One stolen Medicare number can lead to months of improper billing, and while losing money is problematic enough, this can also ruin your medical record. Medicare fraud can also delay care when you need it or cause complications with taxes and billing. In order to...
If you work in healthcare in Texas, you know how serious Medicaid fraud allegations can be. One investigation can put your career and your practice at risk. Possible outcomes include criminal charges, heavy civil fines and being banned from Medicaid. These cases can...
In Texas, a healthcare business has many issues to navigate whether it is a group practice, a hospice, a therapy center, medical specialists, or any other entity. These businesses will rely on assisting patients who are covered by Medicaid. Because Medicaid comes from...
If your hospice claims raise red flags, Medicare reviewers may initiate an investigation. Whether the concern stems from patient eligibility or billing volume, a probe can lead to delayed payments or worse. That is why it is crucial to adhere to Medicare rules...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS). It oversees the nation's major healthcare programs, including Medicare, Medicaid and the Children's Health Insurance Program...
Hospice care, though often relegated to the shadows of the healthcare conversation, serves as a vital support system for those approaching life's final chapter. In Texas, this often misunderstood service has been under the microscope, with increased oversight and...
The end-of-life care sector in Texas and around the country was once a relatively small part of the health care industry that was dominated by charities, but it has now grown to become a $33.06 billion industry. Experts believe that the hospice sector will grow to...
Medicare and Medicaid regulations provide rules that most Texas providers receiving funds through these programs must follow. These regulations cover many topics vital to people receiving care paid for by the government. Patient rights Medical providers accepting...
In the fall of 2022, the Centers for Medicare & Medicaid Services issued a final rule on implementing several changes in Medicare enrollment and eligibility that will reduce gaps for Texas residents when first signing up for Medicare. Special enrollment periods...
Medicare Hospice CAP Demands and Appeals Beginning in 1982, Medicare began offering a hospice benefit to covered individuals needing end of life palliative care. Provisions for Medicare hospice reimbursement were set out in Hospice Statute of 1982. Under the system,...
