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 […]
Category: Medicare
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 […]
Amid the variety of topics President Obama discussed in his State of the Union address Tuesday night, the Commander in Chief did touch on the need to address the rising cost of health care. Acknowledging rising costs of health care are the biggest driver of the nation’s long-term debt, Obama expressed that those who care […]
Hospital readmissions continue to be a national epidemic for hospitals fearing increased penalties from Medicare. While the problem stretches across several variables, targeting specific trends might provide one step toward a possible solution. Re-hospitalizations appear more prevalent in larger cities than they are in smaller ones, according to an article from the Associated Press. AP […]
Aetna (NYSE:AET) and Univita Health are working together to offer a transitional care program to Aetna Medicare Advantage members in Texas in a bid to reduce hospital readmissions. The Texas partnership began in January and allows eligible Medicare Advantage members who are discharged from certain participating hospitals in Houston, Dallas, Forth Worth, Austin, and San […]
Health care fraud has been on the rise in the last three years, even more so in 2012 than others, according to a report released today by the Departments of Justice (DOJ) and Health and Human Services (HHS). Recovering a record-breaking amount of taxpayers’ dollars from health care-related fraud, DOJ and HHS returned $4.2 billion […]
Health care providers are bringing back the house call as a way to keep patients out of the hospital, while also avoiding Medicare reimbursement penalties. The latest in the ongoing efforts to reduce re-hospitalizations, the Wall Street Journal (WSJ) reports that providers are sending teams of doctors, nurses, physician assistants and pharmacists to treat frail […]
Post-acute care provider LHC Group Inc. (NASDAQ:LHCG) has entered into an agreement to acquire the home health service line of Addus HomeCare Corp. (NASDAQ:ADUS) in a $20 million transaction expected to close on or around Feb. 28, 2013. The deal encompasses 19 home health agencies and two hospice agencies in five states and will expand […]
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