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Our Affiliate:
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The Health Group, LLC
The Health Group, LLC is available to meet the cost reporting, corporate compliance, Medicare enrollment and state licensure, strategic planning, accounting and financial reporting assistance, merger/acquisition and general healthcare financial consulting needs of healthcare providers. These services are provided by professionals of The Health Group, LLC and our network of professional resources across the country.
Our professionals have over 60 years of combined experience working with hospitals, nursing homes, physician practices, clinics, hospice, home health, HME and other healthcare providers. We focus on providing services that assist our clients to accomplish their respective objectives.
Our clients are located across the country. Whether your organization is proprietary, tax-exempt, or governmental; free-standing or provider-based, we have the resources to meet your healthcare financial needs.
Additionally, we provide extensive educational information and updates to our clients, our referral sources, and others in support of the healthcare industry including national and state healthcare associations. We look forward to hearing from you or meeting with you to discuss how The Health Group, LLC can be a valuable resource in your healthcare endeavors. |
MEDICARE REVALIDATION
Section 6401(a) of the Affordable Care Act established a required for all enrolled Medicare providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. Previously the revalidation was to be completed on or before March 25, 2012; however, the U.S. Centers for Medicare and Medicaid Services (“CMS”) has announced that the revalidation process, which is already underway, has been extended through March 2015 (Additional details).
MEDICARE PROGRAM LOSES MILLIONS AS A RESULT OF NON-RECOVERED OVERPAYMENTS TO HEALTHCARE PROVIDERS
Medicare fraud and abuse, overbillings, and similar topics are constantly being reported, especially during election years. However, a topic that has received little public attention in the past recently came to the public’s attention; the inability of the Medicare program to recover overpayments made to healthcare providers. William T. (Ted) Cuppett, Managing Member of The Health Group, LLC has prepared a limited discussion of this topic especially directed at hospice providers that are incapable of making repayment to the Medicare program for identified overpayments under current Medicare reimbursement methodologies. There is plenty of blame for such historical losses suffered by the Medicare program, which include the providers themselves and the government that failed to, and continues to fail to implement policies and procedures intended to minimize such losses. Many of the potential steps that could be taken to minimize these losses would not be graciously accepted by the providers or the government; however, as healthcare providers continue to have reimbursement decreased to fund other programs as well as the costs associated with the Medicare program such avoidable losses need to be reviewed.
Making Your Hospice CAP Election
Hospices are now faced with a critical election that could impact Medicare reimbursement in the past, present and future. The initial election, if desired, is to be made during the period beginning October 1, 2011 but before receipt of the 2011 (or prior) cap year determination. We can assist you in making this decision through a Special Report based on your information. Time is of the essence. Additional information is available here.