Since Ohio’s new managed care plan for dual eligibles rolled out locally in July, home health workers — and their agencies — have been struggling to adjust to payment processing changes, The Columbus Dispatch reports. Before the plan, called “MyCare Ohio,” the government would process claims submitted by independent workers and home health agencies in […]
Category: Home Health Care
The state of Kansas is prepared to fight against a planned federal labor rule that would affect cost of home health care services, media report. Gov. Sam Brownback’s administration says the new rule will hurt Kansans who receive home-based services that allow them to continue to live in their own homes as it would increase the […]
The owner of three Detroit-Area home health agencies pleaded guilty Wednesday for his role in a $22 million home health care fraud scheme. Muhammad Aamir, 43, of Bloomfield Hills, Mich., admitted that, beginning in 2008 and continuing through January 2013, he conspired with others to bill Medicare for home health care services that were not […]
Each day, thousands of home-based caregivers are put into life-and-death situations with little training and virtually no direct supervision, mainly because state payments are too low to cover additional training and oversight expenses, reports the Star Tribune. The Minneapolis-based newspaper interviewed more than two dozen personal care attendants and found that only one had received […]
The U.S. Government Accountability Office (GAO) has found that the Centers for Medicare & Medicaid Services (CMS) does not have reliable data or sufficient oversight to measure and prevent duplication of postpayment claims reviews. CMS should provide additional oversight and guidance regarding data, duplicative reviews and contractor correspondence to improve effectiveness and efficiency of postpayment […]
Average overall rating of hospice care is 93 out of 100, according to the latest results of a survey by the Centers for Medicare & Medicaid Services (CMS). In the Hospice Experience of Care Survey, more than 1,100 individuals reported experiences from decedents receiving hospice care from 29 different hospice organizations. The survey is meant to act […]
The Centers for Medicare & Medicaid Services (CMS) has issued four change requests that provide guidance on home health policy and claims processing issues, seeking to improve compliance and prevent program vulnerability. The first, Change Request 8699, prevents duplicate payments when overlapping inpatient and home health claims are out of sequence. The request improves safeguards […]
With talks heating up in recent months around two possible acquirers for major home health and hospice provider Gentiva (NYSE: GTIV), the company says regardless of a possible merger, it’s positioning itself to be a major presence in the post-acute care sector. Kindred Healthcare (NYSE: KND) and an unnamed party have upped their bids for […]
Hospices serving Medicare beneficiaries will see an estimated 1.4%, or $230 million, increase in their reimbursements for fiscal year 2015, according to a final rule issued by the Centers for Medicare & Medicaid Services (CMS). The payment increase would be the net result of a hospice payment update to the hospice per diem rates of […]
Changing health care legislation has pushed the adoption of electronic health records (EHRs) in the industry, but new technologies are emerging to keep up with the industry’s evolving needs. LG CNS, a subsidiary of LG focused on information technology services, has rolled out a new version of its Point of Care Solution (POCS) in order […]
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