The success of The Health Group, LLC is the result of quality service by experienced professionals in combination with our network of other professionals across the country.
Our Services
The Health Group, LLC provides an extensive array of financial and consulting services to its clients. We approach each client and each client service as unique based on the skillsets of the client’s personnel to ensure client needs are met.
Education
The Health Group, LLC provides live educational conferences and webinars on healthcare financial and compliance issues of importance. Registrations are now being accepted for the Hospice Financial Administration Conference scheduled for September 30 – October 1, 2024.
Hospice News
OIG COMPLIANCE PROGRAM GUIDANCE FOR NURSING FACILITIES; HOSPICE ARRANGEMENTS
Volume 25.03 Hospices must generally furnish all core hospice services themselves and not by independent contractors. However, hospices may furnish noncore services under arrangements with other providers or suppliers, including nursing facilities. When hospice patients have Medicaid coverage,...
HOSPICE SPECIAL FOCUS PROGRAM HALTED
Volume 25.02 Implementation of the highly controversial hospice Special Focus Program (“SFP”) has been suspended by the Trump Administration. SFP, which was part of the 2024 home health payment rule, was intended to identify poor performing hospices and effect quality improvement. Failure on...
HOSPICE CAP SELF-REPORTING
Volume 25.01 All hospices that were certified on or before October 1, 2023, are required to submit a Self-Determined Hospice CAP (“SDHC” or “CAP”) Report on or before February 28, 2025. The CAP Report will generally cover claims for the period of October 1, 2023, through September 30, 2024. ...
Healthcare News
REVISED CMS-855A MUST BE USED FOR ALL ENROLLMENT SUBMISSIONS
Volume 25.01 The Form CMS-855A was revised in September 2024. Effective October 1, 2024, all skilled nursing facility (“SNF”) providers must use the revised form for all enrollment applications and updates. Other Part A providers are required to use the new form for submissions on or after...
PROVIDER OWNERSHIP, AFFILIATION DISCLOSURES AND OTHER INTEGRITY MEASURES CONTINUE TO CONSUME MORE PROVIDER RESOURCES
Volume 24.01 The Centers for Medicare & Medicaid Services (“CMS”) has continually been concerned regarding how to identify “bad actors”, their continued involvement with Medicare providers, and the appropriate response to inappropriate behavior by providers, whether such behavior is related to...
CMS RELEASES MEDICARE ENROLLMENT APPLICATION FEE FOR 2024
Volume 23.08 CMS has announced a $709 calendar year application fee for providers that are: Initially enrolling in the Medicare program, Medicaid program, or the Children’s Health Insurance Program (“CHIP”), Revalidating their Medicare, Medicaid, or CHIP enrollment, or Adding a new Medicare...
Home Health News
MEDICARE 2025 HOME HEALTH PAYMENT RATES RELEASED
The U.S. Centers for Medicare & Medicaid Services (“CMS”) has released final 2025 home health payment rates. The national standardized 30-day period payment amount has been computed as follows: 2024 National Standardized 30-day payment rate $ 2,038.13 2025 permanent behavioral adjustment...
SMALLER PROPRIETARY HEALTHCARE PROVIDERS MAY BE REQUIRED TO REPORT TO DEPARTMENT OF THE TREASURY
Volume 24.04 In 2021, Congress enacted the bipartisan Corporate Transparency Act to curb illicit finance. This law requires many companies doing business in the United States to report information about who owns or controls them. Effective January 1, 2024, many companies in the United States must...
NAHC AND NHPCO SIGN AFFILIATION AGREEMENT
Volume 24.03 The two largest organizations representing home care providers, the National Association for Home Care & Hospice (“NAHC”) and the National Hospice and Palliative Care Organization (“NHPCO”), on June 10, 2024, signed an affiliation agreement. Beginning July 1, 2024, the...