Ben Fenton was recently quoted in Jim Parker’s Hospice News article “LHC Group Buys Hospice, Home Health Assets in 22 States from HCA-Brookdale Venture.”
Setting up and managing a billing system for your health care business can be an arduous process. Fenton Law Group has helped in these cases.
When it comes to home health care compliance, you need a specialized legal team at your side.
In the case of the Medi-Cal program, audits are usually initiated by the Medical Review Branch, Audits and Investigations, of the Department of Health Care Services (DHCS). These audits often come on the heels of smaller, focused reviews of 20 to 40 patient records, which are frequently obtained by the auditors in an unannounced visit.
A similar process applies to Medicare reimbursement reviews and audits, but under a completely separate and far more complex set of laws and regulations. Similarly to Medi-Cal audits, Medicare audits start with a limited review, or “probe,” which may escalate to a full audit.
Both Medi-Cal and Medicare audits share certain common pitfalls for health care providers, including:
Mr. Kirkpatrick has extensive experience representing Medi-Cal and Medicare providers at all stages of the audit for recovery process. In many of these cases, he works closely with Dona Hall, president of ADEPT Management Systems and highly-experienced in medical documentation and reimbursement. Ms.
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I worked in critical care taking care of chronic and acute diseases at NewYork-Presbyterian Hospital in NYC. I became a Nurse Practitioner in Adult Primary care with a degree from New York University. I worked at NYU Langone Hospital in Manhattan and different Adult Primary Clinics throughout NYC.
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