Article 1 of 2: 1) OIG Posts Report and Enforcement Action After Review of Claims Data For a covered outpatient drug to be eligible for Federal reimbursement under the Medicaid program’s drug rebate requirements, manufacturers must pay rebates to the States for the drugs. However, a prior OIG review found that States did not always […]

Comments Off

by Elizabeth Hogue, esq. The U.S. Department of Justice (DOJ) has issued “Guidelines for Taking Disclosure, Cooperation and Remediation into Account in False Claims Act Matters.” These Guidelines identify factors that will be considered and credits that will be provided by the DOJ when providers voluntarily self-disclose misconduct that may serve as the basis for […]

Comments Off

Casamba, a provider of electronic medical record (EMR) solutions for outpatient therapy, home health agencies, skilled nursing facilities and contract therapy providers, announced the launch of Casamba Analytics during its May 30 customer conference in Las Vegas. [The author provides  details about this new product’s availability to Casamba Skilled customers and the advantages of transparency […]

Comments Off

CMS National Training Program Monthly Update Webinar June 4, 2019 2:30 – 3:30 pm ET This webinar will feature overviews of: Accountable Care Organizations 2019 National Training Program Workshops Registration is required to attend Visit the CMS learning management system And log in to enroll. Upon registration, you’ll receive an email and appointment. May 2019 […]

Comments Off

CMS News: Hospice Compare and PACE Improvement June 4, 2019, 2:30 – 3:30 pm ET This webinar will feature overviews of: Accountable Care Organizations 2019 National Training Program Workshops Registration is required to attend. Visit the CMS learning management system And log in to enroll. Upon registration, you’ll receive an email and appointment. May 2019 […]

Comments Off

By Kristin Donar, Director of Revenue Cycle Management for HEALTHCAREfirst,  The upcoming Patient-Driven Groupings Model (PDGM), scheduled to take effect on January 1, 2020, will drastically alter the way home health organizations of all sizes manage operations. Among the several reasons is CMS’s decision to anticipate that providers will change behaviors in order to keep […]

Comments Off