2017 Final Rule
2017 won’t be reversing the trend of continued reimbursement cuts your agency has experienced since the Affordable Care Act (ObamaCare) was passed. However 2017 is likely to bring about other …
Insights and News
What a Trump Presidency and Administration Means for You and Your Agency
In the early morning hours of November 9, 2016, Americans who stayed up late enough, received the news that the next president of the US would be, without a doubt, …
Fraud and Corporate Integrity Agreements
Kindred Health Care, one of the country’s largest providers of home health, hospice and skilled nursing facilities (SNFs) has been hit very hard with a large penalty. The $3 million …
Marketing: The Personal Touch Goes a Long Way
Are you actively marketing? Do you have staff meeting with referral sources and providing valuable information besides brochures, post-its, and pens? If you do have staff marketing, are they asking …
Pre-Claim Review: Delayed… For Now
Agencies in the next 4 of the 5 demonstration states are getting a temporary reprieve… implementation of pre-claim reviews has been postponed while CMS and the effected Intermediaries figure out …
Hospice: Media Scrutiny Over Early Admissions
The Washington Post and a few other local media outlets around the country have started to look into hospice providers who place patients on service who don’t need the service. …
Home Health Unions & Overtime Exemptions
In a positive win for agencies, a Federal judge has rule that 5,000 home care workers in New York do not meet the standards for collective bargaining. But within this …
CMS Mandate: emergency preparedness planning
Effective September 9, 2016: Home health and hospice providers must have emergency plans in place to deal with patient care. The new rule, which is going to be phased in …
Pre-claim review has started
We always hope for the best; that the information provided on a new compliance measure will actually be followed. But, we also hold back some hope knowing that the new …
OIG: 500 Agencies on Watch List
A new report issued by the OIG should place some agencies on alarm. The report indicates that claim data from 2014-2015 was used to detect patterns of potential fraud and …