Home Health Care News had a record-breaking year for readers and viewership. With all that went on in 2016, we kept readers up to date on breaking news across the industry. From the implementation of a disruptive, new demonstration to the surprising election of President-elect Trump, here’s our list of the top posts of the […]
OIG
Visiting Nurse Service of New York (VNSNY), the largest not-for-profit, home- and community-based health care organization in the country, may have used hundreds of thousands of dollars worth of federal disaster relief funds inappropriately, and planned to spend millions more inappropriately, according to a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). […]
The owners of a home health care agency in Columbus, Ohio, admitted last week to defrauding Medicaid and building a $932,000 house with the funds, The Columbus Dispatch reported. Muna Alnoubani, 49, and her 51-year-old husband, Riyad Altallaa, pleaded guilty on Dec. 1 in Columbus federal court to conspiring to defraud Medicaid. Altallaa also pleaded guilty […]
It’s been a big week for the home health Pre-Claim Review Demonstration. The poorly-received program made several Home Health Care News headlines, first with its delayed start in Florida, and then due to home health providers still calling for the program’s total suspension everywhere. Meanwhile, the Department of Health and Human Services Office of Inspector General […]
A home health provider based in Brooklyn, New York, should pay back more than $7 million in Medicare payments that it received improperly, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) states in a compliance review released Wednesday. Medicare claims submitted by Excellent Home Care Services LLC for services in […]
It’s nearly time to break out the fireworks and throw the hot dogs on the grill. Before the 4th of July weekend was upon us, we were eager to bring our readers all the latest happenings in the home health industry. One of the nation’s largest home health care companies made a splash by announcing […]
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 […]
Federal authorities are turning up the heat even more in their battle against Medicare home health fraud. The top targets: More than 500 home health agencies and 4,500 physicians identified as having suspicious practices as compared with most providers nationally. To identify these providers, the Office of Inspector General (OIG) for the Department of Health and […]
Insufficient documentation in home health is a primary cause of Medicare fee-for-service improper payments, a new report by the Department of Health and Human Services Office of Inspector General (OIG) has found. The report comes just after a federal audit concluded hospices had improperly billed Medicare by $268 million in 2015. The report underscored how the U.S. […]
Hospices inappropriately billed for general inpatient care (GIP), and most of those services could have been provided in the home care setting instead, according to a recent report from the Office of Inspector General (OIG). About one-third of all billing in 2012 was found to be inappropriate, costing Medicare $268 million for the year, according […]