Category Archives: Medicare Fraud

Entries about medicare fraud news, statistics, research, programs, and prevention

Sneak Peek at this week’s HCLA newsletter!

  OIG Reports Coding Inaccuracies –Where to Focus in the Future? CMS Delays 5010 Enforcement Through June 30 Current Prepayment Medical Review Additional Documentation Request (ADR) Update La. Department of Health and Hospitals –Emergency/Disaster Request PECOS Improvements HH-CAHPs Report Card: … Continue reading

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Name Clarification on Medicare Fraud

We have been asked to share the following letter from a member agency, Southeast Louisiana Home Health, based in Washington Parish. This missive is related to last week’s reports from HHS OIG, state and national news papers, and HCLA about … Continue reading

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“Home Health Face-to-Face Encounter: A New Home Health Certification Requirement” MLN Matters Article

The Medicare Learning Network® (MLN) has just released MLN Matters Special Edition Article #SE1038 (“Home Health Face-to-Face Encounter: A New Home Health Certification Requirement”) to remind physicians who certify a patient’s eligibility for home health benefits that the Affordable Care Act mandates that they, or an allowed non-physician practitioner (NPP), document that they have had a face-to-face encounter with the patient. Continue reading

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