In light of the decision by the Centers for Medicare & Medicaid Services (CMS) to delay the implementation of the Pre-Claim Review Demonstration in Florida, Texas, Massachusetts and Michigan, home health providers in Illinois say they are reeling as the program is still underway there. Agencies have spoken out about high denial rates on their claims […]
Amid reports that the rollout of the Pre-Claim Review Demonstration in Illinois led to a “complete mess,” the Centers for Medicare & Medicaid Services (CMS) will delay the start date in Florida by at least 30 days, the agency has announced. The decision comes as industry groups, home health care companies and two U.S. Senators […]
Under a new final rule, home health agencies and other Medicare-certified providers will be required to meet emergency preparedness standards—or face the risk of losing national payor reimbursements. The Centers for Medicare & Medicaid Services (CMS) issued its long-awaited rule on emergency preparedness at a time when numerous natural disasters over the last few years […]
After retiring our white trousers and resting up on Labor Day, we were here to bring our readers the latest home health happenings across the industry. This week, readers were still itching for more information about the pre-claim review, after two Florida Senators wrote to the Centers for Medicare & Medicaid Services (CMS) to delay […]
A national, nonprofit organization that promotes, advances and supports mission-driven providers of community-based health care has revealed the specific home health and hospice legislation it will focus on and which causes it will seek to advance on Capitol Hill in the coming months. The Visiting Nurse Association of America (VNAA), based in Arlington, Virginia, outlined two […]
More home health payment cuts are coming, and home health care groups are fighting back against further proposals to change reimbursement measures. Most recently, industry groups shot back against the Home Health Prospective Payment System Rate Update for calendar year 2017, which had an open public comment period that ended August 26. In conjunction with […]
Wage pressures have home care companies pinching pennies to get by with razor-thin profit margins, but one provider has opened a new business line to replace and recapture the business that was lost after raising prices. Select Home Care, a non-medical private duty home care provider based in California, has branched outside of taking care […]
Recent changes in federal overtime laws that impact home health care workers and other domestic workers have led to a boom in collective action lawsuits throughout the industry. However, home care workers in New York won’t be able to to sue for overtime pay through a class action lawsuit, a recent judge in the state […]
The business of home health care is changing thanks to new regulations that continue to be implemented at warp speed. At the same time, reimbursement cuts are straining agency resources while accountability and transparency requirements are increasing. In an environment that demands home health businesses do more with less, adaptability and driving value is key, […]
As more private equity moves into a Medicare program designed to help American seniors age in place, worries are mounting among critics who believe the work should be left exclusively to non-profits using government funds, The New York Times reported. The program in question is the Program of All-Inclusive Care for the Elderly (PACE), a federal […]
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