Articles and Blogs

payment

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

Tags: , , , , , , , , , , , , , , , , , , , , ,

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

Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

Update to Revalidation Enrollment Procedures

[08/11/11]

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

Written by: Selby, Todd J.

As an update to the previous post on the revalidation enrollment procedures it is important for hospices, home health agencies, and DMEPOS to know what level of screening they will receive from the Medicare Administrative Contractor (“MAC”).  In some instances these providers and suppliers will be screened at either a “high” or “moderate” level... READ MORE

Tags: , , , , , , , , , , , , , , , , , , ,

Medicare to Cut $3.87 Billion in Skilled-Nursing Facility Pay

[07/29/11]

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

Written by: Bufford, David W.

Effective fiscal year (FY) 2012, The Centers for Medicare & Medicaid Services (CMS) final rule on Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2012, released July 29, reduces Medicare skilled nursing facility (SNF) Prospective Payment System (PPS) payments by 11.1%. CMS states this action was taken to “better align... READ MORE

Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

In FY 2012: Medicare Hospice Wage Index Increases 2.5%, Other Hospice Changes

[07/29/11]

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

Written by: Bufford, David W.

The Centers for Medicare & Medicaid Services (CMS) increased fiscal year (FY) 2012 Medicare payments by 2.5% for hospice providers in a final regulation released July 29.  Also included in the final regulation are requirements for hospice providers to start collecting quality of care data and changes to the way CMS counts hospice patients... READ MORE

Tags: , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,