Home Health Eligibility Improperly Restricted in 11 States: OIG

A report from the Office of the Inspector General of the Department of Health and Human Services finds that 11 states have improper restrictions on eligibility requirements for Medicaid home health benefits by requiring them to be homebound.  The OIG report, sent on July 1 to Marilyn Tavenner, the administrator for the Centers for Medicare […]

OIG: Pay Hospitals Less for Early Discharge to Hospice

The Centers for Medicare & Medicaid Services should consider implementing a new payment policy for early discharges from hospitals to hospice care that has the potential to save the programs hundreds of millions of dollars, says a newly released report from the Department of Health & Human Services’ Office of the Inspector General. Medicare Part A […]

Strike Force Busts 89 Scammers in Massive Medicare Fraud Takedown

At least three home health agencies were busted in a nationwide Medicare Fraud Strike Force takedown of 89 people in eight cities for their alleged roles in submitting about $223 million in bogus charges to the taxpayer-funded program, the Department of Health and Human Services (HHS) and Department of Justice announced on Tuesday.  The indictments […]

Senators Scold Medicare for Losing Majority of $70 Million in Overpayments

Senate Finance Committee members scolded the federal Medicare agency last Thursday for not doing enough to prevent overpayments following the release of a new report from the Department of Health and Human Services (HHS) Office of the Inspector General. Medicare made nearly $70 million in overpayments to suppliers of durable medical equipment, and most of […]

AHC Acquires Home Care Provider, Expands into Georgia

Advanced Home Care (AHC), a non-profit hospital affiliated company announced last week its acquisition of Extrakare, LLC, a move that helps the company expand its home medical and equipment services into Northern Georgia. Since its founding in Norcross, Georgia in 2004, Extrakare has become a leading provider of home oxygen, positive airway pressure (PAP) and […]

HHS Makes Big Changes to HIPAA With New Rule

The U.S. Department of Health and Human Services (HHS) released a proposed rule to strengthen the privacy and security protections for health information established under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) on Thursday. “Much has changed in health care since HIPAA was enacted over fifteen years ago,” said HHS Secretary Kathleen Sebelius. […]

Increased Flexibility, Savings for Minnesota Home Health Care?

Minnesota Governor Mark Dayton submitted earlier this month a proposal that would save care recipients and the state money on health care by allowing patients more flexibility in receiving home care and extending the reach of the state’s home care services, according to a letter from the governor to the U.S. Department of Health and […]

Govt. Inspector Finds 25% of Home Health Agencies Make Inappropriate Medicare Claims

A Department of Health and Human Services Office of Inspector General (OIG) report released today finds that one in four Home Health Agencies (HHA) participated in questionable billing activity in 2010. The report, titled Inappropriate and Questionable Billing by Medicare Home Health Agencies, breaks down the $5 million Medicare paid to HHAs for inappropriate health […]