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
MANY HOSPICES CLAIMS REJECTED DUE TO PECOS FILE ERROR
Volume 24.16 Many hospices have experienced claim rejections resulting significant cash-flow disruptions because of reporting the certifying physician which did not match information in the Provider Enrollment, Chain and Ownership System (“PECOS”) Enrolled Physicians File. Claims rejected relate...
HOSPICE CARE ACT OF 2024 INTRODUCED
Volume 24.15 HOSPICE CARE ACT OF 2024 INTRODUCED On Wednesday, Representative Earl Blumenauer introduced legislation, the Hospice Care Accountability, Reform, and Enforcement Act (“Hospice CARE Act”), which represents what would be the most significant hospice legislation since enactment of the...
HOSPICE PREPAYMENT REVIEW EXPANDED
Volume 24.14 The Centers for Medicare & Medicaid Services (“CMS”) has announced that prepayment medical review will be expanded in California, Arizona, Texas, and Nevada. The expansion will reach existing providers; however, a small sample of claims will be reviewed followed by individual...
Healthcare News
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...
CMS MOVES ON ADDITIONAL OWNERSHIP DISCLOSURES FOR NURSING FACILITIES
Volume 23.07 On November 15, 2023, the Centers for Medicare & Medicaid Services (CMS) placed on display at the Federal Register a Final Rule that will implement portions of section 6101 of the Affordable Care Act, requiring the disclosure of certain ownership, managerial, and other information...
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...