(304) 241-1261 contact@healthgroup.com

The Health Group, LLC provides cost reporting, financial consulting, merger/acquisition, Medicare enrollment, strategic planning, and other financial management and compliance-related services to healthcare providers across the country. We serve freestanding, provider-based, proprietary, and tax-exempt healthcare providers of all sizes.

Our Affiliate

Gray, Griffith & Mays – Morgantown, PLLC provides financial reporting, accounting, business planning, assurance, and tax services to clients across the country. Our clients are both small and large. We offer out clients the experience of a large CPA firm but with the attention provided by a smaller firm.

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

FY 2023 HOSPICE PAYMENT RATES – QUESTIONS ANSWERED

 Volume 22.15 FY 2023 hospice payment rates, effective October 1, 2023, have been set.  Routine home care rates are as follows, before any wage index adjustment based on the location of the patient: FY 2023 Hospice RHC Payment Rates  Code       Description                     FY 2022             ...

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2022 HOSPICE FINANCIAL ACADEMY HIGHLIGHTS

Volume 22.15 We are very excited as we finalize our plans for the upcoming 2022 Hospice Financial Management Academy to be held on September 19-20, 2022.  We are thrilled to be back at the Hotel Monteleone in New Orleans and look forward to seeing many clients and friends, as well as making new...

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APPLICATION OF SEQUESTRATION TO CAP OVERPAYMENTS RULING ISSUED

Volume 22.14 Recently, the United States Court of Appeals for the Ninth Circuit ruled that the way Medicare payments and sequestration was being handled when a hospice exceeds the hospice CAP was appropriate.  The Health Group, LLC has previously reported that the calculation of the hospice CAP...

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Healthcare News

REPAYMENT AND RECOVERY OF COVID-19 CAAP

 Volume 22.09 In March 2021, CMS began recovering COVID-19 Accelerated and Advance Payment (“CAAP”) balances.  After one year, the recovery of the advanced monies was made at twenty-five percent (25%) over eleven months, followed by fifty percent (50%) over the following six (6) months. ...

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OIG EXCLUSION LIST UPDATED

Volume 22.08 The Office of Inspector General (“OIG”) has the authority to exclude individuals and entities from Federally funded health care programs pursuant to section 1128 of the Social Security Act ("Act") (and from Medicare and State health care programs under section 1156 of the Act) and...

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CMS REVALIDATION LIST MAY NOT BE UP TO DATE

Volume 22.07 Medicare providers are required to revalidate information contained in the Medicare enrollment records on a periodic basis to ensure all information on file is accurate and compliant with Medicare regulations. Revalidation was paused because of the COVID-19 Public Health Emergency;...

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Home Health News

CMS PROPOSES TO REDUCE NATIONAL STANDARDIZED 30-DAY PERIOD PAYMENT

Volume 22.03 The Centers for Medicare & Medicaid Services (“CMS”) has released the Proposed Rule, “Medicare Program; Calendar Year (CY) 2023 Home Health Prospective Payment Rate Update; Home Health Quality Reporting Requirements; Home Health Value-Based Purchasing Expanded Model Requirements;...

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MedPAC REPORT RECOMMENDS REDUCTION IN HOME HEALTH PAYMENTS

Volume 22.02 The Medicare Payment Advisory Commission (“MedPAC”) made two recommendations to Congress in their recent Report.  These are as follows: “Our review of payment adequacy for Medicare home health services indicates that access is more than adequate in most areas and that Medicare...

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Interested in Joining Our Team

We offer unique career opportunities at the Health Group, LLC and Gray Griffith and Mays.