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Hospice Audit and Investigative Actions are Expected to Rise in 2024 - November 2023

Hospice Audit and Investigative Actions are Expected to Rise in 2024

(November 20, 2023): Medicare, Medicaid, and most private insurance plans cover hospice care and related services. To be eligible for hospice care,1 a patient must be certified as terminally ill and have a life expectancy of six months or less.  In recent years, the hospice industry has exponentially grown, and the number of Federal, State […]

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HHS Departmental Appeals Board (DAB) Appeals

(June 15, 2023): The Department of Health and Human Services (HHS) is enormous, employing more than 80,000 individuals[1] who work in a dozen operating divisions and an even greater number of independent offices that report directly to the Office of the Secretary.[2] One of these independent offices is the HHS Departmental Appeals Board (DAB or

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Medicare Exclusion Risks: Employing Excluded Individuals Can Result in Significant Administrative, Civil and / or Criminal Liabilities

(May 8, 2023): One of the most severe administrative sanctions available under the Social Security Act stems from the authority of the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS)[1] to “exclude” individuals and entities from participating in Federal health care programs.[2] While the Centers for Medicare and

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HCLA Webinars

HCLA Webinar Data Privacy Issues and Regulations — HIPAA and Beyond Tuesday, January 30, 2024 1 p.m. EST / Noon CST / 10:00 a.m. PST Duration: 60 Minutes Heidi Kocher, JD, MBA, CHC Information Blocking Rule and OCR’s right of access initiative are two of the issues to be discussed in this session. Join attorney

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2023 Webinars

TAHCH Webinar Updates on Vaccine and Mask Mandates Tuesday, January 4, 2023 1 p.m. EST / Noon CST / 10:00 a.m. PST Duration: 60 Minutes Jennifer Papapanagiotou JD, MA Heidi Kocher, JD COVID vaccine and mask mandates have come, been amended, been removed for some occupations or sites and left in place for others. There

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Enforcement Efforts Targeting Aquatic Therapy Providers and CPT Code 97113 Claims

(October 3, 2022): Aquatic therapy is a common method of rehabilitation and maintenance for several types of injuries and conditions, and the practice is widely accepted by Medicare, Medicaid and many private payors. Historically, both payors and law enforcement have routinely audited aquatic therapy claims. The Centers for Medicare and Medicaid Services (CMS) initially suspended

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laws regulation changes affect billing agreement - Liles Parker

Ever-Changing Federal and State Laws and Regulations are Transforming Third-Party Billing Contracts

(July 28, 2022): The business side of medicine has changed considerably over the last decade. Health care laws, regulations, and administrative policies are constantly evolving. A number of these changes have impacted health care practices, billing companies, and the third-party billing contracts executed between these parties. From its earliest beginnings, the majority of third-party billing

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The Criminalization of Pain – In 2022, DOJ is Aggressively Investigating and Prosecuting MDs, NPs and PAs for Violations of the Controlled Substances Act

(April 19, 2022): Despite our government’s best efforts, opioid overdose deaths in America are continuing to spiral out of control. According to the U.S. Centers for Disease Control and Prevention (CDC), during the period April 2020 through April 2021, the number of overdose deaths were more than 30% higher than the previous year. While many

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2022 Webinars

TAHCH Webinar Vaccination Mandates Wednesday, January 5, 2022 1 p.m. EST / Noon CST / 10:00 a.m. PST In July 2021, President Biden began rolling out vaccination mandates covering federal employees and contractors. At that time, President Biden also called on employers to implement their own vaccination mandates. Since that time, thousands of organizations around

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2021 Webinar

Wednesday, November 3, 2021 1 p.m. EST / Noon CST / 10:00 a.m. PST Using PEPPER to Assist You in Analyzing Your Home Health Claims Practices For several years now, CMS has been moving from a broad Probe and Educate program to a more targeted one. The Program for Evaluating Payment Patterns Electronic Report (PEPPER)

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