The Centers for Medicare & Medicaid Services (CMS) will finally begin implementing its long-heralded fingerprint-based background checks for home health providers. As part of enhanced enrollment screening provisions contained in the Affordable Care Act, CMS announced it is beginning to phase in the implementation of fingerprinting background checks—an initiative three years in the making. The […]
Category: Medicaid
Kathleen Sebelius recently announced her resignation as secretary of the Department of Health & Human Services following the end of open enrollment for—and botched rollout of—the health insurance exchanges created under the Affordable Care Act. On April 11, President Barack Obama nominated Sylvia Mathews Burwell to take over the position. Burwell is the current director of […]
Smaller home health and hospice providers will struggle to survive in the face of new policies and proposals that could deeply impact both industries, says Healthcare Market Resources in a market research letter that points to growth as a solution. The home health and hospice industries are threatened by several policy efforts underway or in […]
Following a public commenting period from the Centers for Medicare & Medicaid Services (CMS) on Round 2 of its Competitive Bidding program for home medical equipment (HME), a recent survey shows a majority of HME providers generally reject the program’s “one-size-fits-all” approach. In efforts to simplify the submitting of public comment, VGM Group, Inc. created […]
On the heels of recent home health care-related fraud developments sprouting up nationwide, a new $5.8 million Medicare scheme has landed a prison sentence for an office manager of a Detroit-area home care agency. Nabila Mahbub, 28, was sentenced Wednesday by a federal judge in the Eastern District of Michigan to serve 46 months in […]
Recent Medicaid home health fraud developments have been centralized to three specific states in the last few weeks, according to The National Council on Medicaid Home Care (NCMHC). An affiliate of the National Association for Home Care & Hospice (NAHC), the National Council on Medicaid Home Care finds various home health fraud incidents occurring in […]
Home health care aides notched the highest percentage of criminal convictions in cases brought by State Medicaid Fraud Control Units last year, most commonly involving fraud. Medicaid’s fraud units recovered nearly $2.5 billion in criminal and civil investigations in fiscal year 2013, according to the Annual Report released by the Department of Health and Human Services Office of the […]
The Obama Administration’s all-ecompassing 2015 Budget includes provisions that aims to limit Medicaid reimbursement for durable medical equipment (DME) in efforts to reduce federal spending in the coming year and beyond. One of the main provisions included in the 2015 Budget details using Medicare bid rates under the DME Competitive Bidding Program for Medicaid reimbursement, […]
Last Thursday, the largest health care fraud takedown in Washington, D.C. history resulted in the arrests of more than 20 people, from operators of home care agencies to officer workers and personal care assistants. The investigation uncovered various, separate schemes involving fraud, kickbacks and false billings for D.C. Medicaid patents. In one alleged scheme, the […]
Seniors have plenty of options when it comes to long-term care, writes U-T San Diego, but paying for that care is a different matter, as many senior living settings require out-of-pocket payment. Senior care options range from in-home care to assisted living to nursing homes, but the first two are primarily private pay. There are […]
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