OIG Ramps Up Home Health Oversight

When a public health emergency was declared last March, the Centers for Medicare & Medicaid Services (CMS) issued a variety of waivers allowing home health providers to more easily provide telehealth services during the crisis. Now, the Office of Inspector General (OIG) has announced an audit, dubbed the “HHA Telehealth Project,” that will examine home […]

OIG: Medicare Overpaid $267M for Hospital In-Patient Claims with Post-Acute Transfers to Home Health Services

Hospitals improperly coding for post-discharge services contribute to hundreds of millions of dollars in Medicare overpayments. And the majority of incorrect payments are often related to home health services. That’s according to a new audit report from the Department of Health and Human Services (HHS) Office of Inspector General (OIG). The purpose of the OIG […]

OIG: Nonprofit Hospital Can Offer Free In-Home Services Despite Anti-Kickback Rules

A hospital can provide free home care to reduce readmissions, despite a federal ban on giving patients freebies that could influence their care decisions. That’s according to a recent advisory opinion from the U.S. Department of Health and Human Services’ (HHS) Office of the Inspector General (OIG). OIG’s advisory opinion comes in response to a […]

OIG: Home Health Surveyors Need More Accurate Patient Information

Home health surveyors select patients for review using lists supplied by home health agencies (HHAs), but some of the lists are missing information, a new report indicates. Of the 28 HHA-supplied rosters reviewed by the Department of Health & Human Services’ (HHS) Office of the Inspector General (OIG), nine were incomplete. Each of the incomplete rosters […]

Editor’s Picks: Fraud, Fraud, Fraud

This week, Home Health Care News readers read up on three main topics: reimbursement, coding and fraud. The Medicare Fraud Strike Force charged about 300 people—including some in the home health industry—in a variety of schemes that involved more than $900 million in fraudulent health care billings, and the Office of the Inspector General identified […]

Vets Endure Yearlong Waits for Home Care

Some veterans in Washington, D.C., waited more than a year to receive purchased home- and community-based services (HCBS), according to a new report from the Office of Inspector General (OIG) at the U.S. Department of Veterans Affairs. The OIG conducted an investigation at the prompting of Sen. Barbara Mikulski (D-MD), who brought attention to a complaint she […]

Home Care Owners Found Guilty in $80 Million Fraud Scheme

The owners of a Washington, D.C., home care agency have been found guilty of bilking the District of Columbia Medicaid program of more than $80 million. On Nov. 12, a jury found Florence Bikundi, 52, and her husband Michael Bikundi, 63, guilty of a slew of charges, including health care fraud, Medicaid fraud, money laundering […]

Providers Mobilize Against Home Health Surety Bonds

Leaders in the home health care industry are urging providers to voice their opposition to recently proposed surety bonds, which one association says could have “serious negative effects” for home health businesses. The National Association for Home Care & Hospice, a nonprofit advocacy group, is leading the charge by encouraging providers to contact their elected […]