tci Medicare Compliance & Reimbursement - 2014 Issue 4

Home Health Compliance: Documentation, Background Checks On OIG's Hit List For HHAs This Year

Home health agencies bilk Medicare of $1 billion, the OIG says. The HHS Office of the Inspector General lists no new topics for HHAs in its 2014 Work Plan, but the watchdog agency does continue to list two ongoing areas of investigation: “home health prospective payment system requirements” and “employment of individuals with criminal convictions.” The PPS topic looks into documentation supporting claims, the OIG Work Plan notes. “Since 2010, nearly $1 billion in improper Medicare payments and fraud has been identified relating to the home health benefit.” With the MACs’ crackdown on face-to-face...

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