This week, Home Health Care News readers were still worked up over the news that the Centers for Medicare & Medicaid Services (CMS) was moving forward with its prior authorization program. We were eager to share how the industry was reacting as well as more information the agency provided in a forum. Here in the […]
Category: Home Health Care
The use of home health services after a major joint repair surgery for Medicare patients results in cost-effective care and lower readmission rates, according to data newly released Thursday. The data analysis, conducted by Dobson | DaVanzo & Associates and released by the Alliance for Home Health Quality and Innovation, comes just more than two […]
False claims cases against health care providers—home health included—could spike following a June 16 ruling by the U.S. Supreme Court regarding payment conditions in provider claims. The Supreme Court unanimously decided that the implied false certification theory can be a basis for False Claims Act (FCA) liability when a party submitting a claim makes specific […]
With the federal government pushing for more coordinated post-acute care, some companies are making big moves to have control over more of the whole continuum and doubling-down on their efforts around home health. Marquis Companies is one such company. The Milwaukee, Oregon-based organization offers home health care, post-acute rehabilitation, independent and assisted living, memory care, […]
BAYADA and Inspira to Launch Joint Venture A previously announced joint venture between BAYADA Home Health Care, a privately-held home care company that operates in 21 states, and Inspira Health Network, a major health network in New Jersey, is launching in three south Jersey counties. The joint venture allows the health system to serve more […]
Days after unveiling a preauthorization requirement for home health agencies, providers expressed confusion and concern as the Centers for Medicare & Medicaid Services (CMS) attempted to clarify what the plan entails. The new preauthorization measure, dubbed the Pre-Claim Review Demonstration for Home Health Services, aims to crack down on Medicare fraud, waste and abuse in […]
One of the largest home health agencies in Indiana will be acquired by another local agency amid allegations from the Indiana State Department of Health (ISDH) that the agency put patients in “immediate jeopardy.” Carmel, Indiana-based Nightingale Home Healthcare will sell itself to Alliance Home Health Care for as much as $3 million, the Indiana […]
Gaps in care for seniors living at home can make them vulnerable to hospital visits, which is why a unique group of providers with both home health care and senior housing services have teamed up to serve Michigan residents. Tandem365 is a Michigan-based organization that aims to help older adults—55 and older—“navigate” the health system […]
The federal government upheld a conviction for one hospice nursing staffer who was part of a $9.5 million Medicare fraud scheme that involved overbilling for hospice services. Seven defendants were convicted earlier this year in the case against Passages Hospice, a now-closed Illinois hospice provider, for a scheme that included falsifying patient records to bilk […]
Home health providers and associations were quick to denounce a preauthorization requirement after the Centers for Medicare & Medicaid Services (CMS) revealed it will move forward with its formerly announced plans. Across the board, industry officials expressed disappointment and concern with the CMS plans for prior authorization, now deemed the Pre-Claim Review Demonstration for Home […]