NAHC Files Lawsuit Against CMS Over Face-to-Face Payment Claims

After months of planning, the National Association for Home Care & Hospice (NAHC) has finally filed its lawsuit last week against the Centers for Medicare & Medicaid Services’ (CMS) over allegations regarding the federal agency’s rule for face-to-face physician encounters.  The NAHC Board of Directors approved the lawsuit before its June 5 filing, citing the […]

AAHomecare Embarks on Medicare Audit Tracking System for HME Providers

The American Association for Homecare is moving forward with its campaign to track the impact of Medicare audits on providers of home medical equipment (HME) through its Audit Key initiative. The HME Audit Key was born out of the need to develop a system that shows lawmakers in Washington the affects audits have on HME […]

90% of IL Hospice Employees Fail to Meet State Standards

Recently published findings from an audit of Medicaid and Medicare hospice providers found that 90% of those randomly sampled did not meet state hospice licensure requirements related to hospice workers. The Department of Health and Human Services Office of Inspector General conducted an audit to determine whether the Centers for Medicare & Medicaid Services’ (CMS) reliance […]

Senators’ Letter Pushes Against DME Competitive Bidding Round 2

A bipartisan letter from 36 U.S. Senators is calling for the Centers of Medicare & Medicaid Services (CMS) to hold off on expanding the agency’s competitive bidding program for durable medical equipment. Led by Sens. John Thune (R-SD), Robert Casey (D-PA) and John Hoeven (R-ND), the letter urges CMS to halt the expansion of the […]

Physicians Follow Patients into Home Care Under New Model

The Affordable Care Act has long-emphasized the concept of coordinated care among healthcare providers, now giving way to a new care model currently being tested where physicians follow patients throughout their hospital stay and into home-based care settings, reports Modern Healthcare via Crain’s Detroit Business. A clinical trial funded by the Centers for Medicare & Medicaid Services […]

Medicare Fraud Sweep Nets $223 Million, 89 Arrests for False Billings

A nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in 89 arrests for alleged participation in Medicare fraud schemes involving $223 million in false billing, the Department of Health and Human Services (HHS) announced Wednesday. The cumulative arrests represented the sixth national Medicare fraud takedown in the Strike Force’s history, […]

Senior Care Costs Grew at Slowest Rate of All Age Groups: CMS

Health care spending for seniors grew at the slowest rate compared to other age groups between 2002 and 2010, according to a new actuarial report from the Centers for Medicaid & Medicare Services. The average annual growth in per-person personal health care spending for seniors was 4.1% during that eight-year time frame—the lowest among any […]

Senator Launches Effort to Postpone Competitive Bidding Expansion

A U.S. Senator has spearheaded a sign-on letter asking the Centers for Medicare & Medicaid Services to postpone plans to expand the competitive bidding program for home medical equipment. Senator John Hoeven (R-N.D.) launched the effort in response to a recent announcement that competitive bidding will be expanded nationwide by 2016 beyond the 100 areas […]

CMS Proposes to Bump Hospice Medicare Payments Up $230 Million for 2015

Hospices serving Medicare beneficiaries may see a $230 million, or 1.3%, payment increase in their reimbursements for fiscal year 2015, according to a recent proposal from the Centers for Medicare & Medicaid Services (CMS). On May 2, CMS proposed an update to the wage index and payment rates for the Medicare Hospice Benefit.  The payment […]

Push Against Competitive Bidding Goes National

A growing group of professionals with ties to the home care and medical equipment industries are uniting in their opposition to a proposal from the Centers for Medicare and Medicaid Services (CMS) to expand its competitive bidding program to new areas.  From clinicians and advocates for Medicare beneficiaries to home medical equipment providers, manufacturers, and […]