Amedisys Adds New Senior VP and Compliance Officer

Following an announcement that the chief compliance officer of Amedisys Inc. (NASDAQ: AMED) would take a year of paid leave beginning Aug. 1, the home health provider has named David B. Pearce as senior vice president and chief compliance officer, effective July 5. In his new role, Pearce will oversee Amedisys’ ethics and compliance programs. […]

Editor’s Picks: Pre-Claim on its Way

This week, Home Health Care News readers were still worked up over the news that the Centers for Medicare & Medicaid Services (CMS) was moving forward with its prior authorization program. We were eager to share how the industry was reacting as well as more information the agency provided in a forum. Here in the […]

[Updated] Supreme Court Ruling Could Increase False Claims Cases

False claims cases against health care providers—home health included—could spike following a June 16 ruling by the U.S. Supreme Court regarding payment conditions in provider claims. The Supreme Court unanimously decided that the implied false certification theory can be a basis for False Claims Act (FCA) liability when a party submitting a claim makes specific […]

CMS Addresses Concerns Over Home Health Pre-Claim Reviews

Days after unveiling a preauthorization requirement for home health agencies, providers expressed confusion and concern as the Centers for Medicare & Medicaid Services (CMS) attempted to clarify what the plan entails. The new preauthorization measure, dubbed the Pre-Claim Review Demonstration for Home Health Services, aims to crack down on Medicare fraud, waste and abuse in […]

New Overtime Rule May Pose Little Threat to Home Care

A new wage rule that increases overtime benefits for millions of American workers is expected to put some wage pressures on employers across many industries, but how much it will impact home health care is still up for debate. The Department of Labor (DOL) recently issued its new overtime salary exemption limits that will become effective December […]

[UPDATED] Labor Rule to Increase Overtime Burdens on Home Health Providers

Overtime pressures for home heath care agencies will increase following the Department of Labor’s (DOL) final rule on overtime requirements for salaried employees issued this week. The rule increases minimum salary requirements for overtime exemptions for salaried workers from its current level of $23,660 per year, or $455 per week, to $47,476 a year, or […]

Federal Probe Finds Thousands Deprived of Home and Community Services

South Dakota has been found in violation of the community integration mandate of the Americans with Disabilities Act (ADA), after an investigation revealed the state unnecessarily relies on nursing homes to provide services to seniors and people with disabilities. The Justice Department announced that South Dakotans don’t have a meaningful choice to receive services at […]

Home Care Wage Case in Supreme Court Limbo

With only eight justices currently seated, the U.S. Supreme Court may be having to make some tough calls on which cases to consider—including one on controversial minimum wage and overtime protections for home care workers. Already, the high court has delayed its decision on the home care case once. But the case—Home Care Association of […]

Editor’s Picks: FBI Investigations and ‘Bizarre’ Behavior

This week, Home Health Care News readers learned about Hometeam’s new partnership and a home health owner in Texas who is under investigation by the FBI. Readers also found out how the industry as a whole feels about the Centers for Medicare & Medicaid Services’ preauthorization proposal, and were clued into Kindred Healthcare’s recent “bizarre” […]

Feds Launch New HIPAA Audits for Home Health, Other Entities

Home health agencies and other entities subject to federal privacy laws now are under more scrutiny, as the Health and Human Services Department Office for Civil Rights (OCR) now has launched Phase 2 audits. In this phase of audits, OCR will review policies and procedures that covered entities and their business associates have in place […]