Federal investigators have uncovered some flaws with the Centers for Medicare & Medicaid Services’ (CMS) face-to-face rule—flaws costing $2 billion worth of erroneous home health Medicare claims, a recent report finds. Documentation standards for face-to-face encounters did not meet Medicare requirements for 32% of home health claims, resulting in $2 billion that should not have […]
Category: Regulation
Two United States Senators have introduced a bill seeking to limit federal oversight on mobile health technology in order to reduce the regulatory burden on the healthcare information technology industry and protect jobs. Senators Angus King (I-Maine) and Deb Fischer (R-Neb.) are sponsoring Senate Bill 2007, Preventing Regulatory Overreach to Enhance Care Technology Act of […]
A bipartisan letter from several House Representatives is calling for the postponement and re-evaluation of a rebasing rule that will cut home health payments by 14% over the next three years. Representatives Ralph Hall (R-TX), Tom Price (R-GA), David McKinley (R-WV) and Doris Matsui (D-CA) sent a letter earlier this week to House Speaker John […]
Following in the footsteps of its initial home health moratorium last year, the Centers for Medicare & Medicaid Services (CMS) will now bar new agencies from enrolling in four additional U.S. metros. CMS today announced a new temporary moratoria on the enrollment of home health agencies in Fort Lauderdale, Detroit, Dallas and Houston, as well […]
Three years following a final rule that will allow for fingerprinting of workers—a measure targeting Medicare fraud—the Centers for Medicare and Medicaid Services is finally making plans to contract with a company to conduct the background checks, according to a Modern Healthcare report. The fingerprint screening is one of several mechanisms now allowed by the […]
In response to growing concerns over the qualifications and training of some home care workers, states are paying closer attention to the rules and regulations around home health care workers and home care aides, and the different training and requirements that apply to each. Home health aides, regulated under the Center for Medicare and Medicaid […]
Although home health care represents one of the nation’s fastest-growing industries, a recent study suggests consolidation might lie ahead as agencies wrestle with maintaining profitability under increasing regulatory pressures. In the past five years, an aging U.S. population, the prevalence of chronic disease and a movement toward cost-efficient treatment options from private and public payers […]
The Centers for Medicare & Medicaid Services (CMS) on Friday tweaked a rule that will result in $200 million less paid to home health agencies in 2014. The rule for calendar year 2014 cuts Medicare payments under the Home Health Prospective Payment System (HH PPS) by 1.05%, which is slightly lower than the 1.5% outlined […]
The Visiting Nurses Association of America recently released a collection of case studies highlighting successful methods and techniques its nonprofit home health and hospice members have tested as they adapt to a new healthcare landscape. The VNAA Case Study Compendium: Innovative Models for the Evolving Home Health and Hospice Industry consists of 10 programs association […]
Kentucky Governor Steve Beshear and his administration have plans to push for mandatory, multi-state background checks for all long-term care workers, according to a local report. The rule would apply to Kentucky workers only, but would prevent workers from potentially running from criminal records held in other states due to the multi-state component of the […]
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