FutureFocus March 28, 2018 Surveys and Compliance 10 Things To Know

Lisa Remington

In this week’s FutureFocus, we discuss an OIG report and its findings that sixty-one percent of Medicare claims for outpatient therapy did not comply. We provide the 10 reasons. Attorney, Elizabeth Hogue, discusses how to contest survey deficiencies. Our Washington Report provides insight into Trump's opioid initiative and responses from NAHC and NHPCO.

Lisa Remington, President, Remington Health Strategy Group

10 Things To Know

Sixty-one percent of Medicare claims for outpatient physical therapy services reviewed by the OIG did not comply with Medicare medical necessity, coding, or documentation requirements.

By: Elizabeth E. Hogue, Esq.

New Conditions of Participation (CoPs) went into effect for home health agencies on January 13, 2018.  Agencies anticipate that they may receive unwarranted deficiencies as a result of these new CoPs.  Consequently, it is important for agencies to know how to contest deficiencies that they believe are inappropriate.  Likewise, hospices and private duty agencies may also come under increasing fire from surveyors.  In some cases, these deficiencies received by hospices and private duty agencies are unfair.  So, it is important for home care providers to know how to contest deficiencies.

In addition to proposing measures to cut off the flow of illicit drugs; and, to expand opportunities for proven treatments for opioid and other drug addictions, President Trump’s recently announced Opioid Initiative includes these initiatives to reduce demand and over-prescription:

HCHB | Outcomes drive reimbursements


   Top Key Challenges Facing Home Care and Hospice


          Access Exclusive Insights and Strategies