The Centers for Medicare and Medicaid Services (CMS) has certainly kept the home health industry on its toes, with 2017 being a banner year for regulations and proposals. Between the now on-hold home health groupings model (HHGM), and the new conditions of participation (CoPs) set to take effect on January 13, 2018, home health providers […]
The FBI has wrapped up the largest ever home health care fraud case, which centered around a $374 million scheme in Texas and involved seven individuals, the agency stated in a post on Monday. The sentencing of Cynthia Stiger, 52, of Dallas, in October to 10 years in prison marked the end of the major fraud case, which spanned eight […]
Medicare home health care beneficiaries are likely to have worse outcomes if they are poor, black or dually eligible for Medicare and Medicaid, according to a findings published in the Journal of the American Geriatrics Society. The study looked at the 30- and 60-day clinical outcomes for home health Medicare beneficiaries from 2012 to 2014. […]
Having more in-home support services in place could help prevent spousal caregivers from dropping their partners off at the emergency department as a source of respite, a phenomenon known in some medical circles as “pop drop.” That’s according to a new University of Michigan study in the Aug. 24 edition of the Journal of the American […]
The Centers for Medicare & Medicaid Services (CMS) has proposed to cancel mandatory bundled payment models and make changes to an existing bundled payment initiative focused on joint replacements. The proposal aligns with what home health stakeholders have called for, as some have stated the mandatory bundles were being implemented too fast. Specifically, CMS is moving […]
The Department of Health and Human Services (HHS) was told late last year to clear a Medicare appeals backlog by 2021. But a higher-court judge last week said such a task may be impossible under current law, and ordered a halt to the timeline. The U.S. Court of Appeals for the D.C. Circuit found merit […]
July marked the largest health care fraud takedown in history, as the Department of Health and Humans Services (HHS) Office of Inspector General (OIG) charged individuals in multiple schemes involving $1.3 billion in false billings to Medicare and Medicaid. More than 400 individuals were charged in 41 federal districts in July for allegedly participating in false billings […]
Home modifications are proven to help keep seniors at home longer through retirement and to save Medicare dollars, which may be why a bill to provide a tax credit for adjustments at home is gaining traction. The bill, Senior Accessible Housing Act, allows qualified individuals to claim a tax credit up to a lifetime limitation of […]
If there’s one word that can instantly strike fear in the heart of a home health care business owner, it is, perhaps, “audit.” That’s because agencies can be subjected to an audit of their records and health care claims at any point, seemingly at the mere will of a state or federal agency. As some in the […]
Happy Monday, Home Health Care Readers. After celebrating the first official summer weekend, catch up on all things home health and home care with our Monday Jump-Start. Last week, we clued you in to the news that an overhaul of the Medicare payment model could be coming down the pike in the near future, with […]
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