Rivas Goldstein, LLP Call : 512-481-8000

Home Health Agencies Archives

DOJ targets EHR vendors for antikickback violations

The health care market is evolving. Physicians are becoming more specialized and patients are more likely to see many different providers. A single patient may have one doctor to manage diabetes, another to manage heart issues and still a third for problems with their joints. Technological advances have also worked to help better ensure physicians are aware of other treatments a patient may receive. In some cases, the government has even become involved.

Two charged with health care fraud at mental health facility

The United States Department of Justice (DOJ) recently charged two individuals who worked with a mental health company with health care fraud and tax evasion. The DOJ has accused the two of diverting millions from the mental health agency into business bank accounts. The government alleges the individuals used the funds in these bank accounts to cover various personal expenses.

CMS extends temporary moratorium on home health agencies in Texas

The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) recently announced it will extend a statewide, temporary moratorium on enrollment of new non-emergency ambulance providers and home health agencies in Texas. The agency intends the freeze to cut down on the risk of fraud, waste and abuse within the system.

OIG most wanted list includes TX home health care company owner

The Office of Inspector General (OIG) has named a former Texas health care company owner as one of its “most wanted.” The agency indicted the business owner on various criminal charges related to health care fraud, including conspiracy to pay kickbacks and money laundering.

Important Notice for Medicare Providers: Medicare Beneficiaries Identifier is replacing Social Security number

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 mandates removal of Social Security Number (SSN)-based HIC numbers from Medicare cards to address current risk of beneficiary medical identity theft. CMS will use a new MBI generator to assign over 150 Million MBIs beginning April 1, 2018, and continuing through December 31, 2019, for full implementation January 1, 2020. While CMS will continue to process transactions utilizing a beneficiary's current HIC number during the transition period, Medicare fee for service entities must modify their current processes and systems to be ready to submit or exchange the MBI by April 1, 2018. The current system requires a 9-byte SSN plus 1 or 2-byte BIC. The MBI system will require an 11-byte alpha numeric numeration system. All Medicare fee for services entities are advised to check all of their internal billing systems to be certain the software they are currently using will accommodate the new MBIs. During the transition period, Medicare entities will be allowed to enter either the MBI or HIC number. If you use vendors to bill Medicare, ask them about their MBI practice management system changes and make sure they are ready for the change.

Is your home health care agency at risk for non-compliance?

A home health care agency that receives government reimbursement for services provided must have a compliance program in place, and the business owner or Compliance Officer should be responsible for implementing this program.

Last of Texas Medicare fraud sentences handed down

A 52-year-old Texas woman was recently sentenced to serve 10 years in a federal prison and ordered to pay more than $23 million in restitution to Medicaid and Medicare. The FBI said the sentence was the last to be handed down in "a massive health care fraud case" run by Dr. Jacques Roy.

Elements to consider in a disaster response plan

With hurricanes Harvey and Irma recently wreaking havoc in Texas and the southern United States, the necessity of a disaster response plan for any business has become clear. Pharmacies, home health agencies and other medically based businesses have a few additional elements to consider when it comes to disaster response.

Email Us For A Response

Rivas Goldstein LLP: On Your Side, Protecting Your Future

Our experienced Texas-based health care lawyers are here to help you and your business succeed. Please call 512-481-8000 or contact our law firm online.

Schedule A Consultation With An Attorney

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close

Privacy Policy

Austin Office
7035 Bee Cave Road, Suite 200
Austin, TX 78746

Toll Free: 800-761-5190
Phone: 512-481-8000
Fax: 512-481-0022
Austin Law Office Map

New York Office By Appointment Only
405 Lexington Ave 26th Floor
New York, NY 10174

Phone: 212-541-2451
Fax: 917-368-8005
Map & Directions

McAllen Office By Appointment Only
1100 East Jasmine Ave
Suite 105
McAllen, TX 78501

Phone: 512-481-8000
Map & Directions

Review Us