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One of the top ten risks highlighted by the Texas Association for Home Care and Hospice and Liles Parker PLLC is fraud in government-funded healthcare programs, an issue addressed by the False Claims Act (FCA). With recent escalation of fraud resurfacing, the FCA acts as the government’s primary enforcement for attacking... Keep Reading
The Medicare appeals process is experiencing a sustained increase in the number of appeals, as highlighted earlier this year by the Texas Association for Home Care and Hospice and Liles Parker PLLC.  This increase, coupled with only modest increases in funding, has created a significant backlog of appeals at the... Keep Reading
In November, the home care and hospice community honors the millions of nurses, how care aides, therapists, and social workers who make a remarkable difference for the patients and families they serve. Caregivers are an integral part of home healthcare and provide millions of Americans several freedoms that may not... Keep Reading
Today we’ll take a look at the issue of Prepayment Reviews, Suspension Actions and Postpayment Audits and how it has unfolded. CMS continues to move away from “pay and chase” strategies and are taking a more proactive approach to enforcement, as seen with the Pre-Claim Review demonstration begun in... Keep Reading
The word wellness has become a buzzword in today’s culture and organizations are seeking platforms that provide wellness opportunities for employees, but what does that mean to you exactly? According to the Centers for Disease Control (CDC), workplace programs are created to address the rising trends of chronic disease. The... Keep Reading
Today we’ll take a look at the issue of Regulatory Pressure on Contractors and how it has unfolded.  The Health and Human Services –Office of Inspector General (HHS-OIG) was created to protect the integrity of HHS programs and operations and the well-being of beneficiaries by detecting and preventing fraud, waste,... Keep Reading
  Before we know it, October 23rd and NAHC 2016 will be upon us!  It’s that time of year where thousands come together for three days to learn, connect and discover the home health hot topics and expertise of many from across the nation. Learn! There will be more than 80 educational sessions... Keep Reading
Fall can be one of the most beautiful seasons of the year, but unfortunately it marks the beginning of influenza (flu) season.  The Centers for Disease Control and Prevention (CDC) recommends an early start for administering the flu vaccine due to outbreaks which can begin as early as September.  Every year... Keep Reading
In the first blog in this series, we laid out the most salient risks that home health and hospice agencies face today, as identified by Liles Parker PLLC. This entry will focus on the second risk area, exclusion screening. Long gone are the days when an agency can prevent fraud and... Keep Reading
The Centers for Medicare and Medicaid Services (CMS) announced the postponement of the start dates for the subsequent pre-claim review (PCR) demonstration states - Florida, Texas, Michigan, and Massachusetts. CMS announced the change after the experience in Illinois has highlighted the need for additional education efforts prior to further expansion to... Keep Reading
Value: a fair return or equivalent in goods, services or money for something exchanged; relative worth Medicare's Home Health Value-Based Purchasing Model is new to the home health nursing space this year, but value-driven care has been gaining traction across care delivery systems for years. While the concept of VBP may not be... Keep Reading
Change has always been a constant in home healthcare, so agencies always need to be ahead of the changes to succeed in our industry. 2016 has been no exception. In a webinar held earlier this year by the Texas Association for Home Care and Hospice, Liles Parker PLLC identified the... Keep Reading