(304) 241-1261 contact@healthgroup.com

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...

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           ...

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...

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...