Medicaid expenditures are shifting away from nursing homes and toward home and community-based care, according to recent findings by the Centers for Medicare and Medicaid Services (CMS). And that shift is seen as a positive development says AARP in response. Residents of nursing homes who rely on Medicaid funding are getting younger by the year, […]
CMS
Members of Congress are circulating and signing a letter to the Centers for Medicare and Medicaid Services (CMS) seeking a reversal of the face-to-face documentation requirements under its durable medical equipment (DME) reimbursement program. Originally scheduled to take effect on July 1, CMS delayed the rule’s implementation in June with a new effective date of October […]
Home health industry advocates in Oregon are pushing for assistance from the Centers for Medicare and Medicaid Services following an announcement from the agency that it would reduce home health reimbursements in 2014. Rural home health providers in the state are particularly hard-hit, according to a recent Oregonian report, leading the state’s Congressional delegation to […]
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) […]
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’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 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 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 […]
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 […]
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 […]
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