Search Results for: revocation

CMS CRUSH Update Providers Must Prepare for AI Driven Audits in 2026 - Featured Image - Liles Parker

CMS CRUSH Update: Providers Must Prepare for AI Driven Audits in 2026

Home Health & Hospice /

(June 5, 2026): Amid the publicity and fanfare of a White House Press Conference on February 25, 2026, Vice President J.D. Vance, Secretary Robert F. Kennedy[1], and Administrator Mehmet Oz, M.D.,[2] announced a new Medicare and Medicaid program integrity initiative known as the Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH).[3] Secretary Kennedy framed the initiative […]

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Staying Ahead of the Surge in Medicare Revocation Actions - Featured Image - Liles Parker

Fraud Risks Facing Recovery Residences: A Guide for Owners & Managers

Regulatory Issues | Privacy | Other /

(June 1, 2026): Recovery residences[1] (sometimes referred to as sober homes) play a significant role in supporting individuals with substance use disorders who need stable, supportive housing. But the same features that make recovery residences important to the continuum of care also create substantial legal exposure for owners, operators, investors, and managers. These risks do

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2026 Webinars

TAHCH Webinar Preventing the Revocation of Your Home Health or Hospice Agency from the Medicare Program – Tips on Avoiding an Adverse Action and on Responding to Such an Event Wednesday, January 7, 2026 1 p.m. EST / Noon CST / 10:00 a.m. PST Duration: 60 Minutes Matthew Catoe JD, CPC, CMRS, BS Christin Thompson

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Responding to Medicare Audits of PCR Testing for UTIs in 2026 - Liles Parker

Responding to Medicare Audits of PCR Testing for UTIs in 2026

Medicare, Medicaid & Private Payor Updates /

(December 18, 2025): Laboratory Polymerase Chain Reaction (PCR) testing for urinary tract infections (UTIs) offers rapid, sensitive pathogen detection but often presents complex coding and billing challenges for Medicare providers and laboratories. Medicare contractors are increasingly denying UTI test claims due to issues with medical necessity, documentation, and improper coding/billing practices. Robust compliance and up-to-date

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Wound care aukdit and skin substitute audit 2026 - Featured Image - Liles Parker

Responding to Wound Care Audits and Skin Substitute Audits in 2026

Medicare, Medicaid & Private Payor Updates, Other /

CMS UPDATE – DECEMBER 24, 2025 “Effective immediately, CMS’ A/B Medicare Administrative Contractors (MACs) are withdrawing the Local Coverage Determinations (LCDs) for Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers that were scheduled to become effective on January 1, 2026.” ORIGINAL ARTICLE (December 11, 2025): In 1789,

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Wasteful and Inappropriate Service Reduction (WISeR) Model - Liles Parker

Update on the Medicare Hospice PPEO Audit Initiative and its Risks

Home Health & Hospice /

(November 3, 2025): During 2024 and 2025, hospice agencies have remained under the government’s enforcement microscope. One survey found that more than one-half of all Medicare hospices reported undergoing more than one audit at the same time. These audits have led to substantial administrative burdens and payment delays.[1] Over the past year, our attorneys have represented

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Wasteful and Inappropriate Service Reduction (WISeR) Model - Liles Parker

Overview of the WISeR Model: How Should Your Practice Respond?

Medicare, Medicaid & Private Payor Updates /

(September 25, 2025): Medicare providers and beneficiaries will likely face a number of new challenges over the next five years. As you will recall, the Centers for Medicare and Medicaid Services (CMS) Innovation Center has set a goal of having 100% of Traditional Medicare (also commonly referred to as “Original Medicare”) beneficiaries move over to

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2025 Webinars

TAHCH Webinar Overview of HIPAA Privacy and Security Risks Faced by Your Agency in 2025 Wednesday, January 8, 2025 1 p.m. EST / Noon CST / 10:00 a.m. PST Duration: 60 Minutes Heidi Kocher JD, MBA, BS, CHC Matthew Catoe JD, CPC, CMRS What’s up with HIPAA and OCR? There has been significant enforcement action

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Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations - Liles Parker

Agencies Around the Country are Facing Expanded Administrative Medicare Hospice Audits and Investigations

Home Health & Hospice /

(November 5, 2024): It’s been a frustrating year for many Medicare hospice providers around the country. Throughout 2024, hospice agencies have been under the focused scrutiny of both program integrity[1] and administrative claims processing[2] contractors working for the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS). Unfortunately, the government’s

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