Removal of Flu Vaccine Measure to Boost Home Health Star Ratings

Home health agencies participating in the Centers for Medicare and Medicaid Services’ (CMS) Quality of Patient Care (QoPC) Star Rating program could see a slight uptick in their average ratings on Home Health Compare, thanks to CMS’ proposed removal of the influenza immunization measure. Currently, home health agencies must be able to report on five […]

How Agencies Can Win with Targeted Probe & Educate

The Centers for Medicare and Medicaid Services (CMS) has certainly kept the home health industry on its toes, with 2017 being a banner year for regulations and proposals. Between the now on-hold home health groupings model (HHGM), and the new conditions of participation (CoPs) set to take effect on January 13, 2018, home health providers […]

$374 Million Home Health Care Fraud Case Concludes

The FBI has wrapped up the largest ever home health care fraud case, which centered around a $374 million scheme in Texas and involved seven individuals, the agency stated in a post on Monday. The sentencing of Cynthia Stiger, 52, of Dallas, in October to 10 years in prison marked the end of the major fraud case, which spanned eight […]

Income Level, Race Tied to Worse Home Health Outcomes

Medicare home health care beneficiaries are likely to have worse outcomes if they are poor, black or dually eligible for Medicare and Medicaid, according to a findings published in the Journal of the American Geriatrics Society. The study looked at the 30- and 60-day clinical outcomes for home health Medicare beneficiaries from 2012 to 2014. […]

How More In-Home Support Could Combat ‘Pop Drop’

Having more in-home support services in place could help prevent spousal caregivers from dropping their partners off at the emergency department as a source of respite, a phenomenon known in some medical circles as “pop drop.” That’s according to a new University of Michigan study in the Aug. 24 edition of the Journal of the American […]

CMS Proposes to Cancel Mandatory Bundled Payment Models

The Centers for Medicare & Medicaid Services (CMS) has proposed to cancel mandatory bundled payment models and make changes to an existing bundled payment initiative focused on joint replacements. The proposal aligns with what home health stakeholders have called for, as some have stated the mandatory bundles were being implemented too fast. Specifically, CMS is moving […]

Feds Conduct Largest Ever Health Care Fraud Crackdown

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 […]

Bill to Give Seniors Credit to Modify Homes Gains Momentum

Home modifications are proven to help keep seniors at home longer through retirement and to save Medicare dollars, which may be why a bill to provide a tax credit for adjustments at home is gaining traction. The bill, Senior Accessible Housing Act, allows qualified individuals to claim a tax credit up to a lifetime limitation of […]