While the home health care industry has seen more and more regulations come through that pike, hospice may appear to be a bit more of a safe haven in post-acute care. However, increasing regulation pressures are likely to advance, according to Bill Dombi, president of the National Association for Home Care & Hospice (NAHC), and […]
Happy Monday, Home Health Care News readers, and welcome to October. Catch up on all things home health and home care with our weekly roundup of must-read news. Keep reading to see our most-read posts from last week—and why home health fraud is once again coming into the spotlight. Around the Web Atop the list is a […]
This summer, the Justice Department announced the largest health care fraud takedown ever, involving schemes across several health care settings resulting in approximately $1.3 billion in false billings. Major home health schemes were uncovered as part of the takedown, and the announcement sent a message to fraudsters—federal agencies are cracking down. The Department of Health and […]
Happy Monday, Home Health Care News readers. Take a moment to catch up from the weekend on all things home health and home care with our must-read news. Keep reading to see our top stories from last week. The Department of Health and Human Services (HHS) Office of Inspector General announced it will review health […]
The state of New York improperly claimed reimbursements for a significant amount of Medicaid Long-Term Care (MLTC) plans, resulting in $1.4 billion in overpayments in fiscal year 2014, according to a report from the Office of Inspector General (OIG). MLTC plans include fixed monthly capitation payments to provide long-term care services to beneficiaries who are chronically […]
With the goal of reducing overall care costs, home health agencies are increasingly playing a role in accountable care organizations (ACOs), according to a recent report from the Office of Inspector General (OIG)—and the groups are saving money. In the first three years of the Medicare shared savings program, 428 ACOs served 9.7 million beneficiaries, achieving a net […]
A federal watchdog is planning to take a deeper look at home health billing practices nationwide. Specifically, the U.S. Department of Health & Human Services Office of Inspector General (OIG) recently announced it intends to identify the common characteristics of “at-risk” home health agencies using data from the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive […]
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 […]
To improve the oversight of personal home care services paid for by Medicaid, the solution is simple: Withhold money from states if they do not furnish the data that federal agencies require for monitoring. That was the idea put forward Tuesday by Rep. Chris Collins (R-NY) during a hearing of the Oversight and Investigations subcommittee […]
Home health care agency owners would be the first to say the industry is seeing an onslaught of new regulations. However, there may be good reason for it—the industry is rife with improper and fraudulent payments, according to the Centers for Medicare & Medicaid Services (CMS). A whopping 59% of home health payments in 2015 […]
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