The state of New York has recovered more than $200 million from the federal government after identifying more than twice that amount in payment errors related to home care beneficiaries who are dually eligible for Medicare and Medicaid. The N.Y. Department of Health’s Fiscal Group received a $211 million payment representing the state’s share of […]
Category: Medicaid
Support for new legislation on telemedicine will cut Medicare and Medicaid costs, the American Telemedicine Association said this week in response to a bill introduced by four members of Congress that would cover some tele health services under Medicare payment bundles for post-acute care. H.R 3306, The Telehealth Enhancement Act of 2013, introduced October 22 […]
The Joint Commission has applied to renew its home health agency accreditation program, with the Federal Register soliciting public comment on whether the organization’s requirements meet or exceed the Medicare conditions of participation. In order to provide reimbursable services to Medicare beneficiaries, home health agencies must meet certain requirements under the Social Security Act, which […]
ContinuLink, a web-based home care software solutions provider, has been recognized by the National Council on Medicaid Home Care as its inaugural Business Associate sponsor and member of the Medicaid Council. The Business Associate member category was recently created by the Council, an affiliate of the National Association for Home Care & Hospice, to recognize […]
Michigan will no longer reimburse the state’s licensed in-patient hospice providers for room and board for Medicaid beneficiaries, effective this week. “This summer, our staff noticed inconsistencies in the way that we were reimbursing hospice providers. There are approximately 21 licensed hospice residence facilities in the state of Michigan, and we identified inconsistencies with 11 […]
Trade groups representing the home health industry are voicing support for several aspects of the Commission on Long-Term Care’s final report to Congress, which includes a recommendation that would expand access to Medicare coverage for home care. The vision of the bipartisan, federally-appointed long-term care panel is to create “a more responsive, integrated, person-centered, and […]
SCAN Health Plan recently awarded the Alliance for Leadership and Education (ALE) a $2 million grant to facilitate aging in place for California’s most vulnerable seniors. The not-for-profit health plans’ grant will fund the delivery of community-based home health services for Californians who are dually eligible for Medicare and Medi-Cal (Medicaid) through the state’s Community-Based […]
As a widely used alternative to in-home care, nursing home care currently serves more than 1.5 million Americans. The services they receive includes help with activities of daily living, as well as certified nursing care. But the use of nursing homes as well as the costs associated are not equal across the United States. Eight […]
The owners of a former Miami-based health clinic pleaded guilty this week to charges in an $8 million home health care fraud scheme. They will face a maximum penalty of 10 years in prison for their roles in the operation. Miami residents Miguel Jimenez, 43, and Marina Sanchez Pajon, 29 pleaded guilty in the Southern […]
The owner of a health care business is facing a million-dollar civil settlement, prison time and 20-year Medicare and Medicaid exclusion after being convicted of felony charges relating to illegal kickbacks paid for patient referrals. Babubhai Rathod is the ninth person to be convicted of charges in the case, which is the result of a […]
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