While many home care companies have suffered as a result of the competitive bidding process, others are expanding as a result of being awarded multiple bid contracts. Binson’s Home Health Care Centers, based in Center Line, Michigan, said this week it will hire up to 100 new employees due in part to the multiple durable […]
Category: Medicare
In just two years after the implementation of the Affordable Care Act (ACA), the number of Medicare license revocations more than doubled compared to preceding years, according to data released by the Centers for Medicare & Medicaid Services (CMS). Since March 2011, CMS has revoked 14,663 providers’ and suppliers’ ability to bill in the Medicare program. […]
Provisions within the proposed payment rule looks to negatively impact margins for Florida’s home health sector, according to analysis by the Home Care Association of Florida (HCAF) and the Partnership for Quality Home Healthcare. Using the Medicare Payment Advisory Commission (MedPAC) methodology to calculate margins, Florida’s medicare home health margin will fall to 5.2% […]
Home health equipment providers are bracing for the impact of Medicare competitive bidding rules slated to go into effect July 1, according to an ABC local news segment airing in South Carolina. One provider tells ABC her company is inundated with requests from patients who are aware of the change ahead and are trying to […]
Roberto Marrero made his acting debut as a drug dealer named De La Carte in an episode of Miami Vice. Now, the former actor, director and producer of mostly spanish soap operas has found himself in hot water with the federal government for his part in a home health fraud scheme. Marrero and his wife, […]
Medistar Home Health, a national Medicare-certified home health agency, recently joined UnitedHealthcare’s care provider network, the companies announced Monday. The partnership gives Lousiana residents enrolled in UnitedHealthcare’s employer-sponsored, MedicareDirect and Evercare/Secure Horizons Medicare Advantage health plans access to care provided by Medistar. “We are delighted to join UnitedHealthcare’s care provider network and to welcome their […]
The Centers for Medicare & Medicaid Services (CMS) have already faced mounting criticism for Round 2 of its Competitive Bidding program, but now it seems that Medicare is not playing by its own rules in Tennessee, according to the American Association for Homecare. As mandated by Medicare, providers of durable medical equipment (DME) that submitted […]
The Centers for Medicare & Medicaid Services should consider implementing a new payment policy for early discharges from hospitals to hospice care that has the potential to save the programs hundreds of millions of dollars, says a newly released report from the Department of Health & Human Services’ Office of the Inspector General. Medicare Part A […]
A piece of legislation that would replace the current competitive bidding system for Medicare-based durable medical equipment claims is gaining support among Congress members, now touting nearly 100 co-sponsors. The bill, H.R. 1717, would replace competitive bidding with a market pricing program. The legislation, introduced by Rep. Tom Price (R-Ga.). Price, how has 96 co-sponsors, […]
Following a landmark anti-fraud crusade spearheaded by the U.S. Department of Justice that turned up $223 million worth of Medicare fraud across eight cities, the need to protect federal programs from aberrant billing has become a hot topic of discussion among home care agencies. One way the federal government is trying to control such abusive […]
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