NEWSWIRE |
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Fraud: AAHomecare fights, government probes |
12.08.2008
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WASHINGTON - AAHomecare last week hired Rational PR, a Washington, D.C.-based public relations firm, to help combat misconceptions about fraud and abuse in the HME industry. "We need to make sure the public and policymakers are aware that we're in front of the issue and that the homecare sector is trying to solve this problem," said Michael Reinemer, AAHomecare's vice president of communications and policy. For now, Rational PR will focus on generating news articles that highlight efforts to combat fraud like AAHomecare's 13-point plan. The plan outlines steps like mandating site inspections for new providers, establishing a Medicare anti-fraud office and implementing real-time claims analysis. AAHomecare believes Rational PR, a "small firm with big talent" and strong Capitol Hill connections, will get the job done. "Three of their staff members are former communications directors in U.S. Senate offices," he said. "They have experience developing press and media strategies related to policy issues in Washington." In addition to hiring Rational PR, AAHomecare has begun meeting with CMS and Congress to discuss its 13-point plan. "We don't think these are overly complicated provisions," said Walt Gorski, AAHomecare's vice president of government affairs. "They bring fraud detection into the 21st century by putting forth mechanisms to identify aberrant billing patterns or things that just shouldn't happen." OIG probes family ties WASHINGTON - The OIG suspects that some DMEPOS providers with outstanding Medicare debt may be still receiving payments through businesses fronted by associates or family members, the agency stated in a recent "early alert" memo. In a probe of 10 Texas providers with a total outstanding Medicare debt of $7.3 million, the OIG found six were associated with 15 other providers and home health agencies that received $58 million in Medicare payments from 2002 to 2007. Most of the providers that were investigated had $6.2 million in Medicare debt and lost their billing privileges by January 2005. To read the OIG's report: http://www.oig.hhs.gov/oei/reports/oei-06-07-00080.pdf
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HME News Info Center |
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CALENDAR
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| 1-3 AAHomecare Washington Legislative Conference | The American Association for Homecare will host the Washington Legislative Conference, March 1-3, 2010, at the Capital Hilton, Washington, D.C.
It is impossible to have a strong impact on home medical equipment policy without more involvement on Capitol Hill. In 2010, the home medical equipment community faces continued challenges: competitive bidding, complex mobility policy, the oxygen cap, and other regulatory and legislative concerns.
So we are asking HME stakeholders to make their voice heard. AAHomecare will provide background materials for this key annual lobbying event for the HME sector. Speakers during the conference will include members of Congress and officials from CMS.
For more information, please visit www.aahomecare.org
| | 2-3 CAMPS Annual Convention | Attend the CAMPS Convention for only $125 (member pricing) and attend as many of the various sessions. The schedule is divided into tracks to help you determine the best sessions for your interest. This year's line-up includes sessions such as: Business Management, Operations / Reimbursement, Exemptee Training, Respiratory CE*, RESNA RT Prep Test. Earn 6 units of continuing education with the American Association for Respiratory Care (AARC). Do not hesitate, register by February 1, 2010 to take advantage of the $50 savings. Register here: http://member.campsone.org/cgi-shl/TWServer.exe?EREG:OrderEvent:2010AM
| | 11-13 Medtrade Spring | May 11-13, Las Vegas at the Sands Expo and Convention Center. This annual event features educational sessions and an exhibit hall where manufacturers show off their latest wares. For more information, or to register: www.medtrade.com/medtrade-spring
| | 16-16 PAMS 2010 Annual Billing Seminar | Pennsylvania Association of Medical Equipment Suppliers (PAMS) holds 2010 Annual Billing Seminar featuring Andrea Stark, a reimbursement specialist for MiraVista. Topics covered will include "Documentation Requirements for General DME"; "Utilizing ABNs: A Best Practices Guide"; and "Medicare's Latest Anti-Fraud Initiatives." Registration: $100 for PAMS members and $125 for non-members. Location: Four Points Sheraton in Harrisburg, Pa. FMI: www.pamsonline.org.
| | 18-18 DME Billing 102: AR Management Strategies | 2:00pm - 3:00pm EST
Join Andrea Stark for the second installation in a special three-part billing series, where you’ll learn how to:
Prescreen your claims for potential denials.
Utilize technology to submit claims electronically, reduce the burden on your AR department, and decrease your risk of getting denied.
dentify potential same or similar, medical necessity, or other eligibility issues (i.e. SNF stays).
Establish an AR Strategy and ensure that reporting tools effectively capture the vulnerabilities of claim processing to include analysis of claim rejections, days sales outstanding and denials.
This webinar will provide you with the tips and tools you need to be sure you are properly submitting claims to Medicare, the first time around.
| | 18-18 Florida Home Care Conference | AMEPA and FAHCS present the third annual Florida Home Care Conference. Scheduled to appear: Walt Gorski (Washington update), Jeff Baird (Legal), Mark Higley (Audits), Sean Schwinghammer (Tallahassee update), Sylvia Toscano (Billing) and Ty Bello (Referrals).
FMI: visit www.amepa.us or e-mail info@amepa.us
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| 14-16 2010 MAMES Spring Convention | MAMES is pleased to announce the opening of ONLINE registration for the 2010 MAMES Spring Convention & Exhibition being held April 14 - 16, 2010 in Omaha, Nebraska. Online registration is available by clicking on the following link: http://www.mames.com/confreg_spring.cfm or by going to: www.mames.com and clicking on the "Education" icon on our homepage.
| | 19-21 Essentially Women Focus on the Future 2010 Tradeshow & Conference | Annual event features manufacturer exhibits, networking and educational sessions for womens health providers. Louisville, Ky.
FMI: call 800-988-4484, visit www.essentiallywomen.com or email melissa@essentiallywomen.com
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| 11-11 Make Your Accreditation Work for You | This free workshop from ACHC will be hosted by Tim Safley.
Trump International Hotel Las Vegas
1 p.m. - 5 p.m.
To register, go to www.achc.org.
| | 20-21 PAMS 2010 Annual Convention | Pennsylvania Association of Medical Equipment Suppliers (PAMS) holds 2010 Annual Convention. This year's theme is "Extreme Makeover: HME Edition." FMI: http://www.pamsonline.org/
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