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 […]
Category: Medicaid
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 […]
Some estates of former Medicaid beneficiaries are getting “death bills” for the cost of long-term care services under a little-known Medicaid estate recovery law, reports USA Today. The article profiles the family of a 92-year-old woman that Medicaid billed for $25,347 following the death of their mother, who had received home-based medical care in the […]
The Centers for Medicare & Medicaid Services (CMS) recently released an update to its Medicare Claims Processing Manual that provides clarifying information and corrections to reporting requirements for hospice providers in skilled nursing facilities. The January 31, 2014 update replaces a July 2013 manual update specifying the collection of additional data on hospice claims under […]
Following in the footsteps of its initial home health moratorium last year, the Centers for Medicare & Medicaid Services (CMS) will now bar new agencies from enrolling in four additional U.S. metros. CMS today announced a new temporary moratoria on the enrollment of home health agencies in Fort Lauderdale, Detroit, Dallas and Houston, as well […]
A Vermont Senator is sponsoring a bill that would require the state’s Agency of Human Services to pay for telemonitoring for certain Medicaid beneficiaries starting this July. Remote monitoring can yield significant savings by reducing hospital admissions and readmissions, Peter Cobb, director of the Vermont Assembly of Home Health and Hospice agencies, told the Vermont Digger, […]
Home care workers in certain states and Illinois in particular could be impacted by an upcoming Supreme Court ruling on Harris vs. Quinn on whether public sector employees who don’t join or support union activities should still be required to pay union fees. The Supreme Court is currently debating the case, which stems from a […]
The use of “telemedicine” is growing as a way to safely keep seniors in their homes, writes CNBC in a recent article profiling a Pennsylvania-based nonprofit’s usage of a remote monitoring system. Lutheran SeniorLife offers its clients the use of the MobileCare Monitor, a monitoring device that can alert community staff if a resident falls. […]
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