Home Health Law

Starting a home healthcare business presents unique legal, business, regulatory and operational issues. Lavelle Law, Ltd. has a strong history of representing individuals in the creation of corporations and other business entities and is one of the few law firms with a specific Home Healthcare Practice Group. Just as you work with your patients to protect and strengthen their physical well-being, our attorneys work with you to provide the expertise in legal, financial and corporate matters to get your business off to a healthy start and protect its long-term viability as it grows and encounters new challenges amid an ever-changing business climate.

Articles on Home Health Law

JAIL TIME FOR MEDICARE FRAUD
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        The Department of Justice, the FBI, and the Department of Health and Human Services announced that the United States District court in Miami sentenced three operators of a health care agency to 120, 87, and 87 months, respectively in prison. Each defendant was also sentenced... read more

Additional Document Requests: What You Need to Know
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Recently medicare certified home healthcare agencies have been faced with a significant cash flow problem. Palmetto has been bombarding home health care agencies with ADR requests. Upon receipt of such requests, the claim is not paid, which in turn creates a major cash flow problem. Palmetto has been... read more

Three Percent "Sales Tax" on the Sale of Your Home
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Under the Affordable Care Act, otherwise known as the Healthcare Bill, there is a 3.8% tax on certain profits related to or arising under the disposition of property. Yes, this could include the sale of your home. However, it must be clear that the additional tax is only applicable to certain individuals.... read more

Electronic Signatures and Patient Records
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In all industries, technology is constantly changing the way in which businesses operate. In particular, with the advancement of computers and e-mail, most correspondence are transmitted through the internet and often paper documents have been replaced with their electronic form. Nowhere is this... read more

Department of Labor goes after Home Health Care Agencies for Back Wages
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Home health care agencies are required to employ their visiting nurses, as opposed to retaining them merely as independent contractors. The employee status is critical when considering whether or not a home health care agency may be obligated to compensate their nurses for overtime. Under Illinois... read more

Marketing for Home Health
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Regulations that govern Medicare providers in the home healthcare industry are complicated. It is important that all owners of home health care businesses understand the rules in order to prevent the possibility of violating applicable codes. This is ever more critical due to the increasing scrutiny... read more

Health Care Jobs in Demand
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New statistics show an increased demand for health care-related jobs. Health care has remained one of the fastest-growing occupational fields in the United States. According to the Bureau of Labor and Statistics, 10 of the 20 fastest-growing occupations are health care-related. Physicians’... read more

Medicare Fraud Crackdown
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The Medicare Fraud Strike Force arrested 111 healthcare defendants across the United States on charges relating to Medicare fraud on Thursday, February 17, 2011. This nine city takedown is the largest in U.S. history, utilizing over 700 federal agents in the cities of Baton Rouge, Chicago, Dallas,... read more

Seniors May have to Pay for Medicare Home Health
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Thursday, January 13, 2011, the Medicare Payment Advisory Commission recommended an out-of-pocket charge for home health care services, this s a service that until now has been free of charge to the patients. Lawmakers are looking to cut health care spending to help get control of federal deficits.... read more

OIG Reports $25.9 Billion in Savings and Expected Recoveries in FY 2010
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The Department of Health & Human Services (HHS) and the Office of Inspector General (OIG) announced on December 15, 2010 successes in the fight against fraud, waste, and abuse. OIG reported savings and expected recoveries of $25.9 billion of all of fiscal year 2010. OIG’s $25.9 billion in savings... read more

Summary of the HIPAA Privacy Rule
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The United State Department of Health and Human Services issued a privacy rule to implement the requirements under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). These rules establish standards that address the use and disclosure of individual’s health... read more

Developments with the 36 Month Rule
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Effective January 1, 2010, a federal regulation was adopted that prohibited the transfer of an interest in a home healthcare company that had its provider number less than 36 months. Shortly thereafter, the Centers for Medicare/Medicaid Services (CMS) issued a transmittal in an attempt to provide... read more

FBI Enforcement
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Recently, a number of home healthcare agencies have received subpoenas and/or other contact from the Federal Bureau of Investigation. The Office of the Inspector General and the FBI have been increasing their enforcement actions in an effort to eliminate abuse within the Medicare Program. Their... read more

Changes to the "36 Month Rule"
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In the past, an owner of a Home Health Agency (HHA) was free to transfer their ownership interest in such entity without concern of having the purchaser have to undergo a survey and/or accreditation. Any transfer of stock in HHA merely was reported to Medicare as a “change of information,”... read more

Exclusion of Individuals from Medicare Programs
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The Office of the Inspector General, (“OIG”) was established by the United States Department of Health and Human Services to identify and eliminate fraud, waste, and abuse in the Medicare program. In furtherance of their objective, the OIG has been granted authority to exclude certain... read more

Regulatory Requirements of Home Health Care Agencies
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Every operator of a home health care agency in Illinois knows that they are required to obtain a license with the Illinois Department of Public Health. If they want to receive reimbursement through Medicare, there are additional certification steps. However, many agencies fail to understand what the regulations... read more

Regulatory Compliance for Home Health Care Agencies Medical Directorship
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Home Health Care Agencies receiving reimbursement through Medicare must comply with significant regulatory requirements. One such requirement is the establishment of a group of professional personnel or professional advisory group. The failure to meet such requirement could jeopardize an agencies... read more

Office Of Inspector General Compliance Guidance For Home Health Agencies
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The Office of the Inspector General is the governmental agency responsible for investigating compliance of entities conducting business with Medicare including home health agencies. In its effort to enforce applicable regulations, the Office of Inspector General has set forth guidelines for home... read more

Our Home Health Law Practitioners