Nearly one-half of older Americans, or 18 million people, had difficulty or received help in the last month with daily activities, according to a recent study published in The Milbank Quarterly. “The older population—especially those with few economic resources—has substantial late-life care needs,” the study says. “Policies to improve long-term services and supports and reduce unmet need […]
Category: Home Health Care
Transitional care interventions, which aim to improve care transitions from hospital to home, help reduce hospital readmissions 31 to 365 days after discharge, a study in Health Affairs’ latest issue shows. But the study’s authors found that only high-intensity interventions — including the need for home care visits — seemed to be effective in reducing […]
Unclear filing guidelines for Centers for Medicare & Medicaid Services’ (CMS) documents are costing home health care providers billions of dollars a year, a recent report shows. Thirty-two percent of home health claims did not have the requisite or complete face-to-face encounter documentation, which resulted in $2 billion in payments that should not have been made […]
The owner and operator of a Miami, Fla., home health care company was sentenced to more than six years in prison Monday for her alleged participation in a $6.5 million Medicare fraud scheme, the U.S. Department of Justice (DOJ) announced. Cruz Sonia Collado, 64, was an owner and operator of the now-defunct home health care […]
In the health care industry’s quest to lower avoidable hospital readmission rates, recent findings by state Medicaid Medical Directors (MMD) now highlight the high costs — and prevalence — of Medicaid readmissions. The 30-day Medicaid readmissions rates for 19 participating states varied, but accounted for an average of 9.4% of all admissions, according to MMD […]
Several home care fraud developments in New York, Rhode Island and Louisiana have led the National Assoication for Home Care and Hospice to recommend that providers “re-double” their internal efforts against fraud. The association points to findings from the National Council on Medicare Home Care, a NAHC affiliate, that show Medicare fraud activity in areas […]
Since Ohio’s new managed care plan for dual eligibles rolled out locally in July, home health workers — and their agencies — have been struggling to adjust to payment processing changes, The Columbus Dispatch reports. Before the plan, called “MyCare Ohio,” the government would process claims submitted by independent workers and home health agencies in […]
The state of Kansas is prepared to fight against a planned federal labor rule that would affect cost of home health care services, media report. Gov. Sam Brownback’s administration says the new rule will hurt Kansans who receive home-based services that allow them to continue to live in their own homes as it would increase the […]
The owner of three Detroit-Area home health agencies pleaded guilty Wednesday for his role in a $22 million home health care fraud scheme. Muhammad Aamir, 43, of Bloomfield Hills, Mich., admitted that, beginning in 2008 and continuing through January 2013, he conspired with others to bill Medicare for home health care services that were not […]
Each day, thousands of home-based caregivers are put into life-and-death situations with little training and virtually no direct supervision, mainly because state payments are too low to cover additional training and oversight expenses, reports the Star Tribune. The Minneapolis-based newspaper interviewed more than two dozen personal care attendants and found that only one had received […]
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