The owners and operators of two Miami health care agencies were sentenced to a combined total of more than 13 years for their roles in a $48 million home health Medicare fraud scheme, according to the Department of Justice (DOJ). Both of the Miami-Dade area, Rogelio Rodriguez, 43, and Raymond Aday, 48, were both sentenced […]
Category: Medicare
Changes to Medicare’s benefit design currently being considered by the House Ways and Means Subcommittee on Health, such as cost sharing for home health and hospice care services, have been denounced by the National Association for Home Care and Hospice (NAHC). The House Subcommittee held a hearing on Tuesday focusing on cost-sharing changes to the Medicare […]
Home health care providers are expecting 2% reductions to their Medicare reimbursement from the upcoming sequester, but seniors may be disproportionately impacted from even more slashed funding to the Older Americans Act (OAA) and other non-defense discretionary (NDD) programs. With Congress so far unable to reach a balanced budget deal to avert the sequester—which exempts Social […]
Among ongoing reports of Medicare fraud in the home health business and in health care in general, an ABC News team went undercover to investigate the instance of fraud in home health care, airing in March 2012. The investigation, led by ABC Chief Investigative Correspondent Brian Ross and investigative producer Megan Chuchmach, aired on ABC programs […]
Kindred Healthcare’s net loss grew 14% to $81.6 million in the fourth quarter ended Dec. 31, 2012, citing an asset impairment charge, severance and restructuring costs, transaction-related costs, and employee-retention costs associated with divesting 54 nursing centers formerly leased from Ventas. “In 2012, Kindred continued to make progress in improving quality and patient satisfaction and […]
Owners of Dallas-based home health agency Alliance Healthcare Services, L.P. were sentenced last week for their roles in a nearly $1.3 million health care fraud conspiracy. From November 2008 through mid-February 2011, Alliance submitted claims to Medicare for home health services provided to Medicare beneficiaries, according to the U.S. Department of Justice (DOJ). Alliance employees, […]
New data reporting requirements have been added to the Home Health Prospective Payment System (HH PPS) claims specifying where services are provided and if a physician has modified the plan of care, the Centers for Medicare & Medicaid Services (CMS) announced earlier this month. Home health agencies must report new codes indicating the location of […]
A former home health care worker pleaded guilty last week to his part in a $24.7 million fraud scheme that billed for home heath care services that were not not necessary or were not provided. Clarence Cooper of Detroit pleaded guilty to one count of conspiracy to commit health care fraud for his role as […]
Three health care providers are teaming up to create a transitional care model to provide post-acute care patients with a clinically enhanced environment that’s still conducive to facilitating a smooth transition between the hospital and home. Allina Health, Benedictine Health System (BHS) and Presbyterian Homes & Services (PHS) are collaborating to combine their hospital-based acute […]
An article posted last week by the Wall Street Journal reported that the steps to reducing hospital readmission rates is “without an easy fix.” Detailing recent studies linking readmission rates to poor post-care coordination, the article caught the attention of Amedisys’ Chief Medical Officer Michael Fleming, MD, FAAFP. Because the nation’s healthcare needs are changing, Fleming […]
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