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CMS updates guidance on certain NOA reporting

On Sept. 10, 2021, CMS provided updated guidance on certain claims as agencies transition from the monthly RAP to a one-time Notice of Admission (NOA) in 2022. As previously noted by CMS, for beneficiaries receiving home health services in 2021 whose services will continue in 2022, the agency will need to submit a one-time, artificial […]

Feds Pursue Fraud Claims Against PPP Recipients

To help struggling businesses needing immediate access to cash during the COVID-19 pandemic, Congress introduced the Paycheck Protection Program (PPP) as part of the Coronavirus Aid, Relief, and Economic Security (CARES) Act in 2020. Some companies, however, didn’t use the PPP loan funds as Congress intended. Because of a broad range of associated fraud, the […]

HHS prepares $25.5 billion in pandemic aid to providers

The Department of Health and Human Services (HHS) will make $25.5 billion available to health care providers impacted by the pandemic, with the application period opening Sept. 29. This funding includes $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural Medicaid, Children’s Health Insurance Program (CHIP) or Medicare patients, and an […]

Tips for Employers Awaiting Details on New COVID-19 Vaccine Rules

President Biden’s recently announced that all healthcare workers, and employees at companies with over 100 employees must implement vaccine mandates. This announcement has some employers “scrambling,” according to James P. Reidy, an attorney with Sheehan Phinney in Manchester, New Hampshire. They’re asking how the 100-employee threshold is defined, what industries are included, and when the […]

Make sure your emergency preparedness plan is up to snuff

In light of the recent hurricane that hit Louisiana, as well as the resulting flooding throughout the northeast, it’s important that SNFs review their emergency preparedness plans so that they are ready for any potential disaster. Facilities should take time to review the following, and make sure all involved parties are informed, and ready to […]

OIG audit questions full episodes for limited services

The latest home health agency audit by the Department of Health and Human Services Office of Inspector General (OIG) highlights a frequent topic for OIG reviews: questioning the need for homebound services mid-episode. OIG claimed that 17 of the 100 claims it reviewed from Catholic Home Care were incorrectly billed. Sixteen of those claims were […]

How to Draft a Reasonable COVID-19 Vaccine Policy That Protects Everyone

Now that COVID-19 vaccines are widely available, HR leaders must figure out how to craft vaccination policies. According to a recent survey, 44% of employers plan to require vaccination, 31% will encourage vaccination, and 14% will require some employees to get the vaccine. Additionally, more than 60% of companies in the United States will require proof […]

CMS’ proposal to extend virtual supervisory visits

CMS has recognized the ways that the pandemic has influenced home health aide training and use and is proposing to extend the waiver allowing virtual supervisory visits for aides. The virtual option should be rare, CMS notes in the proposed rule, with an agency limited to two virtual supervisory assessments during a 60-day period. If […]

New campaign focuses on reporting fraud and abuse

Medicare Administrative Contractor CGS recently released a new three-page document on fraud and abuse in home health and hospice. The document, published Aug. 16, looks to educate employees on recognizing fraud and abuse. “If you work with patients receiving home health & hospice services it is vital to be informed about all aspects of fraud,” […]