OIG Special Agents Sound Off on Hospice Fraud, CMS Rules

In one example of hospice fraud, a provider was caught billing for 17 days of general inpatient care for a 70-year-old Medicare beneficiary, though a caregiver had never even visited him. In another case, an owner a hospice was found to be using recruiters to solicit and enroll beneficiaries for hospice care when they were […]

OIG Issues Sweeping Report on Hospice Fraud and Care Quality Concerns

To counter claims of fraud and abuse in the hospice industry, federal regulators have loudly announced their plans to aggressively go after dishonest providers. Those watchdogs include the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), which released a sharp new report on fraud vulnerabilities within the Medicare hospice program on […]

HHS Chief Technology Officer to Join LHC Group

The current chief technology officer for the U.S. Department of Health and Human Services (HHS) will soon leave his post in Washington D.C. to join Lafayette, Louisiana-based LHC Group (Nasdaq: LHCG) and fill a newly created position dedicated to innovation. HHS CTO Bruce Greenstein will become LHC Group’s first chief innovation and technology officer in June, […]

4 Ways Home Health is Readying Itself for a Value-Based Economy

Home health care providers are in the midst of a shifting environment and getting on board for ongoing demonstration programs and upcoming regulatory changes. Even with changes at the Department of Health and Human Services (HHS), home health providers can bet that the momentum to a value-based economy in health care that started from the Affordable […]

Movers & Shakers: Interim HealthCare Adds Executives

Movers & Shakers is brought to you by the Home Health Care News Job Board. Browse and apply to management and executive home health care jobs and positions from leading professional firms serving the industry.  Employers can post single jobs, purchase job packages or our premium subscription that includes unlimited job posts and editorial coverage for one […]

ACO Bets Hospital at Home is The Future

Accountable care organization Atrius Health is betting big that hospital care will move into the home. To that end, Massachusetts-based Atrius recently partnered with Medically Home Group, a health care technology and service company based in Westport, Connecticut, that recently raised $4 million. As a Pioneer ACO that takes care of more than 740,000 patients […]

White House Budget Calls for Home Health Payment Cuts

The White House on Monday released its proposed 2019 federal budget, which calls for the home health groupings model (HHGM) to be implemented along with a unified post-acute payment system, and allocates more money to crack down on home health fraud. The budget document provides insight into what policies President Donald Trump’s administration would like […]

[Updated] House Lawmakers Include HHGM in Proposed Spending Bill

House lawmakers approved a new spending bill to keep the federal government running that included several home health provisions, notably the reintroduction of a controversial overhaul to the Medicare payment system known as the home health groupings model (HHGM). HHGM was first floated in the proposed rule setting 2018 Medicare payment rates for home health, but […]

Fraud Watch: Doctor’s Conviction Overturned

New Orleans Doctor’s Fraud Conviction Overturned A New Orleans-based doctor and owner of a home health care company will likely be released from federal prison after an appeals court overturned the original conviction. Dr. Pamela Ganji and Elaine Davis were convicted of health care fraud and conspiracy to commit health care fraud in 2017. Ganji […]