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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. |
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).
Even though The Health Group, LLC has prepared numerous CMS Form 885s, both before the revalidation process and as part of the process, we have learned much including:
- Most providers do not have a sufficient understanding to accurately complete these forms or maintain accurate Medicare enrollment information on file,
- Providers should establish ongoing policies and procedures to identify and report changes of information, and
- Reviews by the MACs are largely dependent on the respective reviewer.
Several healthcare providers lost their billing privileges as a result of issues surrounding the revalidation resulting in the need to reactivate their billing privileges or appeal the revocation. While most home health agencies have completed the revalidation, the process continues with other provider types and will continue into 2015.
The Health Group, LLC is pleased to announce that plans have been finalized for the 2013 Hospice and
Home Health Financial Management Academy. This program is scheduled for September 16-18, 2013
at the TradeWinds Resort in St. Pete Beach, Florida. This program is the most comprehensive financial
management program available for hospice and home health agency providers.
The program covers financial compliance, cost reporting, including the updated Hospice Cost & Data
Report, Medicare Enrollment Management, Dealing with Hospice Variable Reimbursement Rates, Home
Health Ownership Transfers, and much more. The program brochure and registration information can
be accessed here. Early registration discounts are available through June 15, 2013.
The program is directed at Administrative, Financial, and Compliance personnel, as well as financial
consultants to home health and hospice providers. CPE credit is available for CPAs attending the
program.
The Medicare program has released, effective July 2, 2012, a new addition to the Medicare Benefit Policy Manual. The new addition, “Caps and Limitations on Hospice Payment”, provides detailed information regarding the two methods for computing the aggregate payment cap (“CAP”), the transition from the historical streamlined method to the proportional method, and elections available to hospices. MLN Matters ®Number MM7838 is very useful to hospices in understanding the alternatives available. The CAP is covered in detail at the upcoming educational program offered by The Health Group, LLC.