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State Medicaid Fraud Crackdowns Now Qualify for Federal Funds

State Medicaid fraud prevention programs now have the ability to receive federal funding to identify fraud through data mining, according to a new final rule from the Office of the Inspector General of the Department of Health and Human Services. The new rule amends a provision in HHS regulations that barred state Medicaid Fraud Control [...]

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Ohio Ramps Up Home Health Care Background Checks

The state of Ohio will be ramping up on background checks for home health care workers as a result of a new $2.1 million federal grant. The Ohio Governor’s Office of Health Transformation (OHT) has announced the state will use the grant to improve criminal background checks for direct-care workers in home- and community-based settings, and [...]

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Tavenner Gets Official Senate Nod to Head CMS

The United States Senate confirmed Marilyn Tavenner as administrator of the Centers for Medicare & Medicaid Services (CMS), Kathleen Sebelius, secretary of the Department of Health and Human Services, announced Wednesday. “Marilyn brings with her a breadth of experience and expertise from virtually all angles of health care policy and delivery, having served as a [...]

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CMS Warns Beneficiaries of DME Provider Change

The Centers for Medicare & Medicaid Services (CMS) began sending emails last week to notify patients of the impending Round 2 of its Competitive Bidding program. CMS also sent emails to providers of home medical equipment (HME), notifying them that the agency would also be reaching out to patients, HME Business reports. The messages describe [...]

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Medicare Leaves Potential Hospice Savings Unexplored

Medicare has yet to launch a concurrent care program that would pay for Medicare beneficiaries to receive joint hospice and curative treatments despite a Congressional directive issued three years ago, Kaiser Health News reports. Many beneficiaries drag their feet to enroll in a hospice program, preferring to use all available treatment options—something they must agree [...]

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