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Home Health Providers Nabbed in Historic, $712 Million Fraud Takedown

In an action that’s been deemed the “largest criminal health care fraud takedown” in the Department of Justice’s history, 243 individuals — including home health care providers — have been charged for their participation in schemes involving approximately $712 million in false billings. The defendants are charged with various health care fraud-related crimes, including conspiracy […]

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Major New Medicaid Proposal Promotes Home Care

Enhanced home- and community-based care is one goal of sweeping new regulations governing the Medicaid managed care system, proposed Tuesday by the Centers for Medicare & Medicaid Services (CMS). The much-anticipated proposed rule sets forth more detailed requirements for Medicaid managed care plans that cover long-term services and supports, which can include in-home care. Under […]

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Home Health Business Briefs: Nonprofits Merge, New Hospice Staff

As one of the fastest-growing sectors in the United States, home health care is teeming with activity — from acquisitions and partnerships to new leadership appointments and promotions. Here’s the latest news buzzing around the industry: Wisconsin Hospice Adds 4 New Staff Members Sheboygan Falls, Wisconsin-based Sharon S. Richardson Community Hospice, which provides in-home hospice care, […]

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Updates to Medicare Manual Clarify Home Health Face-to-Face Rule

Home health agencies now can refer to an updated version of the Medicare manual that clarifies requirements for physician certification and recertification of patient eligibility for services, including changes to the face-to-face encounter requirement.  The Centers for Medicare & Medicaid Services recently released the manual updates and a memorandum summarizing them. The changes reflect policies first […]

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Battle over Home Care Unions Heats Up with Lawsuit

As part of an ongoing nationwide battle over home care worker organizing efforts, a coalition of care providers, consumers and workers has sued Pennsylvania Gov. Tom Wolf. The suit challenges his executive order, which they say establishes a process to unionize workers hired directly by consumers. Among those disputing Wolf’s Executive Order 2015-05 are The Pennsylvania […]

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