Medicare Fraud: Home Health & Hospice Agencies Beware

Over the years, our industry has seen reports of crimes related to Medicare fraud including conspiracy to commit health care fraud, violations of the anti-kickback statutes, and money laundering. Recently, the OIG released its Health Care Fraud and Abuse Control Program Report for FY2017. In its report, the OIG discusses several significant criminal and civil investigations into fraudulent practices by home health and hospice agencies.

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FY2019 Hospice Proposed Rule: What You Need to Know

On April 27, 2018 CMS released the FY2019 Hospice Proposed Rule. The rule includes a proposed increase in hospice reimbursements as well as changes to the Hospital Quality Reporting Program (HQRP), although no new measures are proposed.
Highlights of the FY2019 Hospice Proposed Rule include:
Payment Update
CMS is proposing a 1.8% increase in reimbursements to hospices with an overall economic impact estimated to be $340 million in increased payments to hospices during FY2019.

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Medicare Beneficiary Identifier (MBI): What Home Health & Hospice Agencies Need to Know

Designed to help protect the privacy of Medicare recipients, a new Medicare Beneficiary Identifier (MBI) will replace the social security number-based Health Insurance Claim Number (HICN) for Medicare transactions such as billing, eligibility status, and claim FISS/DDE submissions starting April 1, 2018.
Beginning in April, CMS will mail new Medicare cards to all people with Medicare on a flow basis by geographic location and other factors.

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RAISE Family Caregivers Act Signed Into Law

On January 23, 2018, President Trump signed into law the Recognize, Assist, Include, Support and Engage Family Caregivers Act, also known as the RAISE Family Caregivers Act. This law directs the Secretary of the Department of Health and Human Services (HHS) to develop and maintain a national strategy to recognize and support the more than 40 million family caregivers in the US.

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HEALTHCAREfirst to Highlight Home Health Regulatory Changes and Challenges for 2017 in Complimentary Webinar

Springfield, Missouri – November 23, 2016 – HEALTHCAREfirst, the leading provider of Web-based home health and hospice software, billing and coding services, and advanced analytics, announced that it is hosting a complimentary webinar detailing upcoming 2017 home health regulatory changes and challenges, including the CY 2017 HH PPS Final Rule.

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Free Webinar: 2014 Regulatory Update for Hospice

2014 Regulatory Update: What’s on the Hospice Regulatory Horizon.
Click here to get today’s webinar handout on the 2014 Regulatory Update.
Please join Deanna Loftus, Director of Regulatory Compliance for HEALTHCAREfirst as she reviews the latest information regarding the Hospice 2014 regulatory update and how it could affect you.

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2014 Hospice Regulatory Update Webinar Handout Available

2014 Hospice Regulatory Update Webinar: Final Rule News
View Today’s 2014 Hospice Regulatory Update Webinar Handout Here
Please join us today for the 2014 Hospice Regulatory Update Webinar detailing the recently released final rule as well as other important upcoming changes for Hospice agencies.
Topics will include:

Final rule including quality reporting, rates, Hospice item set and diagnosis coding clarifications
Proposed Hospice cost report changes
Additional data reporting for Hospice claims
Hospice RAC audits
Widespread Hospice CGS edits
IDC-10 update

This free webinar will be held today,

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ICD-9-CM Code Updates for Home Health

FY2012 ICD-9-CM code updates are right around the corner!
There are 166 new codes this year, 168 revisions and 88 deleted codes for 2012. This will be the last year for ICD-9-CM code updates as next year there will be a freeze to help prepare for ICD-10.
Many of the new ICD-9-CM codes will affect home health this year including:

40 new codes for malignant skin neoplasms,

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