Medicaid Crisis Brewing Over Home Care Wage Rule

Several state Medicaid programs are unprepared to pay home health workers overtime, minimum wage or traveling expenses under new regulations—though some states, like Kansas, have been more vocal about the issue than others. A U.S. Department of Labor rule that extends overtime and minimum wage protections to about 2 million home health workers took effect Oct. 13. This […]

WSJ: Why Aging in Place Isn’t All It’s Cracked Up to Be

Aging in place is proving difficult in areas where the population is getting older, houses are in disrepair, supportive services are scarce and younger people who can help have moved away, according to a recent article published in The Wall Street Journal. The article discusses how the northeastern United States — which has the oldest median age […]

New Jersey Pushed to Return $32 Million in Home Health Payments

The New Jersey Department of Human Services improperly claimed more than $32 million in Medicaid payments for home health services that didn’t meet federal or state requirements, according to a recently released report from the U.S. Office of Inspector General. Of 100 randomly reviewed claims for the state’s personal care services program submitted from August […]

New York Home Health Agency to Pay $6 Million Medicaid Fraud Settlement

Empire State Home Care Services, a New York-based home care agency, has agreed to a $6 million settlement following a Medicaid billing audit, New York Attorney General Eric Schneiderman announced Monday. The audit revealed Empire improperly billed Medicaid by reporting salaries and benefits of administrative personnel under direct care cost centers between 2002 and 2005 […]

Editor’s Picks: NAHC on Face-to-Face Lawsuit, Bundled Payment Risk

In case you missed them, here are the top headlines grabbing readers’ attention this week, plus some other notable stories from around the web that caught our eye here at HHCN: Most Read NAHC President Optimistic About Face-to-Face Ruling—President of the National Association for Home Care & Hospice, Val J. Halamandaris, told Home Health Care […]

Investigators Dismantle $60 Million Home Health, Pharmacy Fraud Ring

Federal investigators announced Friday the take down of a massive health care fraud scheme that involved more than $60 million of improper billing to Medicare and Medicaid and the convictions of 39 defendants in Michigan. Propagated by ringleader Babubhai Patel, 51, of Canton, Mich., the scheme involved 26 pharmacies, nine doctors and several home health […]