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OIG Report: Medicare Overpaid HHAs $191.8 Million

In Home Health, News by Mary MadisonLeave a Comment

The Office of Inspector General released a report this last week of July that revealed overpayment of home health agencies. The OIG audit covered approximately $1.25 billion in Medicare payments to HHAs for 549,768 claims. These claims were for home health services provided in CY 2017. Because of the large increase in payment starting with the fifth visit, OIG focused …

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It’s Back! Review Choice Demonstration Returns.

In Home Health, News by Lisa Selman-Holman2 Comments

It’s ba-a-a-c-c-k-k !  Review Choice Demonstration returns! If you are a home health provider in Illinois, North Carolina, Ohio, Florida or Texas, CMS will “discontinue exercising enforcement discretion” for the Review Choice Demonstration for Home Health Services beginning on August 3, 2020, regardless of the status of the public health emergency. The initial choice selection period will begin in North …

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Quality Reporting Resumes July 1, 2020

In Home Health, Hospice, News by Lisa Selman-HolmanLeave a Comment

Both hospice and home health providers are required to resume quality data reporting for episodes beginning on or after July 1, 2020. The Centers for Medicare and Medicaid Services (CMS) provided an exception for hospice and home health providers from submitting quality data due to the Public Health Emergency (PHE) for three calendar quarters – October 1, 2019 through June 30, 2020.  Even …