The use of home health services after a major joint repair surgery for Medicare patients results in cost-effective care and lower readmission rates, according to data newly released Thursday. The data analysis, conducted by Dobson | DaVanzo & Associates and released by the Alliance for Home Health Quality and Innovation, comes just more than two […]
CMS
BAYADA and Inspira to Launch Joint Venture A previously announced joint venture between BAYADA Home Health Care, a privately-held home care company that operates in 21 states, and Inspira Health Network, a major health network in New Jersey, is launching in three south Jersey counties. The joint venture allows the health system to serve more […]
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 […]
Home health providers and associations were quick to denounce a preauthorization requirement after the Centers for Medicare & Medicaid Services (CMS) revealed it will move forward with its formerly announced plans. Across the board, industry officials expressed disappointment and concern with the CMS plans for prior authorization, now deemed the Pre-Claim Review Demonstration for Home […]
This week, Home Health Care News readers were among the first to know that the Centers for Medicare & Medicaid Services (CMS) officially plans to launch the home health prior authorization requirement in five U.S. states. Readers also learned why some experts believe an overtime wage rule will not impact the home care industry too […]
Despite pushback from the home health industry and lawmakers, the Centers for Medicare & Medicaid Services (CMS) announced Wednesday it intends to move forward with a preauthorization requirement. CMS’ plans for prior authorization, now dubbed the Pre-Claim Review Demonstration for Home Health Services, will roll out in five states as announced in February. The proposal aims […]
The Centers for Medicare & Medicaid Services (CMS) flubbed an $800,000 case against a home health agency located in Kansas City, Kansas, a district appeals court found. The court overturned CMS’ recoupment of $800,000 from the agency, Caring Hearts Personal Home Services, Inc. While CMS ordered Caring Hearts to repay $800,000, CMS was ultimately found to be […]
Today’s rapidly growing senior population faces significant challenges, ranging from a lack of retirement funds and a shortage of affordable housing to homes ill-equipped for aging in place. Confronting these challenges for older citizens should be mission critical, even if it will likely require additional public spending, according to a report issued this month by […]
Insufficient documentation in home health is a primary cause of Medicare fee-for-service improper payments, a new report by the Department of Health and Human Services Office of Inspector General (OIG) has found. The report comes just after a federal audit concluded hospices had improperly billed Medicare by $268 million in 2015. The report underscored how the U.S. […]
As April came to a close, readers were eager for information about preventing falls and the upcoming reporting requirements related to the IMPACT Act. Provocative questions about the “Uber-ization” of home health also got a lot of attention. Heading into the weekend, we invite you to take a look at what some of our favorite […]
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