The Patient Protection and Affordable Care Act (aka the health care reform bill currently under consideration by the Senate) has implications for the RACs. Of most relevance in this 2074 page bill is Section 6411 which seeks to expand RACs to Medicare Parts C and D by 12/31/2010. The RAC program would also be expanded […]
Now is a good time to determine your hospice’s level of risk exposure to overpayment recoupment from your RAC. Although the RACs have not kicked in yet and may not for several more months, conducting an assessment now can give you a better sense of how vulnerable your hospice might be and how much you […]
Since the inception of Medicare Fraud Strike Force operations in March 2007, the Strike Force has obtained indictments of more than 460 individuals and organizations that collectively have falsely billed the Medicare program for more than one billion dollars. In addition to the fraud hotbeds in Los Angeles, Houston, Detroit and — the one that […]
Attorney General Holder and Health and Human Services (HHS) Secretary Kathleen Sebelius recently announced the creation of a new interagency effort, the Health Care Fraud Prevention and Enforcement Action Team (HEAT), to combat Medicare fraud. Holder and Sebelius also announced the expansion of Strike Force team operations to Detroit and Houston. Medicare Fraud Strike Forces, […]
Health care fraud enforcement has restored funds to the trust funds and protected our citizens from health care fraud schemes. The Department is committed to the ongoing success of the HCFAC program and will continue to marshal its resources, including those provided by the HCFAC program and its own discretionary funds, to ensure that federal health care dollars are properly expended. We are committed to prosecuting fraud and abuse in the Medicare and Medicaid programs and restoring the recovered proceeds to these programs. We look forward to working with Congress and this Committee in particular, through these efforts, to make health care available to those who have no such safety net.
Dear Home Care Colleague, Though we searched for other important topics to report on, OASIS-C continued to rise to the top this week. We found that we had missed an important source of valuable information in last week’s report on OASIS-C training opportunities so we offer the details this week. Fazzi Associates has put together […]
In addition to the OASIS-C training resources we listed last week, an important OASIS-C research project was conducted this fall by Fazzi Associates and sponsored by Delta Health Technologies. The “Delta National OASIS-C Best Practice Project” tapped the expertise of more than 80 experienced home care clinicians to identify best practices for gathering data with […]
When a portable disk drive went missing from a Connecticut office of insurance company and Medicare Advantage contractor Health Net last May, the law required them to notify authorities and affected customers immediately. Instead they kept it under wraps until November. According to an independent security company report, they also lied about it being a […]
In order to receive stimulus funds from the American Recovery and Reinvestment Act (ARRA), healthcare providers must not only purchase Electronic Health Record system but are also required to put them to “meaningful use.” Guest author Lawrence Kerr, an upstate New York surgeon who, with his pediatrician wife, last year developed an online wound care […]
HomeCare Interactive, LLC, has introduced what it calls a new model for telehealth technology. The “HomeCare Interactive® Telehealth 360” replaces the familiar data input/out telehealth box with the home telephone to exchange information directly with an electronic medical record (EMR) in real time. The Galveston software company expects this model of telehealth technology will allow […]
