Between two recently introduced ways of rating home health agencies, those looking for home health care might find conflicting results. Take Brookdale Senior Living, for example. Four of its home health agencies in Florida, North Carolina, Ohio and Rhode Island earned a top score of five stars based on data they submitted related to quality of patient […]
The Centers for Medicare & Medicaid Services (CMS) is making strides to crack down on home health fraud through data use and more site visits, the agency announced Monday. Recently released data could help CMS pinpoint more locations where it won’t certify new home health agencies in the future based on utilization patterns. CMS has […]
Medicare Advantage plans would receive a 1.35 percent net payment increase, on average, in calendar year 2017, according to a proposal released Friday by the Centers for Medicare & Medicaid Services (CMS). The agency also floated changes in how risk adjustment would be calculated for MA plans that serve many seniors dually eligible for Medicare […]
As the population of American seniors continues to grow, so does the need for long-term care services, but the number of home health increased only slightly between 2012 and 2014. About 12,400 agencies were operational as of 2014, up from 12,200 two years prior, according to a newly released report from the Centers for Disease […]
A new condition code will allow home health claims for subsequent episodes to process even when skilled nursing services aren’t involved, according to the Centers for Medicare & Medicaid Services (CMS). Currently, home health claims submitted without skilled nursing visits are automatically returned to the provider, as are claims that are the first in a […]
Home health providers may be breathing a sigh of relief after a final rule reduced the number of years providers are required to repay Medicare overpayments. The Centers for Medicare & Medicaid Services (CMS) has released its final overpayment rule, requiring that improper payments from the last six years are reported and returned for health […]
The home health industry could be bracing for another measure to combat fraud and abuse in a proposed pilot that would require preauthorization before seeing patients. The Centers for Medicare & Medicaid Services (CMS) quietly announced it is seeking approval for a Medicare Probable Fraud Measurement Pilot in five states. “The probably fraud measurement pilot would […]
TrueCare24, a startup offering house calls and telehealth services, now is accepting Medicare and has launched a subscription service. “While other services have catered to demographics with disposable income, TrueCare24’s vision is to make care accessible and convenient care for all,” CEO Leonid Popov stated in a press release Tuesday. As alluded to in the […]
In an attempt to bridle fraud, waste and abuse, the Centers for Medicare & Medicaid Services (CMS) has extended its moratorium on the enrollment of Medicare home health agencies, as well as on the enrollment of new Medicare Part B ground ambulance suppliers, in several cities for six more months. CMS has extended the moratorium twice, […]
Health care providers in the most common type of Accountable Care Organization (ACO) may see their payments based on new criteria, including adjustments based on region. The potential changes are meant to increase participation in ACOs, and follow some stakeholder recommendations. The Centers for Medicare & Medicaid Services (CMS) on Thursday proposed a rule that would […]
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