by Kristin Rowan | Sep 12, 2024 | Admin, CMS, Hospice, Regulatory
by Kristin Rowan, Editor CMS Oversight in Fraud-Ridden States In 2023, The Centers for Medicare and Medicaid Services (CMS) cited research suggesting that hospices profit from fraud far too often. CMS has identified cases of hospices certifying benficiaries who are...
by Kristin Rowan | Sep 12, 2024 | Advocacy, Breaking News, Regulatory
by Kristin Rowan, Editor The Alliance Since the announcement that the National Hospice and Palliative Care Organization and the National Association for Home Care and Hospice would merge, the default name for the combined entities has been “The Alliance.”...
by Kristin Rowan | Aug 23, 2024 | Regulatory
by Kristin Rowan, Editor False Claims Act Violations According to allegations in U.S. es rel. Jones v Intrepid U.S.A. Healthcare Inc. and U.S. es rel. Rigney v Intrepid U.S.A. Inc., Intrepid U.S.A. Inc. (Intrepid) violated the False Claims Act multiple times over five...
by Kristin Rowan | Aug 23, 2024 | Admin, CMS, Regulatory
by Kristin Rowan, Editor Background on the HHVBP Model The Home Health Value Based Purchasing (HHVBP) Model, implemented by CMS in 2016, began in nine states. The goal is “to provide incentives for better quality care, to study new quality and efficiency...
by Kristin Rowan | Aug 16, 2024 | CMS, Editorial, Marketing, Medicare Advantage, Regulatory
by Kristin Rowan, Editor Leading Associations Attempt to Curb Medicare Advantage Marketing Practices that Prey on the Unsuspecting For some time now, we’ve been reporting on the marketing practices that Medicare Advantage uses to lure new members. And,...
by Elizabeth E. Hogue, Esq. | Aug 9, 2024 | Admin, Clinical, Regulatory
by Elizabeth E. Hogue, Esq. HIPAA Violation HIPAA violation: Trent James Russell was convicted in federal Court on charges of obtaining another person’s health care information in violation of the Health Insurance Portability and Accountability Act (HIPAA). Russell...
