While providers in Illinois have been reporting numerous problems and sky-high non-affirmation rates for claims submitted under the Pre-Claim Review Demonstration, the Centers for Medicare & Medicaid Services (CMS) recently released data that appears to characterize the program as proceeding smoothly. In fact, the data seem so optimistic, it’s hard for many to believe it […]
In the wake of a final rule issuance on emergency preparedness from the Centers for Medicare & Medicaid Services (CMS), home health care companies were tested Friday as Hurricane Matthew barreled down on the United States. The storm, which reached a Category 3 hurricane designation before weakening to category two, approached Central Florida on the […]
Different states account for varying levels of Medicare spending on hospice patients, with Southern states in particular having the highest standardized Medicare payments per hospice beneficiary. That’s according to a new data set from the Centers for Medicare & Medicaid Services (CMS). The Hospice Utilization and Payment Public Use File, or “Hospice PUF,” contains information on […]
Fraud and abuse in home health has led to an array of crackdowns from regulators and other authorities, but fraud issues are similarly rampant in Medicaid personal care services, according to a recent report from the Office of Inspector General (OIG). In many cases, patients have been harmed as a result. OIG has found “significant […]
This week, fall hit us big time here in Chicago. We pulled on our boots and brought our readers the latest updates in the home health and home care industry. There was big news coming out of our nation’s capital that has the potential to make home health agencies very happy. Legislators introduced a bill […]
A bill introduced in Congress this week would put a pause on the Pre-Claim Review Demonstration from the Centers for Medicare & Medicaid Services (CMS) with a one-year moratorium on the program. The legislation, introduced by Representatives Tom Price (R-GA-6) and James McGovern (D-MA-2), comes after the home health industry has pushed back hard against […]
Care coordination is on the tips of tongues of care professionals these days, and home health agencies have a lot to gain within new payment models and care trends. From population health efforts to value-based purchasing, incentives pushing health care providers to collaborate across different settings is adding to the importance of home health and […]
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 […]
It’s been a big week for the home health Pre-Claim Review Demonstration. The poorly-received program made several Home Health Care News headlines, first with its delayed start in Florida, and then due to home health providers still calling for the program’s total suspension everywhere. Meanwhile, the Department of Health and Human Services Office of Inspector General […]
As home health providers are reeling in wake of new regulations, industry groups are stepping up their advocacy actions—and having some success. After a disastrous roll out of the Pre-Claim Review Demonstration from the Centers for Medicare & Medicaid Services (CMS) in Illinois, the agency announced it would delay implementation in the four other states, thanks […]
By continuing to use the site, you agree to the use of cookies. More Information
The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this. For more information, see our cookie policy
