Medicare is still planning to make big reductions to home health agency payments, though they may not be as drastic as it originally seemed. The Centers for Medicare & Medicaid Services announced Thursday changes to the Medicare home health prospective payment system for calendar year 2016. Specifically, CMS now projects that Medicare payments to home […]
The CEO of Chicago-based Mobile Doctors has pleaded guilty to bilking Medicare out of nearly $2 million for in-home treatments deemed lengthier than they actually were, Healthcare Finance News reported. In his plea agreement, Dike Ajiri said he changed patient records to denote longer treatment times or more serious conditions. He also said he instructed […]
Legislation that enables more older adults to remain at home instead of moving into a nursing home has passed in Congress. The law expands the Medicare Program of All-Inclusive Care for the Elderly (PACE) to allow providers to develop pilot programs to serve more people who are at risk of needing a nursing home and […]
A Miami physician was indicted as part of a $20 million Medicare fraud conspiracy that already has found one home health operator sentenced to prison. Henry Lora, 51, was charged with two counts of fraud on allegations that the part owner and operator of a Miami-area clinic wrote prescriptions for home health care and other services for […]
The founder of a Texas-based home health care company, Three Angels Home Health Inc., is in U.S. Marshal custody after being charged with Medicare fraud. Grace Munthali, also known as “Ms. Grace,” was sentenced to five years in prison on Sept. 22 after pleading guilty to her role as the ringleader in a scheme to […]
The lead administrator of a Chicago-based home health practice has been sentenced to more than seven years in prison for his role in a $4 million fraud scheme. In addition to the prison term, 58-year-old Rick Brown, president of Home Care America Inc., has also been ordered to pay $1.3 million in restitution, according to a […]
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 […]
A series of whistleblower cases over how Medicare Advantage plans utilize in-home health assessments to set their payment rates has raised concerns over poor government oversight. Filed in 2014 and unsealed by the federal court in Dallas in June, the case against CenseoHealth LLC is one of several such suits filed in the past five […]
Home health leaders largely applauded Congress after legislation to replace Medicare’s controversial Sustainable Growth Rate (SGR) was recently signed into law. And already home care industry groups are seeing positive results from the Medicare Access and CHIP Reauthorization Act, or permanent “doc fix,” according to new data. Among Investor’s Business Daily’s 197 industry groups, its Medical-Outpatient/Home Care industry […]
In case you missed it, here are the most popular Home Health Care News stories grabbing readers’ attention this past week: Home Care Could be Heart of the U.S. Health System by 2024, Leaders Say — People’s homes are likely to become the key setting in tomorrow’s modern health care model, according to leaders from technology […]
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