FutureFocus April 18, 2018 CMS Expands Benefits For Medicare Advantage: Impact To PAC Providers

Lisa Remington

In this week’s FutureFocus, we provide insights about Medicare Advantage Plans and the recent announcement of expanding primary health-related benefits. Attorney, Elizabeth Hogue, warns providers to be cognizant of the experience levels of private duty companies working with the government or commercial insurers. In our Washington Report, we call attention to the Annual Anti-Fraud Report and the findings about home health providers. We remind providers that the low volume appeals settlements deadline have been extended.

Lisa Remington, President, Remington Health Strategy Group

In FY 2017, the government’s healthcare fraud prevention and enforcement efforts recovered $2.6 billion from individuals and entities attempting to defraud the federal government and Medicare and Medicaid beneficiaries, according to the fiscal year (FY) 2017 Health Care Fraud and Abuse Control Program report.

The deadline to submit an expression of interest (EOI) for the Low Volume Appeals (LVA) Initiative is being extended to June 8, 2018. Appellants with either an odd or an even NPI, that meet the eligibility criteria, should submit an EOI by the June 8 deadline.

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