Raiz Law Group LLC

03/31/2017

30 DAY PAUSE FOR ILLINOIS PRE-CLAIM REVIEW

"As of April 1, 2017, the Pre-Claim Review demonstration will be paused for at least 30 days in Illinois. The demonstration will not expand to Florida on April 1, 2017.

After March 31, 2017, and continuing throughout the pause, the Medicare Administrative Contractors will not accept any Pre-Claim Review requests. During the pause, home health claims can be submitted for payment and will be paid under normal claim processing rules. CMS will notify providers at least 30 days in advance via an update to this website of further developments related to the demonstration."

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12/08/2016

In a victory to health care providers waiting on lengthy appeals decisions, a federal judge ordered the Department of Health and Human Services (HHS) to eliminate its backlog of Medicare appeals cl…

11/24/2016

Happy Thanksgiving! We are especially thankful for the blessings that we have had this year. We sincerely thank our clients for the opportunities to serve you and look forward to continuing to work with you. We wish for you and your families the highest blessings as we enter this holiday season of thankfulness, hope and joy!

10/26/2016

RACmonitor.com is an online news and information source to help healthcare providers make informed decisions for their organizations on the activities of Recovery Audit Contractors — the congressionally mandated program under the auspices of the Department of Health and Human Services (HHS) and admi...

09/30/2016

New Legislation Would Delay Pre-Claim One Yea

A bill introduced in Congress this week would put a pause on the Pre-Claim Review Demonstration from the Centers for Medicare & Medicaid Services (CMS) with a one-year moratorium on the program…

09/20/2016

Urge your Senators and Representatives to contact the CMS and demand an end to the failed pre-claim review experiment in Illinois and insist it not spread to other states.

08/12/2016

CMS extends, expands fraud-fighting enrollment moratoria efforts in six states

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08/04/2016

Advocate Health Care Settles Potential HIPAA Penalties for $5.55 Million

Home > About > News > Advocate Health Care Settles Potential HIPAA Penalties for $5.55 Million

07/21/2016

Quality of Patient Care Star Ratings Preview Reports available in CASPER folders as of last week re data to be published on Home Health Compare in October. Deadline to submit suppression of data is 7/25. Review Preview Reports to submit suppression request.

07/18/2016

A Case Of Zika Apparently Spread From A Patient To A Family Caregiver

Federal and Utah health officials are investigating a case that may be the first instance of Zika spreading from one person to another in ways other than via mosquito bites, s*x or the placenta.

07/14/2016

Business Associate’s Failure to Safeguard PHI Leads to Settlement

Business Associate’s Failure to Safeguard Nursing Home Residents’ PHI Leads to $650,000 HIPAA Settlement

07/07/2016

CMS proposes $180 million reimbursement cut for home health

Home healthcare agencies would see a 1% drop in Medicare reimbursement under a proposed rule issued Monday. The pay cut was floated the same day the U.S. Supreme Court chose not to review a federal labor...