[12/07/11]
Posted on December 7, 2011 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
On November 30, 2011, Daniel R. Levinson, Inspector General, appeared before the Special Committee on Aging, and testified regarding the Office of Inspector General’s (OIG) findings pertaining to the use of atypical antipsychotic drugs by nursing home residents. The OIG hired psychiatrists who are experts in treating elderly patients to review a sample of... READ MORE
Tags: antipsychotic, bufford, cms, drugs, elderly, FDA, hall render, inspector general, jent, Litigation and Risk Management, long term care, lvinson, Medicare, medication, nursing home, oig, resident, selby, snf
[10/14/11]
Posted on October 14, 2011 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
On October 12, 2011, the U.S. Department of Justice unsealed an indictment charging Matthew Kolodesh a/k/a Matvei Kolodech, with conspiracy to defraud Medicare of more than $14 million. According to the indictment, Kolodesh’s business, Home Care Hospice, Inc. (HCH), located in Philadelphia, PA, submitted Medicare claims for approximately $14.3 million dollars for patients who... READ MORE
Tags: Audit, billing, claim review, cms, defraud, Department of Health and Human Services, Department of Justice, DHHS, false claim, hall render, Hospice, inelegible, Litigation and Risk Management, MAC, Medicare, oig, patient, payment, reimbursement, selby, terminal, terminally ill
[10/11/11]
Posted on October 11, 2011 in Long-Term Care, Home Health & Hospice
Written by: Selby, Todd J.
On October 5, 2011, the Office of Inspector General (OIG) published its proposed Work Plan for Fiscal Year 2012. As in the past, the Work Plan continues to identify compliance risk areas that subject Medicare and Medicaid providers to audit and enforcement initiatives. The 2012 Work Plan contains several new areas of focus by... READ MORE
Tags: cms, hall render, Home Health, Hospice, Litigation and Risk Management, long term care, Medicare, oig, skilled nursing facility, snf, work plan
[08/13/11]
Posted on August 13, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
Earlier this week, we highlighted the implementation by Centers for Medicare & Medicaid Services (CMS) of enrollment revalidations and screening categories, and which categories CMS places certain long-term care providers. It is important for providers and suppliers to understand what each screening category (limited, moderate, or high) entails and be aware of any events... READ MORE
Tags: 10 years, ACA, accountable care, assisted living, billing, bufford, cah, clinic, clinical laboratories, cms, database, dmepos, enrollment, excluded, fbi, final adverse action, fingerprint, group, hha, high, Home Health, home health agency, Hospice, hospital, initial enrollment, jent, license, limited, long term care, MAC, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, mental health, moderate, moratorium, new practice location, nursing home, oig, on site, on-site visit, payment, physcian, PPACA, practitioner, recertification, reimbursement, Rural Health, screening, selby, skilled nursing facility, snf, suspension, therapy, visit
[07/26/11]
Posted on July 26, 2011 in Long-Term Care, Home Health & Hospice
Written by: Bufford, David W.
As record-breaking temperatures scorch the Midwest, long-term care providers are reminded to evaluate their emergency preparation plans. Proper planning can mitigate a situation from a potential disaster to a mere inconvenience. CMS provides a checklist, Emergency Preparedness for Every Emergency, for providers to use to evaluate their current emergency plans. Federal regulations at 42... READ MORE
Tags: administrator, bufford, certified, cms, disaster, emergency, facility, federal, jent, long term care, longterm care, medicaid, Medicaid/Medicare Enrollment and Regulatory Compliance, Medicare, nursing home, oig, OIG work plan, preperation, regulation, selby, work plan
[07/22/11]
Posted on July 22, 2011 in Long-Term Care, Home Health & Hospice
Written by: Kendra Conover
Recently, the Office of Inspector General (“OIG”) published a report of its findings pertaining to the nearly 70% growth of Medicare spending for hospice care provided to nursing facility (“NF”) residents from 2005 – 2009. During that time, Medicare spending on hospice care for residents in NFs increased sixty-nine percent (69%) from $2.55 billion to... READ MORE
Tags: cms, conover, Hospice, long term care, MAC, MedPAC, oig, RAC
