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 […]
HHS
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 […]
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 […]
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, […]
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 […]
Happy Monday, Home Health Care News readers. Get caught up on all things home care with our must-read news, and keep reading to see our top stories from last week. On Friday, the Office of Inspector General (OIG) released its annual 2017 fiscal year Health Care Fraud and Abuse Control Program report for 2017, revealing that the […]
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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 […]
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 […]
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 […]
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