Home Health Providers Have Been ‘Left On The Outside Looking In’ With Interoperability

Home health providers — and other long-term and post-acute care organizations — haven’t kept pace with other care settings when it comes to interoperability. That’s according to a recent report released by the U.S. Department of Health and Human Services (HHS). Overall, the report found that 80% home health organizations and nursing homes are implementing […]

Home-Based Care Providers Sue CMS, HHS Over COVID-19 Relief Funds

A group of New York home-based care providers are taking aim at the Department of Health and Human Services (HHS), the New York State Department of Health (NYSDOH) and the U.S. Centers for Medicare & Medicaid Services (CMS) in a lawsuit filed Friday. Broadly, the case alleges unfair distribution of funds from the American Rescue […]

HHS Loosens Provider Relief Fund Restrictions, Allows Agencies to Cover Lost Revenue

In response to ongoing opposition from both lawmakers and providers, the Department of Health and Human Services (HHS) recently announced it has made changes to its rules surrounding COVID-19 relief funding. The department’s amended rules now allow providers to use Provider Relief Fund (PRF) money toward lost revenue that’s potentially unrelated to COVID-19. “After reimbursing […]

Senator Kirsten Gillibrand Pushes for Increased PPE, Telehealth Payment for In-Home Care Providers

U.S. Senator Kirsten Gillibrand (D-Ny.) is asking the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to ensure that in-home care providers have access to essential resources amid the coronavirus.   Throughout the public health emergency, home health and home care providers have been vocal about the challenges […]

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 […]

Home Health Agencies with Recent Acquisitions Likely Still Waiting on CARES Act Funds

In response to the COVID-19 emergency, the federal government distributed billions of dollars in CARES Act relief funding to health care providers, including Medicare-certified home health agencies. In some cases, though, the funds are being held up due to the distribution process. That’s a costly hold-up for providers, many of which are using the relief […]

HHS to Investigate DME Competitive Bidding Program

The U.S. Department of Health and Human Services Office of the Inspector General (OIG) announced it will investigate the Centers for Medicare & Medicaid Services’ (CMS) controversial Competitive Bidding program for durable medical equipment (DME). The OIG informed U.S. Representatives Glenn “GT” Thompson (R-PA) and Bruce Braley (D-IA) of its decision to initiate an investigation […]