Posted by Jason Greis on October 18, 2009 under Articles |
Recent substantive and procedural amendments to the Federal False Claims Act (“FCA”) enacted under the Fraud Enforcement and Recovery Act of 2009 (“FERA”) are expected to fuel growth in the number of whistleblower-generated cases brought against healthcare providers—including LTACHs. The FERA amendments closed a loophole in the FCA that previously prevented overpayment cases from being brought against providers. The FCA now allows whistleblowers to bring false claims actions against providers who knowingly and improperly keep government funds paid to them in error. FERA was signed into law May 20, 2009. Read More...
Tags: allison engine, attorney general, claim, contractor, fera, fraud enforcement and recovery act, greisguide, greisguidetoltachs, health care, healthcare, hospital, intent, ltac, LTACH, LTCH, Medicaid, medicare, oig, supreme court
Posted by Jason Greis on September 17, 2009 under Articles |
I. Political Overview. Read More...
Tags: accountable care organization, aco, bundled, bundling, chairman's mark, Chuck Grassley, extension, gang of six, healthcare, hha, home health, hospice, hospital, innovation center, inpatient rehabilitation, irf, jason greis, Jeff Bingaman, Kent Conrad, long term acute care hospital, long term care hospital, ltac, LTACH, LTCH, max baucus, Medicaid, medicare, Mike Enzi, mmsea, mona mohib, Olympia Snowe, overhaul bill, post-acute, quality reporting, senate finance committee, skilled nursing, snf, value-based purchasing
Posted by Jason Greis on March 4, 2009 under Articles, Whitepapers |
Success of the RAC Demonstration Project in Recouping Overpayments to Medicare Providers Leads to National Program Expansion. Read More...
Tags: audit, automated review, CGI Technologies and Solutions, complex review, Connolly Consulting, Data Warehouse, demonstration project, Diversified Collection Services, greisguide, greisguidetoltachs, HealthDataInsights, hospital, james b. riley, jason greis, jim riley, ltac, LTACH, LTCH, Medicaid, medicare, prepare, PRG-Schultz, RAC, recovery audit contractor, Viant
Posted by Jason Greis on March 1, 2009 under Articles |
LTACHs that are heavily dependent upon state Medicaid reimbursement should be aware that beginning Wednesday, February 25, the Federal government began distributing $15 billion in Federal funds to help states maintain their financially strapped Medicaid programs. Many Medicaid programs have not paid providers in months, which, in turn, has impacted many providers’ ability to pay for key services and supplies. The American Recovery and Reinvestment Act signed by President Obama last week sets aside a total of $87 billion in Federal funds for state Medicaid programs through increases in the Federal Medical Assistance Percentage (FMAP). Read More...
Tags: $15 billion, american recovery and reinvestment act, ARRA, Federal Medical Assistance Percentage, FMAP, greisguide, greisguidetoltachs, hospital, jason greis, ltac, LTACH, LTCH, Medicaid, obama, state
Posted by Jason Greis on February 24, 2009 under Events |
Please click here to be taken to the American Health Lawyers Association website to register for this event. Read More...
Tags: ahla, american health lawyers association, conference, greisguide, greisguidetoltachs, hospital, ltac, LTACH, LTCH, Medicaid, medicare
Posted by Jason Greis on February 21, 2009 under Articles |
On February 17, 2009 President Obama signed into law a $787 billion economic stimulus package called the American Recovery and Reinvestment Act (Act). The Act provides $13 million in funding for LTACHs by making important technical corrections to the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) impacting application of the “25% Rule” and to rules generally placing a three-year moratorium on the establishment and classification of new LTACHs, LTACH satellite facilities and LTACH beds in existing LTACHs or satellite facilities. Read More...
Tags: 25% rule, 4502, aha, altha, american recovery and reinvestment act, Centers for Medicare and Medicaid Services, certificate of need, cms, cobra, con, correction, freestanding, greisguide, greisguidetoltachs, hospital, hr 1, jason greis, ltac, LTACH, LTCH, Medicaid, medicare, MedPAC, mmsea, moratorium, nalth, satellite, technical