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 2021 Hospice Financial Management Academy scheduled for September 13-14, 2021.
Hospice News
MEDICAID HOSPICE PAYMENT RATES UPDATED
Volume 23.18 The U.S. Centers for Medicare & Medicaid Services has updated Medicare hospice payment rates effective October 1, 2023. Although not consistent with Medicare payment rates, the rates are calculated based on established Medicare rates. Rates, subject to geographical adjustment,...
TARGETING HOSPICES BY CMS HEIGHTENS
Volume 23.17 Yesterday the Centers for Medicare and Medicaid Services (“CMS”) reported that nearly 400 hospices are being considered for potential administrative action. This is the result of site visits to numerous hospices. The site visits are the result of suspected non-operational hospice...
FY 2024 HOSPICE PAYMENTS FINALIZED; RATES INCREASE 3.1%
Volume 23.16 On July 28, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1787-F) that updates Medicare hospice payments and the aggregate CAP amount for fiscal year (FY) 2024 in accordance with existing statutory and regulatory requirements. Major provisions...
Healthcare News
PROCESSING TIME FOR MEDICARE ENROLLMENT APPLICATIONS – AN INCREASING PROBLEM FOR PROVIDERS
Volume 23.04 Many providers are dealing with significant delays in processing Medicare enrollment updates and new enrollment applications. It is not unusual to see approvals of CMS 855 filings taking four months to a year. Change of ownership and new enrollment applications, based on our recent...
NUMEROUS PROVIDER ENROLLMENT CHANGES INCLUDED IN THE MEDICARE PHYSICIAN FEE SCHEDULE PROPOSED RULE
Volume 23.03 CMS’s increasing focus on provider integrity continues as they have proposed numerous Medicare enrollment changes impacting healthcare providers of all types. The proposed rule includes, but is not limited to, the following: Reporting Changes in Practice Location - CMS is proposing...
MANY HEALTHCARE PROVIDERS AT RISK FOR IRS RECOVERY OF ERC CREDITS
Volume 23.01 On March 7, 2023, the IRS issued a warning to Employee Retention Credit claims. False claims generate compliance risk for people and businesses claiming improper credits. According to the warning, “The IRS and tax professionals continue to see third parties aggressively promoting...
Home Health News
JUDGE ORDERS STATE TO PROVIDE PRIVATE DUTY NURSING CARE
Volume 23.07 The following was reprinted with permission of Elizabeth E. Hogue, Esq. On July 14, 2023, a Judge issued an opinion and order, in which he said that the State of Florida must provide services, including private duty nursing care, to medically fragile children who are living in nursing...
NAHC ANNOUNCES LAWSUIT AGAINST CMS REGARDING HOME HEALTH PAYMENT RATES
Volume 23.06 On July 6, 2023, The National Association for Home Care and Hospice (“NAHC”) announced that it has filed a lawsuit against the Centers for Medicare and Medicaid Services (“CMS”) which challenges the manner that CMS has reduced home health payment rates based on the payment rate...
MEDPAC RECOMMENDS SUBSTANTIAL REDUCTION TO HOME HEALTH PAYMENTS
Volume 23.04 MedPAC’s March 2023 Report to Congress included the following recommendation: “Our review of payment adequacy for Medicare home health services indicates that access is more than adequate in most areas and that Medicare payments are substantially in excess of costs. Home health care...