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Hospice

Medicare Provider Revalidation Requests

[11/09/11]

Posted on November 9, 2011 in Long-Term Care, Home Health & Hospice

Written by: Brian D. Jent

The Centers for Medicare & Medicaid Services has posted a list of providers who have been sent a request to revalidate their Medicare enrollment information. You can access and review the list, then select “Revalidation Phase 1 Listing.”  The list will be updated monthly and providers are encouraged to review the list.  If you... READ MORE

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CMS Extends Timeline for Provider Revalidation

[11/07/11]

Posted on November 7, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (“CMS”) has reevaluated the revalidation requirements in the Affordable Care Act (“ACA”), and believe the ACA allows for the extension of the revalidation period for an additional two years.  This will extend the deadline for revalidation through March of 2015.  Providers are reminded that if they have... READ MORE

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Hospice Owner Indicted for $14.3 Million in False Claims

[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

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CMS Updates Claims Processing Manual to Reflect Failure of Timely Hospice Face-to-Face

[10/11/11]

Posted on October 11, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As previously discussed, hospice providers are required to have a hospice physician or nurse practitioner perform a face-to-face encounter with each hospice patient whose total length of stay is anticipated to reach the third benefit period.  This encounter must be performed no more than thirty days prior to the third benefit period recertification, and... READ MORE

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OIG Publishes 2012 Work Plan

[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

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Update on NLRB Actions

[08/29/11]

Posted on August 29, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

As Mr. Lyman pointed out last week, the National Labor Relations Board (NLRB) now requires private employers to post a Notice of Employee Rights under the National Labor Relations Act (NLRA).  A recent New York Times article on this new requirement discusses an upcoming decision by the NLRB that is expected to address unionization... READ MORE

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NLRB Notice Requirement Affects Long-Term Care Providers

[08/26/11]

Posted on August 26, 2011 in Long-Term Care, Home Health & Hospice

Written by: Stephen W. Lyman

The National Labor Relations Board (NLRB) just issued a final rule that will require most private employers, including those that are long-term care providers, to post a Notice of Employee Rights under the National Labor Relations Act (NLRA).  The notices must be posted by November 14, 2011.  The text of the notice is available in... READ MORE

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Revised CMS-855 Forms Published, New CMS-855O to Order and Refer Items

[08/23/11]

Posted on August 23, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The US Office of Management and Budget has approved the revised Medicare Provider-Supplier Enrollment Applications, the CMS-855 forms.  These updates to the 2008 versions include multiple changes to comply with enhanced disclosure requirements. Such changes include:   READ MORE

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CMS Home Health, Hospice & Durable Medical Equipment Forum Today at 2 p.m. EST.

[08/17/11]

Posted on August 17, 2011 in Long-Term Care, Home Health & Hospice

Written by: Bufford, David W.

The proposed agenda for today’s Home Health, Hospice & DME/Quality Open Door Forum is as follows: Hospice wage index final rule published; Hospice CR 7518 with FY 2012 updated rates and cap amount issued; Timeline for Hospice CAP changes; HHCAHPS Updates.  This is scheduled for Wednesday, August 17, 2011 from 2:00pm-3:00pm EST. Resistration for this... READ MORE

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What Risk Categories Mean to Providers and Suppliers

[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

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