Monthly Archives: June 2021
Non-Skilled Home Health Agency Quality Assurance Program
Unlike a skilled home health agency, and those skilled agencies which are Medicare certified, Florida non-skilled home health agencies are not specifically required by Florida Statutes or Rules to have and maintain a quality assurance program, (QAP), or any process … Read Full Post
OSHA COVID-19 Emergency Temporary Standard for Healthcare Industry Takes Effect
The Occupational Safety and Health Administration (OSHA) released new COVID-19 guidelines – called Emergency Temporary Standards (ETS) – for all healthcare providers and those who provide support services. The new rules are binding on all employers unless they meet one … Read Full Post
Hospital Worker “Weaponizes” PHI
Not a week goes by without some compliance-related enforcement action announcement in the news. The Department of Justice recently announced that a now-former hospital worker pled guilty to wrongfully accessing and distributing her ex-boyfriend’s medical records. The 41 year-old woman … Read Full Post
HR Issues and the Employed Practitioner – Part 2
In Part 1 of this blog series, we explored the issue of untimely processing of a clinician’s work, namely locking progress notes and signing off on lab reports and other documents. This time, let’s look at attendance and punctuality challenges … Read Full Post
Anthem OIG Audit Reveals Coding Issues
Last month, the Office of Inspector General published the report of a compliance audit conducted on one of Anthem Community Insurance Company, Inc.’s Medicare Advantage (MA) contracts. The OIG concluded that Anthem was overpaid by $3.4 million. MA plans’ payments … Read Full Post
HR Issues and the Employed Practitioner – Part 1
Every group practice administrator knows that issues with healthcare practitioners – both physicians and non-physician practitioners – occur, if not abound, and pose a great challenge. It goes without saying that we need our medical practitioners! Without them, we can’t … Read Full Post
Similarities Among Florida LTC Companies
We often write about differences among the Florida licensed long-term care (LTC) entities but recently someone asked what they all have in common. Good question! Here’s a run-down on that information. Home health agencies come in two varieties: those that … Read Full Post
OIG Finds Errors in Humana Compliance Audit
When the Centers for Medicare and Medicaid Services (CMS) risk adjustment data validation (RADV) audit identified coding errors for one Humana contract representing members in South Florida, the Office of Inspector General (OIG) conducted its own audit. We should recall … Read Full Post