(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

HOSPICE CAP LIABILITY AND CLAIM DENIALS

Volume 22.08 As hospices become subjected to claims denials, whether such denials are the result of a UPIC or not, the hospice may be entitled to a refund of previously paid CAP liabilities.  We reported on this in 2021; however, The Health Group, LLC ("THG") recently has identified several...

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CMS RELEASES PROPOSED 2023 PAYMENT UPDATE

 Volume 22.07 Yesterday, March 30, 2022, CMS issued the proposed rule that would update Medicare hospice payment rates and the aggregate payment limitation (“CAP”) effective October 1, 2022.  2022-07030.pdf (federalregister.gov). The proposed rate increase in Medicare payments is 2.7% effective...

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PRESIDENT SIGNS OMNIBUS SPENDING BILL

Volume 22.06 Last week President Biden signed into law a $1.5 trillion spending package, referred to as an “Omnibus Spending Bill”.  The legislation will fund the government through September 2022.  The Bill also provides significant financial assistance to Ukraine. For hospices, the Bill includes...

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Healthcare News

COVID-19 PHE EXTENDED AGAIN

 Volume 22.04 The Biden administration on Wednesday extended the COVID-19 public health emergency that had been due to expire on April 16.  The 90-day extension, announced by the Department of Health and Human Services (HHS), will allow millions of Americans covered by government health insurance...

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REPORTING FOR USE OF PROVIDER RELIEF FUNDS

Volume 22.03 Many providers are confused regarding the required reporting for the use of Provider Relief Funds (“PRF”).  Reporting timelines are based on when the funds were received by the provider.  The following summarizes when funds must be used and reported to the Health Resources and...

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Home Health News

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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CMS UPDATES THE MEDICARE PROGRAM INTEGRITY MANUAL TO ADDRESS NOA

Volume 22.01 Home health agencies no longer submit Requests for Anticipated Payment (“RAP”) at the start of a home health episode of care.  Effective January 1, 2022, agencies submit a Notice of Admission (“NOA”).  The Manual has been updated to reflect “MACs may identify instances where an HHA’s...

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HOME HEALTH PAYMENT RATES FINALIZED

Volume 21.07 CMS has finalized 2022 home health reimbursement rates.  Standard rates have increased by a net 2.6%, which is the result of an inflation update of 3.1% reduced by a .5% productivity adjustment. The base 30-day rate increased to $2,031.64 from $1,901.12.  The LUPA per-visit rates...

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Interested in Joining Our Team

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