By Roger Shindell This week, we wrap up our HIPAA series by pivoting away from from focusing specifically on survey results and turning our attention to the state of HIPAA compliance across the industry. To do this, we review random audits conducted in 2012 by the CMS Office of Civil Rights, the staggering results […]
What does it mean when more than three-quarters of payment denials handed down by Medicare contractors are voided by Administrative Law Judges when appealed? Our conclusion, based on interviews over the years with home health care consultants who specialize in walking agencies through the appeal process, is that auditors at the RHHI, MAC, ZPIC […]
The Hospice Education Network (HEN) has announced the development of a new series of eight online courses, Disease-Specific Hospice Eligibility Determination and Documentation. The instructor, Terri Maxwell, PhD, APRN, is Vice President of Strategic Initiatives for Weatherbee Resources. Details are provided about the needs for these courses in regard to reducing exposure to risks […]
The U.S. Health and Human Services Office of the Inspector General has released a scathing report of home health billing practices. To place some controls on the degree of fraud and abuse it detected, OIG called for CMS to impose a moratorium on opening new home health care agencies in Texas and Florida, where it says […]
