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. Learn about upcoming educational opportunities and review past programs we have offered.
Hospice News
MEDICARE PROGRAM REVALIDATIONS
Volume 21.01 We continually receive questions regarding Medicare enrollment revalidations. CMS has temporarily ceased revalidation efforts for all Medicare providers or suppliers. During the public health emergency, CMS will not issue any new revalidation notices, deactivate providers who fail...
MEDPAC CONTINUES TO PURSUE 20% CAP REDUCTION
Volume 20.16 At the recent meeting of the Medicare Payment Advisory Commission (“MedPAC”), the matter of wage adjusting the Medicare Aggregate Payment Limitation (“CAP”) and reducing the CAP by an arbitrary 20% was again discussed as MedPAC moves toward making its recommendations to Congress in...
CMS UPDATES MEDICAID HOSPICE PAYMENT RATES
Volume 20.15 On September 14, 2020, CMS released Medicaid payment rates for FY 2021 (beginning October 1, 2020). The Medicaid hospice payment rates are calculated based on the annual hospice rates established under Medicare. These rates are authorized by section 1814(i)(1)(C)(ii) of the Social...
Healthcare News
New Audit Requirements for Cares Act – Provider Relief Funds
Volume 21.04 The financial assistance received by many healthcare organizations in 2020 was not free of compliance requirements. As most of you know by now, The Department of Health and Human Services (HHS) is requiring the recipients of payments in excess of $10,000 to report back to HHS and the...
CLARIFICATION ON USE OF PRF TO REPAY MEDICARE ADVANCE PAYMENTS
Volume 21.03 On October 8, 2020, CMS issued a Press Release announcing that COVID-19 Provider Relief Funds (“PRF”) could be used to repay obligations incurred because of the Accelerated and Advance Payment program. We have received numerous inquiries regarding this potential use of PRF. The...
CARE FUND REPORTING PORTAL OPEN FOR REGISTRATION
Volume 21.02 As you probably know, earlier today the Health Resources & Services Administration (“HRSA”) has opened the Provider Relief Fund Reporting Portal for registration, but not for reporting the use of Provider Relief Funds (“PRF”). Reporting has again been delayed. Providers who...
Home Health News
REVISED HOME HEALTH AGENCY COST REPORT RELEASED (FORM 1728-20)
Volume 20.07 The Centers for Medicare & Medicaid Services (“CMS”) has released the revised Home Health Agency Cost Report, Form CMS-1728-20. The updated Cost Report will be effective for cost reporting periods beginning on or after January 1, 2020 and ending on or after December 31, 2020....
CMS TO RESUME “REVIEW CHOICE DEMONSTRATION”
Volume 20.06 Effective March 29, 2020, certain claims processing for the Review Choice Demonstration (“RCD”) for Home Health Services were paused in Illinois, Ohio, and Texas, because of the COVID-19 pandemic. During the pause, home health claims submitted on or after March 29, 2020, were not to...
COVID-19 PHE SERVICE MODIFICATION (WHAT COULD BE THE LONG-TERM IMPACT?)
Volume 20.05 Home health providers, like other providers, are dealing with a vast array of service changes resulting from the COVID-19 PHE. Strategic planning for the future must include consideration of the permanent service and revenue changes that may result. Hospitals, rural health clinics,...