We are pleased to announce that Laura H. Roberts, MPH has joined HC Healthcare Consulting as the Director of Consulting Services for our Atlanta location. Laura has over 16 years’ experience in the healthcare industry including serving as the compliance and privacy officer for multi-institutional and interdisciplinary health systems. She
Today the US Department of Health and Human Services Office of Inspector General (HHS OIG) published the report, Medicare Hospice: Use of General Inpatient Care, which describes the use of general inpatient care (GIP) in 2011. The report is based on an analysis of Medicare hospice claims; the OIG did
On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released the FY 2014 proposed rule that would update payment policies and rates for inpatient stays at general acute care and long-term care hospitals (LTCHs). Apart from the annual adjustment of payment rates, other provisions are focused on
Soon all hospice providers will need to decide whether they will stay with the streamlined aggregate CAP calculation method or go to the proportional method. There is much confusion about which to choose. When Do Providers Need to Decide? Hospice providers should receive a notice with their October 31, 2012
Now that the conversion to ICD-10 is on the horizon, providers are concerned that payments could be disrupted during the conversion process. While there are options for the government to advance monies to providers experiencing a hardship, this process can take time and many providers may not have the resources
On April 17, 2013, the Office of Inspector General (OIG) released an updated Provider Self-Disclosure Protocol (SDP). The SDP offers providers a process for voluntarily identifying, disclosing, and resolving conduct in violation of the federal fraud and abuse laws, as well as guidance on investigating, reporting, and quantifying the damages
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