Category Archives: Home Health

Health Law Firm Opens Green Bay Office

By Fisher, JD, CHC, CCEP <   Health Care Attorney John Fisher Announces Virtual Legal Services for Green Bay, Menominee, Appleton, Oshkosh, and the Greater Fox Valley Attorney John Fisher, a health care lawyer with more than 30 years of … Continue reading

Posted in Ambulatory Surgery Centers, Anesthesiologists, Antitrust in Healthcare, Behavioral Health, Clinical Integration, Consierge & Cash-Based Practices, Dental Practice Issues, Fraud and Abuse, Health Care Contracting, Health Law Practice, HIPAA - Health Information Privacy, Home Health, Hospital Issues, Long Term Care, Medical Staff Organization & Structure, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Contracting and Alignment, Physician Issues, Physician-Owned Hospitals, Radiology Issues, Reimbursement & Payment Practices, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine, Wisconsin Health Laws, Wisconsin Hospitals, Wisconsin Long Term Care, Wisconsin Physician Issues | Comments Off on Health Law Firm Opens Green Bay Office

Hospice and Home Health Areas of Review Risk

By admin Identifying Regulatory Compliance Risk in Home Health Agencies and Hospices Home health agencies and hospices operate in a highly regulated environment where clinical quality, billing integrity, patient rights, licensure, enrollment, and fraud-and-abuse compliance intersect. A meaningful regulatory risk … Continue reading

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Wisconsin Emergency Order #35 –

Tony Evers, Governor of Wisconsin, and Wisconsin Department of Health Services Secretary-designee Andrea Palm have issued another emergency order, Emergency Order #35 (Order #35), directed at suspending certain administrative rules in an attempt to remove unnecessary impediments to the fight … Continue reading

Posted in Behavioral Health, COVID-19 Resources, Fraud and Abuse, Health Care Contracting, Health Law Practice, Home Health, Hospital Issues, Physician Issues | Tagged | Comments Off on Wisconsin Emergency Order #35 –

Personal Care Agency Fraud – Business Structure Can Impact Compliance Risk

By John Fisher, JD, CHC, CCEP Medicaid Personal Care Agency Fraud: Why Business Structure Can Trigger Compliance Risk Personal Care Agency Ownership, Staffing, and Family Caregiver Models May Invite Government Scrutiny Medicaid Fraud Enforcement Risk for Personal Care Agencies Medicaid … Continue reading

Posted in Compliance Issues, Fraud and Abuse, Home Health, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Reimbursement & Payment Practices | Comments Off on Personal Care Agency Fraud – Business Structure Can Impact Compliance Risk

Health Care Compliance Resource Portal Launched by OIG

By Fisher, JD, CHC, CCEP Office Inspector General Launches New Compliance Resource Portal by John H. Fisher, II, JD, CHC, CCEP OIG Compliance Portal: Centralized Health Care Compliance Resources for Providers What the OIG Compliance Portal Adds At a recent … Continue reading

Posted in Accountable Care Organizations, Ambulatory Surgery Centers, Anesthesiologists, Compliance Issues, Consierge & Cash-Based Practices, Dental Practice, Dental Practice Issues, Fraud and Abuse, Health Law Practice, Home Health, Hospital Issues, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Physician Issues, Radiology Issues, Reimbursement & Payment Practices, Reimbursement Issues, Self Disclosure Protocols, Stark Law and Anti-Kickback Issues, Telemedicine | Comments Off on Health Care Compliance Resource Portal Launched by OIG

Wisconsin Home Health Quality Regulations – HHA Attorney Wisconsin

Wisconsin Home Health Quality Reporting Requirements-  OASIS Data Item Set  The reporting of quality data by home health agencies (HHAs) is mandated by Section 1895(b)(3)(B)(v)(II) of the Social Security Act (“the Act”).  This statute requires that ‘‘each home health agency … Continue reading

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Maneuvers and Techniques Prohibited in Community Based Programs and Facilities

Wisconsin Prohibited Maneuvers and Techniques in Community Based Programs The Wisconsin Department of Health Services (DHS) as released a memo that specifies maneuvers or techniques that may not be used at any time in community based programs and facilities. DHS deems the … Continue reading

Posted in Behavioral Health, Compliance Issues, Department of Health Services, Home Health, Long Term Care, Wisconsin Health Laws, Wisconsin Long Term Care | Tagged , , | Comments Off on Maneuvers and Techniques Prohibited in Community Based Programs and Facilities

Personal Care Service Providers and Wisconsin Medicaid

By John Fisher, JD, CHC, CCEP Personal Care Service Providers – Wisconsin Medical Assistance Wisconsin Statute § 49.45(42)(d)3 describes the types of organizations that qualify to receive Medicaid reimbursement for “personal care services.”  Qualified entities include licensed home health agencies … Continue reading

Posted in Health Law Practice, Home Health, Long Term Care, Medicare and Medicaid, Medicare and Medicaid Reimbursement, Wisconsin Health Laws, Wisconsin Long Term Care | Tagged , , | Comments Off on Personal Care Service Providers and Wisconsin Medicaid

Increasing Opportunities in Home Health Care Industry

As Baby Boomers age and traditional institutional health care costs skyrocket, there is a trend toward providing care in lower cost settings.  Payment policies and patient demand are forcing more care into the patient’s home.  Much of the care that … Continue reading

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Home Health and Hospice Compliance Focus

By John Fisher, JD, CHC, CCEP Home Health and Hospice in the Crosshairs Governmental Enforcement Actions Against Post Acute Care Providers Home health agencies and hospices are seeing a rapidly accelerating level of scrutiny by federal and state regulatory agencies.  … Continue reading

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