Independence at Home Saved Medicare $10 Million In Second Year

A pilot program that aims to expand in-home primary care for chronically ill patients continues to achieve care improvements and reduce Medicare costs. The Independence at Home demonstration saved Medicare more than $10 million this year. On average, there was $1,010 per beneficiary saved this year among 15 practices and 10,000 Medicare beneficiaries, according to […]

Majority of U.S. Seniors Against Pre-Claim Review

The start of the Centers for Medicare & Medicaid Services’ (CMS) pre-claim review demonstration has drawn harsh criticism from many stakeholders in the home health care industry. Now, they may be able to say that seniors themselves don’t like the initiative, either. Bring Home the Vote, which sponsored the poll, is a national initiative that […]

Editor’s Picks: Fraud, Fraud, Fraud

This week, Home Health Care News readers read up on three main topics: reimbursement, coding and fraud. The Medicare Fraud Strike Force charged about 300 people—including some in the home health industry—in a variety of schemes that involved more than $900 million in fraudulent health care billings, and the Office of the Inspector General identified […]

CMS Makes Thousands of Revisions to ICD-10 Codes

The Centers for Medicare & Medicaid Services (CMS) officially finalized the first major updates to ICD-10. CMS added just under 2,000 new codes, revised about 400 codes and deleted about 300 codes, according to experts who analyzed data posted to the CMS website. The agency published the official code changes and impactful revisions in tabular […]

Editor’s Picks: Philips’ Latest Aging-in-Place Tech

This week, Home Health Care News readers had their interest piqued by Philips’ latest foray into aging-in-place technology, a health system’s successful approach to improving its palliative care services, and federal lawmakers’ collective stand against home health prior authorization. Readers also were curious to learn the best ways to reduce turnover amongst home health aides. […]

Lawmakers Take Stand Against Home Health Prior Authorization

Mounting backlash against the Centers for Medicare & Medicaid Services’ (CMS) proposed home health preauthorization rule is coming from a fresh source—lawmakers on both sides of the aisle. A bipartisan group of 116 lawmakers in the U.S. House of Representatives penned a letter to CMS Acting Administrator Andrew Slavitt and Department of Health and Human Services […]

Large-Scale Home Health Crackdown Begins in Massachusetts

Following a major surge in spending on home health care services, Massachusetts state officials have asked state Attorney General Maura Healey to investigate providers suspected of committing Medicaid fraud. The news comes on the heels of the Centers for Medicare & Medicaid Services (CMS) extending its home health moratorium in several cities—though none in Massachusetts—for […]

CMS Extends Home Health Moratorium — Again

In an attempt to bridle fraud, waste and abuse, the Centers for Medicare & Medicaid Services (CMS) has extended its moratorium on the enrollment of Medicare home health agencies, as well as on the enrollment of new Medicare Part B ground ambulance suppliers, in several cities for six more months. CMS has extended the moratorium twice, […]

CMS Publishes Home Health Patient Survey Star Ratings

The first “Patient Survey Star Ratings” for Medicare-certified home health agencies have arrived. On Thursday, the Centers for Medicare & Medicaid Services (CMS) introduced the first of such star ratings on Home Health Compare, CMS’ public information website with details on how well Medicare-certified agencies care for their patients. The new star ratings, which were first announced in May 2015, […]

21 ACOs Tapped for New, Next Generation Model

There are 21 accountable care organizations (ACOs) slated to participate in the new “Next Generation” model, the Centers for Medicare & Medicaid Services (CMS) has announced. The Next Generation ACO Model was developed in part to address provider difficulties with the Pioneer ACO program. Like the Pioneer program, the Next Gen model is designed for […]