SAVANNAH, Ga. (April 29, 2020)—A Georgia woman who operated a telemedicine network through two companies has been charged for her alleged participation in an ever-growing health care and telemedicine fraud scheme.
audits
WASHINGTON, D.C. (March 31, 2019)—Monday evening, the Centers for Medicare & Medicaid Services (CMS) released an Interim Final Rule (IFR) addressing a range of healthcare issues related to the novel coronavirus (COVID-19) outbreak. AAHomecare performed an initial analysis of the IFR that indicates that priority policy recommendations from the HME industry have been included, except for the delay of competitive bidding.
WASHINGTON, D.C. (February 7, 2020)—The Recovery Audit Contractor (RAC) has been approved to audit hospital beds and manual wheelchairs.
Common compliance problems & how to fix them
They offer an improved alternative to CMS audit practices
WASHINGTON, D.C. (October 3, 2019)—The Centers for Medicare & Medicaid (CMS) announced that the next state to participate in the Review Choice Demonstration (RCD) is Texas and it will begin on Dec. 2, 2019. CMS also indicated that implementation of RCD in the remaining states of North Carolina and Florida is expected to begin on March 30, 2020, as CMS is pausing implementation to allow for the transition to PDGM which begins on Jan. 1, 2020.
Ease the auditing process for respiratory providers
Caution needed when dealing with federal regulations
Conduct a greenfield review to determine readiness for future audits
Harassment, patient data protection are compliance priorities
DAVISON, Mich. (July 10, 2019)—Universal Software Solutions, Inc. (Universal), invites providers of post-acute health care services, like home medical equipment, home infusion therapy, audiology, optometry and even veterinary, to visit their new website for StowPoint, stowpoint.com.
AGOURA HILLS, Calif. (June 20, 2019)—Casamba, a provider of electronic medical record (EMR) solutions for skilled nursing facilities (SNF), home health agencies, outpatient therapy and contract therapy providers, announced it has added HIPAA One to its partner network.
WASHINGTON, D.C. (June 18, 2019)—Performant, the Recovery Audit Contractor (RAC), has received approval to audit blood glucose test or reagent strips (A4253) as of June 14, 2019. This is a national complex review and the description of the review states: “The quantity of glucose test strips (A4353) that are covered depends upon the usual medical needs of the diabetic patient.
NEW BEDFORD, Mass. (February 14, 2019)—On February 12th, the Home Medical Equipment & Services Association of New England (HOMES) was invited by Health & Human Services (HHS) Secretary Alex Azar and Region 1 director John McGough to the CMS and HHS Region 1 office to listen and understand issues related to Medicare policies and home medical equipment.
Freeing up staff time from OASIS coding can save time, money, and prevent costly mistakes
DALLAS, Texas and DETROIT, Mich. (February 6, 2019)—Home health care technology provider Axxess is offering its clients additional coding and OASIS documentation solutions through a new partnership with Gateway Home Health Coding and Consulting, LLC.
WASHINGTON, D.C. (October 23, 2018)—Citing “strong support from the supplier community” as well as initial success in DME MAC Jurisdictions C and D, CMS announced expansion of the Telephone Discussions & Re-Openings Demonstration into Jurisdictions A and B, starting November 1, 2018.
WASHINGTON, D.C. (October 4, 2018)—In June 2018, the Office of Inspector General for the Department of Health & Human Services reported that most Medicare claims for replacement positive airway pressure device supplies did not comply with Medicare requirements. A sample of 110 claims were reviewed, and 86 did not meet the requirements, totaling $13,414 in overpayments.
SHOREVIEW Minn. and MADISON HEIGHTS, Mich. (August 14, 2018)—Maxwell Healthcare Associates (MHA), a post-acute operational, financial, technological, clinical and regulatory consulting firm and Gateway Coding and Consulting (Gateway), a home health and hospice coding, recovery and appeals company, today announced their alliance.
WASHINGTON, D.C. (June 27, 2018)—The Centers for Medicare & Medicaid Services (CMS) announced new and enhanced initiatives designed to improve Medicaid program integrity through greater transparency and accountability, strengthened data, and innovative and robust analytic tools.