HC Compliance Essentials

Audits: RACs Pile On More Home Care Review Topics

Think the Recovery Audit Contractors are sticking to big-money providers? Think again. Medicare’s audit bounty hunters may not yet have specified home health agency or hospice topics for review, but that doesn’t mean you have nothing to worry about from…

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Do My Physician’s SNF Claims Violate Stark Laws?

What’s the road to compliance when a SNF’s medical director also bills fee-for-service? Question: My physician is the medical director for a skilled nursing facility and receives a stipend from the SNF for that service. Can he still bill for…

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Audit Alert: Ambulance Services for Part A SNF Residents

Many ambulance services for Part A SNF residents are being billed to Medicare twice — once to Part A under Consolidated Billing and once to Part B. And that mistake could have caused $12.7 million in improper payments in 2006, says…

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