A bi-partisan bill introduced this week by two members of the U.S. House of Representatives aims to correct what some believe to be a crucial flaw in the Centers for Medicare & Medicaid Services’ (CMS) competitive bidding program for durable medical equipment (DME). H.R. 4920, the DMEPOS Competitive Bidding Improvement Act of 2014, would make […]
Category: Medicare
An office worker with a Miami home health care company pleaded guilty Wednesday to her involvement in a $7 million fraud scheme, according to the U.S. Department of Justice. Lizette Garcia, 37, of Miami, pleaded guilty before U.S. District Judge Joan A. Lenard in the Southern District of Florida to one count of payment of […]
Atlanta-based Five Points Healthcare has expanded its services into Virginia after acquiring BestCare Home Care, a home health provider of Medicare-certified, Medicaid-waiver and personal care services throughout the northern and western parts of Virginia. Fulcrum Equity Partners, a growth equity fund also based in Atlanta, provided equity financing for the acquisition, which marks the third […]
More than 240 hospice advocates have converged on Capitol Hill Tuesday, in efforts to call on Congress to temporarily halt implementation of CMS actions they say are leaving hospice patients without medications they need at the end of life. The campaign is spearheaded by the Hospice Action Network (HAN) and the National Hospice and Palliative […]
The Centers for Medicare & Medicaid Services (CMS) today told the National Association for Home Care & Hospice (NAHC) that it is reversing its previous position on the face-to-face requirement for Medicare Advantage (MA) plan members who receive home health care services. In a memorandum issued by CMS on Wednesday, the agency clarified that a […]
Health plans are cashing in on home visits, taking advantage of Medicare profits when the house calls unearth patients’ medical problems, according to a report by The Center for Public Integrity, a nonprofit investigative news organization in Washington, D.C. Some senior citizens are finding that their Medicare Advantage health plans were eager to send a […]
After months of planning, the National Association for Home Care & Hospice (NAHC) has finally filed its lawsuit last week against the Centers for Medicare & Medicaid Services’ (CMS) over allegations regarding the federal agency’s rule for face-to-face physician encounters. The NAHC Board of Directors approved the lawsuit before its June 5 filing, citing the […]
The American Association for Homecare is moving forward with its campaign to track the impact of Medicare audits on providers of home medical equipment (HME) through its Audit Key initiative. The HME Audit Key was born out of the need to develop a system that shows lawmakers in Washington the affects audits have on HME […]
The number of people who are more likely to receive home care is increasing as the proportion of people age 65 and older grows — forcing health care organizations to map out strategies to meet their customers’ demands. In a recently released study, Deloitte details the opportunities and challenges of care provided inside the home, and […]
The owner of a Philadelphia hospice agency was sentenced this week to 176 months in prison for his role in a $16.2 million Medicare fraud scheme. Matthew Kolodesh, 52, of Churchville, Pennsylvania, was found guilty of conspiracy to commit health care fraud, 21 counts of health care fraud, 11 counts of money laundering and two […]
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