FutureFocus March 21, 2018 Trending Industry News

Lisa Remington

In this week’s FutureFocus, Attorney Elizabeth Hogue provides additional insights about hospital discharge planners and their recommendations of post-acute providers. Elizabeth ties into the discussion Conditions of Participations (CoPs) and standards of care. In our Washington Report, we discuss an OIG report and the vulnerability to fraud in unverified home health agency patient lists. Don't miss the CMS Special Open Door Forum on the IMPACT Act and improving care coordination. We provide details and additional reading for that call.

Lisa Remington, President, Remington Health Strategy Group

Is it true that hospital discharge planners are prohibited from recommending post-acute providers to patients based on applicable federal requirements?  The answer is a resounding NO!

Some of the patient lists home health agencies supplied to surveyors were missing names of Medicare beneficiaries, according to a recent study by the HHS Office of Inspector General (OIG). “Although we do not know the reasons for these omissions,” the OIG noted, this “creates a vulnerability because HHAs could conceal fraudulent activity or health and safety violations by omitting patients from those lists.”

CMS has scheduled a Special Open Door Forum: The IMPACT Act and Improving Care Coordination, March 28 from 2 to 3 pm ET; Conference Call Only.

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