In an effort to combat fraud and abuse in the Medicare Medicaid and Children's Health Insurance programs, CMS has expanded its home health provider enrollment moratorium into a number of large metropolitan areas.  This moratorium is scheduled to stay in effect for at least six months.  The more recent moratorium… Read more ›

The Office of Civil Rights (OCR) of the U.S. Department of Health and Human Services (DHHS), the primary federal enforcer of HIPAA requirements, recently settled alleged violations by Affinity Health Plan for $1,215,780.  OCR’s investigation and settlement were based on digital photocopiers that were leased by Affinity.  The photocopiers had… Read more ›

If you are a hospice leader in 2014, prepare for a wave of change that is fast approaching. This change will reflect upon the pay for reporting requirements necessary for other Medicare providers. In addition to the Hospice Information Set (HIS) requirements due on July 1, 2014, in less than… Read more ›