Responding to Audits of Home Health Agencies by the Office of Inspector General of Home Health Agency Services
The Office of Audit Services, Office of Inspector General (“OAS”), is in the process of conducting audits of large home health agencies. These audits are being conducted, in part, because the Centers for Medicare and Medicaid Services (“CMS”) had determined through the Comprehensive Error Rate Testing Program (“CERT”) that for 2014, there was greater than a 50% error rate nationally in Medicare claims for home health services.
Dental Claims Audits on the Rise — How to Protect your Practice
Dental Claims Audits are increasing each year, learn how to protect your practice before you receive notice from the OIG.
Home Health Pre-Claim Review Demonstration Project Update!
On August 3, 2016, the Centers for Medicare and Medicaid Services (CMS) implemented its “Pre-Claim Review Demonstration” project in Illinois. This demonstration project effectively requires that Illinois home health agencies submit home health claims for review by the Medicare Administrative Contractor (MAC) or face possible penalties (and be forced to have the claim evaluated through the pre-payment process).
Health Law ArticlesResponding to Audits of Home Health Agencies by the Office of Inspector General of Home Health Agency Services It’s Time for CMS and Congress to Review Outdated Medicare and Medicaid Provisions Home Health Pre-Claim Review Demonstration Project Update! Home Health Pre-Claim Reviews Are Here! Medicare Revocation Actions / Medicare Deactivation Actions: How Should You Respond? Read More Posts From This Category
Dental Law ArticlesDental Claims Audits on the Rise — How to Protect your Practice More Texas Medicaid Dental Audits Are Coming in 2017! Exclusion Screening and Background Checks in Dental Practices Medicare Dental: Significant Overpayments Have Been Made to Hospitals Dentists Participating in the Medicaid Program Must Exercise Caution to Avoid False Claims Act Liability Read More Posts From This Category
False Claims ActFalse Claims Act: Whistleblower Cases Have Continued to Rise Since the Passage of the Affordable Care Act
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A landowner/ground lessor considering a renewal or easement buyout of his cell tower... [Read more of this review]Cloud Storage Providers & BAAs – Where is Your Data?
In a recent webinar presentation, I was asked whether I believed one of the many... [Read more of this review]OIG Proposes New Anti-Kickback Law Safe Harbors
(November 10, 2014): The U.S. Department of Health and Human Services Office of Inspector... [Read more of this review]Read More Posts From This Category