will meet next Tuesday, March 21 from 1:00 p.m. to 5:00 p.m. in Tallahassee. T...
Friday, March 10, 2017   (0 Comments - view/add)
Streamlining Home Care Through Technology »
It’s no secret that technology is revolutionizing many industries around the world. In fact, there are few industries that...
Friday, March 10, 2017   (0 Comments - view/add)
Evaluation of Corporate Compliance Programs: Analysis and Remediation »
by Elizabeth Hogue, Esq. Fraud enforcers recently declared that their expectation is that every provider has a Complian...
Friday, March 10, 2017   (0 Comments - view/add)
Elizabeth Hogue: Your Words Matter...A Lot! »
We have previously written about the importance of providers' words, including about a Texas hospice owner who sent employ...
Friday, March 10, 2017   (0 Comments - view/add)
ACA Replacement Legislation Moves Through Congress »
Yesterday and early this morning, two U.S. House committees began the mark-up process for the American Health Care Act (AH...
Thursday, March 9, 2017   (0 Comments - view/add)
GAO Finds HHS Must Improve Planning and Evaluation of Information Exchange in Post-Acute Care »
A new report by the U.S. Government Accountability Office (GAO) found that the U.S. Department of Health and Human Ser...
Wednesday, March 8, 2017   (0 Comments - view/add)
Bill To Repeal 10-Mile Rule Passes First Legislative Committee »
A Florida legislative committee yesterday passed House Bill 6021 , a top priority for the Florida home care industry. T...
Tuesday, March 7, 2017   (0 Comments - view/add)
Medicare Program Puts Government Between Doctor, Patient »
Exclusive to the Orlando Sentinel In its ongoing effort to reduce health-care costs and improve program integrity, t...
Friday, March 3, 2017   (1 Comment - view/add)
Preparing For PCR In Florida: An Opportunity To Improve Processes »
2017 is a time to reflect, reset and renew. In 2016, the Center for Medicare and Medicaid Services’ (CMS) star ratings mea...
Friday, March 3, 2017   (0 Comments - view/add)
Palm Beach County Home Caregiver Ordinance Effective Feb. 28 »
Effective February 28, 2017, Palm Beach County will enforce the Home Caregiver Ordinance that requires ID badges and L...
Friday, March 3, 2017   (0 Comments - view/add)
Evaluation of Corporate Compliance Plans: New Guidance from Department of Justice »
Fraud enforcers recently declared that their expectation is that every provider has a Compliance Program. Consequently, en...
Friday, March 3, 2017   (0 Comments - view/add)
Florida Congressional Delegation Calls on Feds to Delay Burdensome Medicare Demonstration »
TALLAHASSEE, FL (March 1, 2017) –– Led by U.S. Senator Bill Nelson (D), Florida's congressional delegation this week calle...
Tuesday, February 28, 2017   (0 Comments - view/add)
Mandated Statement on Medicare Home Health Coverage Approved »
Bloomberg BNA   A modified corrective statement informing providers that Medicare covers home health services de...
Friday, February 24, 2017   (0 Comments - view/add)
CMS Releases Market Saturation and Utilization Data Tool »
The Centers for Medicare and Medicaid Services (CMS) has developed a Market Saturation and Utilization Data Tool, formerly...
Friday, February 24, 2017   (0 Comments - view/add)
Fraud and Abuse Compliance Plans: It's a Different Game Now! »
By Elizabeth Hogue, Esq.   In 1997, the Inspector General of the U.S. Department of Health and Human Services...
Friday, February 24, 2017   (0 Comments - view/add)
CMS Projects Strong Growth in Home Health Spending Through 2025 »
National health care spending will grow by an average rate of 5.6 percent from 2016 to 2025, easily surpassing the average...
Friday, February 24, 2017   (0 Comments - view/add)
What Secretary Tom Price Told the Senate About Home Health Issues »
The new Secretary of Health and Human Services is former Georgia Rep. Tom Price, a Republican and medical doctor. Secretar...

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