Home Health Companies Fall Out of Wall Street Favor Following CMS Proposal

Publicly held home health companies faltered on Wall Street in response to an announcement last week from the Centers for Medicare and Medicaid Services proposing Medicare reimbursements to home health providers will fall 1.5% in 2014, or $290 million based on estimates. Public companies including Gentiva Health Services (NASDAQ: GTIV) and Amedisys Inc. (NASDAQ: AMED) […]

NAHC: CMS Home Health Medicare Adjustment Not Fair, Not Right

Proposed changes to the Medicare home health prospective payment system amounting to $290 million in reductions in 2014 are not fair and not right, the National Association for Home Care and Hospice said in a statement Friday. The proposed changes apply the full 3.5% rate cut authorized under law and are based on 13.63% margins […]

Ohio Legislators Argue for Suspension of DME Competitive Bidding

Ohio’s congressional delegation has asked the Centers for Medicare and Medicaid Services to suspend its competitive bidding program for durable medical equipment, often provided by home care agencies.  The state legislature sought respite from the program through a letter to CMS citing violations of the rules on behalf of unlicensed providers.  “We request that CMS […]

New Home Health Data Reporting Rule Specifies Where Services are Provided

New data reporting requirements have been added to the Home Health Prospective Payment System (HH PPS) claims specifying where services are provided and if a physician has modified the plan of care, the Centers for Medicare & Medicaid Services (CMS) announced earlier this month.  Home health agencies must report new codes indicating the location of […]

Indiana Gets $78 Million in New Funds for Home Care

Indiana will receive $78 million in new grant funding to help seniors and people with disabilities live in communities and receive care there rather than going to a nursing home or another assisted living community.  Under the federal health care law, the state was awarded the new funding, announced Tuesday by the Centers for Medicare […]

CMS Gets Aggressive on Medicare Claims, Denials Rise 24% in Q2

More healthcare providers are seeing their Medicare reimbursement claims denied and are needing to provide more information to the Center for Medicare & Medicaid Services (CMS) Recovery Audit Contractors (RACs), according to results of the American Hospital Association’s RACTrac Survey for the second quarter of 2012, as the agency continues its attempts to limit inaccurate […]

GOP Questions CMS Anti-Fraud Initiative; Will New Command Center Help?

On July 31, the Centers for Medicare & Medicaid Services (CMS) announced the launch of the new Program Integrity Command Center, meant to speed up the process of identifying fraud and stopping criminals from defrauding the Medicare and Medicaid programs. The announcement came shortly after Senators Orrin Hatch (R-Utah) and Tom Coburn (R-Okla.), both part […]

Government Joins Forces with Public to Find, Stamp Out Medicare Fraudsters

The home health care industry has seen an enormous amount of Medicare fraud in the past few years, and it may see some more bad apples exposed—and shut down—in upcoming months thanks to a public-private partnership between government and public organizations that’s sending a strong message to would-be fraudsters: We will find you, and we […]

Government Joins Forces with Public to Find, Stamp Out Medicare Fraudsters

The home health care industry has seen an enormous amount of Medicare fraud in the past few years, and it may see some more bad apples exposed—and shut down—in upcoming months thanks to a public-private partnership between government and public organizations that’s sending a strong message to would-be fraudsters: We will find you, and we […]