In past years, Medicare-certified home health agencies and Medicaid personal care services providers have been big focus areas for government watchdogs. While there’s still plenty of oversight, the spotlight on home health and personal care providers appears to have dimmed somewhat. Instead of focusing on home health and personal care, watchdogs are increasingly targeting hospices, […]
HHS-OIG
Audits from the U.S. Department of Health & Human Services’ Office of Inspector General (HHS-OIG) can often catch home health agencies by surprise. And after a slower audit period during the COVID-19 pandemic, experts told Home Health Care News that providers should expect a ramp-up in audits over the next year. Battling that element of […]
Federal watchdogs reported the Centers for Medicare & Medicaid Services (CMS) has not collected the near-$500 million in Medicare overpayments that were found in audits over a two-year period beginning in 2014. The Office of the Inspector General at the Department of Health and Human Services (OIG-HHS) recently reviewed 148 Medicare audits it conducted for […]
The home health industry should keep its collective eye on the U.S. Department of Health & Human Services Office of the Inspector General’s (HHS-OIG) recent audits on the hospice industry, because it soon could be next. As the home health space continues to grow, federal oversight and the scrutiny attached to the industry have grown […]
Home health enforcement efforts have been on the rise in 2021, especially over the past couple of months. There have been developments with at least two multi-million-dollar fraud schemes, with the watchdog arm of the U.S. Department of Health and Human Services (HHS) also releasing findings from a large hospice-related audit. On July 15, federal […]
The state of Iowa did not sufficiently monitor its health home care program providers for at least four years, resulting in tens of millions of dollars in improper reimbursement, the Office of Inspector General (OIG) found upon review. The Medicaid health home care option allows states flexibility in creating programs that produce care coordination and […]
So far, April has already seen two home health industry officials sentenced to a combined 15 years of prison time for their roles in multi-million scams, plus a conviction in the U.S. Department of Justice’s (DOJ’s) biggest health care fraud scheme ever. On April 4, DOJ announced the former director of nursing and administration of […]
The Centers for Medicare & Medicaid Services (CMS) has extended its moratoria on new home health care agencies in Florida, Illinois, Michigan, Texas, Pennsylvania and New Jersey. The home health moratoria went into effect in 2013 in Chicago, Illinois, and Miami, Florida, to prevent the enrollment of new agencies in these areas and has since […]
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