Episode 16: Fraud, Prison & Medicaid Chaos

Episode 16: Fraud, Prison & Medicaid Chaos

Recent Medicaid fraud investigations and nationwide compliance crackdowns are putting increased pressure on home care and home health agencies to tighten operations and avoid costly mistakes.  This episode breaks down major fraud cases across the country, how these investigations are impacting providers, and the practical steps agencies should take now to strengthen compliance, reduce risk, and stay ahead of growing federal scrutiny.

Emergency Podcast: Ohio Agencies Face Major Compliance Changes!

The May 13th federal and Ohio fraud prevention initiatives are bringing increased scrutiny to home care and hospice providers, with new enrollment moratoriums, enhanced payment suspension reviews, and stricter compliance enforcement already underway.  This episode breaks down what Ohio agencies need to know about EVV GPS requirements, provider revalidation, documentation risks, and the practical steps agencies should take now to stay compliant and avoid costly audits.

Episode 15: What Great Home Care Agencies Do Differently to Win Case Manager Trust with Jonna Herbstritt

In this Episode, discover how proactive communication and genuine relationships with case managers can elevate your home care agency.  Special guest, Jonna Herbstritt, shares insights on avoiding pitfalls and improving client outcomes through honest dialogue and caregiver personality matching. Learn practical strategies to enhance service quality and reputation, attract more referrals, and retain top caregivers.

Emergency Podcast: What you need to know about C.R.U.S.H. and important IHCP updates!

The new C.R.U.S.H. initiative is revolutionizing fraud detection across health care, requiring agencies to tighten billing practices and prepare for increased scrutiny. This episode provides practical strategies to ensure compliance and safeguard your agency from costly audits. In Indiana, there is a new Medicare certification deadlines and the July 1st enrollment requirement is rapidly approaching. This episode offers essential updates and actionable steps to align your agency with these changes and maintain compliance.

Episode 14: Transforming Dementia Care: Real Stories & Practical Solutions with Tracy Cram Perkins

In this week's episode, we discuss significant legislative changes impacting home care across various states. We cover Ohio's upcoming Medicaid budget and its implications, Georgia's Medicaid expansion debates, and Indiana's new FSSA guidelines. Additionally, we highlight North Carolina's healthcare merger and Illinois' quarterly reporting requirements, providing listeners with essential insights into how these changes affect home care services. Our featured guest is Tracy Cram Perkins, a seasoned dementia caregiver, author, and speaker. Discover personal stories, practical tips, and innovative solutions for caregiving and dementia care navigation that can transform your approach and outlook. Book a Billing Strategy Call Here [https://support.geoh.app/oh-round-robin]! Resources Mentioned:  2025 Ohio Medicaid Expansion Study [https://www.healthpolicyohio.org/our-work/projects/2025-ohio-medicaid-expansion-study] Indiana Medicaid Strategies [https://www.in.gov/fssa/medicaid-strategies/] Georgia Status of State Medicaid Expansion Decisions [https://www.kff.org/medicaid/status-of-state-medicaid-expansion-decisions/] North Carolina Medicaid Health Plans & Programs [https://www.kff.org/medicaid/status-of-state-medicaid-expansion-decisions/] Illinois Supported Living Program Quality Metrics Process [https://hfs.illinois.gov/medicalprograms/slf/slfqualitymetricsprocess.html]