Caregivers may suffer…

 

Reuters:  U.S. Tries Smarter Approach To Health Care Fraud

Kaiser Daily Health Policy Report, December 17, 2010

The new approach is based on “predictive modeling,” a combination of advanced analytics, linkage analysis, behavioral analysis and other statistical techniques.  Sebelius compared the modeling tools to ones often used by banks or insurance companies – that might, for example, throw up a red flag if there are unusual patterns of usage on a person’s credit card (Frasny, 12/16). 

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Medicare Claim Review Programs: MUE, CCI, CERT, RAC” Booklet Revised… The Medicare Learning Network® has revised the “Medicare Claim Review Programs: MUE, CCI, CERT, RAC” booklet, which is designed to provide education on the different CMS claim-review programs and assist all providers in reducing payment errors – in particular, coverage and coding errors.  It includes FAQs, resources, and an overview of the various programs, including Medical Review (MR), Recovery Audit Contractor (RAC), and the Comprehensive Error Rate Testing (CERT) Program.  This product is suggested for all Medicare Fee-For-Service providers and is available in downloadable format.

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Medicare Bonus Payment Pilot Program Also A Test For ACO’s

Kaiser Daily Health Policy Report, December 17, 2010

Modern Healthcare: Bonus Test Is A Test For ACOs

Half of 10 physician groups testing Medicare bonus payments for quality and spending control earned payouts during the fourth year of the five-year experiment, the CMS has announced.  Bonuses, which totaled $31.7 million for the fourth year, are based on how much physician groups save Medicare and how well doctors perform on measures of quality.  Sound familiar?  That’s because it’s the same basic formula behind accountable care organizations, a payment pilot for doctors and hospitals that Medicare will begin to implement in 2012 under the health reform law (Evans, 12/16). 

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Adult Day, Senior Services & Hospice: Caregivers May Suffer From Compassion Fatigue

Healthcare Industry Weekly Watch, December 20, 2010

Compassion fatigue is a syndrome seen in people who care for others with severe needs, such as hospice and elderly health professionals, social workers, police officers, and clergy, among many others, said Dr. Terry V. Eagan, practicing psychiatrist for 16 years and medical director of Moonview Sanctuary in Santa Monica, Calif.

The syndrome may present itself in small, but powerful ways.  The caregiver may feel depressed and irritable, resistant to offered services, negative about their work and less willing to work in teams, Eagan told Healthcare Senior Services Letter.

It can be a pervasive sourness that “can spill over to other areas of life,” he said.  Compassion fatigue is the “consequence of emotional burden,” such as caring for those who are sick, Eagan said.  Read On…

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Report Medicare Fraud

Report Fraud to Inspector General

email:  HHSTips@oig.hhs.gov

Call: 1-800-HHS-TIPS (1-800-447-8477

TTY: 1-800-377-4950

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Hospice and Home Health

Financial Management Academy

March 9-11, 2011

Hotel Monteleone

New Orleans, Louiiana

Presented by:

The Health Group LLC

Programs

ACCOUNTING AND FINANCIAL REPORTING FOR HOME

HEALTH AGENCIES AND HOSPICES

Program #1004

ALL ATTENDEES WILL RECEIVE: 

  • Medicare CAP Liability Estimation Calculator, which has been designed by The Health Group, LLC.
  •  Audit programs specifically designed for home health and hospice receivables and revenues (these are extremely beneficial to external auditors, but also valuable to use internally as a control over revenue and receivable reporting practices). 

HOSPICE PROSPECTIVE FINANCIAL MANAGEMENT

AND COMPREHENSIVE COST REPORT TRAINING

Program #1005

 NEW or EXPANDED:

  • Detailed discussion of the charge structure of the future by hospices; why such a revised charge structure will be important. This program will also address the current requirements of providing charges on current bills.
  • Preparing for the reimbursement impact of a modified reimbursement methodology.
  • Understanding current restrictions on the transfers of provider numbers. Could such restrictions be placed on hospices as well? 

COMPREHENSIVE HOME HEALTH COST REPORT

TRAINING AND PROSPECTIVE FINANCIAL

MANAGEMENT OF THE COMPANY

Program #1006

EXPANDED:

  • Issues relating to the combination of home health and non-home health services.
  • Special issues of importance to taxable and non-taxable agencies, including home health/physician relationships.

Click here for full details and registration information

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 THOUGHT PROVOKING QUOTES

 “Resolve to perform what you ought; perform without fail what you resolve.”

-Benjamin Franklin

 “When I thought I couldn’t go on, I forced myself to keep going.  My success is based on persistence, not luck.”

-Estee Lauder

 “Even when I lost, I learned what my weaknesses were and I went out the next day to turn those weaknesses into strengths.”

-Larry Bird

 “All growth depends upon activity.  There is no development physically or intellectually without effort, and effort means work.”

-Calvin Coolidge

“It’s the little things that make the big things possible.  Only close attention to the fine details of any operation makes the operation first class.”

-J. Willard Marriot

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About Boyd & Nicholas
Boyd & Nicholas — THE COST REPORT PEOPLE® The nation’s leading cost report preparation firm, Tom Boyd and Tom Nicholas are THE COST REPORT PEOPLE®. Specializing in home health and hospice, Boyd & Nicholas have earned an impeccable reputation for service, expertise and integrity delivered with professionalism and personality. At a time when cost reports are defining the very future of home health Medicare reimbursement, trust THE COST REPORT PEOPLE® with your submission and experience the difference! (877) 424-6527. www.boydandnicholas.com

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