AGG Talks: Home Health & Hospice

In this episode, Jason Bring , AGG Healthcare partner and co-chair of the Post-Acute & Long-Term Care industry team; Matt Brohm , AGG Healthcare partner and co-chair of the Healthcare Private Equity team; and Alex Foster , AGG Healthcare partner, discuss the macro environment for deals involving care at home, as well as some of the legal and business issues we see cropping up in deals — some g...

In this episode, Jason Bring , AGG Healthcare partner and co-chair of the Post-Acute & Long-Term Care team; Alex Foster , AGG Healthcare partner and member of the Post-Acute & Long-Term Care and Private Equity teams; and Charmaine Mech , AGG Healthcare associate and member of the Post-Acute & Long-Term Care team, discuss “Home Health and Hospice Diligence,” where Alex and Charmaine pro...

In this episode, Jason Bring , AGG Healthcare partner and co-chair of the Post-Acute & Long-Term Care team, and Lanchi Nguyen Bombalier , AGG Healthcare partner and member of the Post-Acute & Long-Term Care, Hospitals & Health Systems, and Healthcare Private Equity industry teams, discuss “Home Health and Hospice: Reimbursement Audits and Appeals.” Jason and Lanchi provide a high-level...

In this episode, AGG Post-Acute & Long-Term Care co-chair Jason Bring is joined by Megan Turby and Lisa Barker, MD, of Gulfside Healthcare Services in Land O’ Lakes, Florida. AGG represented Gulfside in a series of hospice audit appeals before multiple administrative law judges (“ALJs”). Megan and Dr. Barker share their experiences in the ALJ hearings, as well as lessons learned. Their discuss...

In this episode, AGG Post-Acute & Long-Term Care co-chair Jason Bring is joined by AGG Healthcare attorney Charmaine Mech Aguirre to discuss the latest developments in the palliative care industry across the country. Jason and Charmaine talk through the key differences between hospice and palliative care, various models and approaches providers are adopting, and regulatory and reimbursement ch...

In this episode, AGG Post-Acute & Long-Term Care co-chair Jason Bring is joined by Kathy Barton and Natalie McNeal of Northeast Georgia Health System in Gainesville, Georgia. Kathy and Natalie share insights on navigating the complexities of hospice audits, discuss their experiences with the appeal process, and offer practical strategies for success. They delve into lessons learned, the import...

In this episode, AGG Post-Acute & Long-Term Care co-chair Jason Bring is joined by AGG Healthcare partner Alex Foster to discuss a recent OIG report highlighting Provider Relief Fund compliance issues within the hospice industry. Jason and Alex break down the origins of provider relief funds during the COVID-19 pandemic, the common pitfalls identified in the OIG report, and the importance of m...

In this episode, AGG Healthcare attorneys Bill Dombi and Jason Bring discuss the hospice special focus program and CMS’ announcement that it will cease implementing the program in the face of litigation filed by providers and state associations.

In this episode, AGG Healthcare attorneys Bill Dombi and Jason Bring discuss the role of managed care, artificial intelligence, and prior authorizations in home health and hospice. Bill and Jason examine a recent lawsuit filed against a major Medicare Advantage plan in the United States District Court for the District of Minnesota challenging the use of AI-driven claims reviews in Medicare Advanta...

In this episode, AGG Healthcare attorneys Bill Dombi and Jason Bring discuss recent OIG guidance on hospice and skilled nursing facility relationships, focusing on anti-kickback risks and fraud concerns. They cover key issues such as the importance of documenting fair market value for any services or space provided, being cautious of payments exceeding Medicaid room and board rates, and avoiding a...