Posts Tagged ‘home health agencies’
Florida Business Owners Sentenced in Wide-Ranging Home Healthcare Fraud Scheme
A Florida man and woman will spend years behind bars for their role in a home healthcare fraud scheme that used stolen patient data and spanned from the U.S. to Cuba.
Read MoreMedicare Audit Targets HHA Overpayments
Gem City Home Care, LLC became the most recent HHA to be ordered to pay back millions in overpayments following an audit by the Centers for Medicare & Medicaid Services. According to CMS, the Ohio-based agency failed to comply with billing requirements for 25 of 100 home health claims in fiscal years 2016 and 2017.…
Read MoreCMS to Phase Out Split-Percentage Payments for New HHAs
Despite concerns from home health agencies (HHAs) that their cash flow could be significantly impacted, the Centers for Medicare & Medicaid (CMS) has announced that beginning in calendar year 2020 HHAs that are certified for participation in Medicare on or after January 1, 2019, will no longer receive split-percentage payments. Split-percentage payments allow a home…
Read MoreOIG Report Finds Vulnerabilities at HHAs That Could Lead to Fraud
Home health agencies are required to submit to onsite surveys to ensure they are complying with Medicare standards. But a recent report from the U.S. Department of Health & Human Services Office of the Inspector General (HHS OIG) finds that in at least one aspect of the survey HHAs may be skirting their responsibilities. As…
Read MoreCMS Issues Sweeping New Rules For HHA Participation in Medicare/Medicaid
Home health agencies have six months to comply with sweeping new changes that will impact their ability to participate in the Medicare and Medicaid programs. Earlier this month, The Centers for Medicare and Medicaid, released its final rules relating to the conditions of participation (CoPs) that home health agencies must meet to participate in the…
Read MoreHome Healthcare Agencies to Realize $130M in Medicare Reimbursement Cuts in 2017
Home healthcare agencies can expect to see a 0.7 percent drop in Medicare reimbursements next year, according to the Centers for Medicare & Medicaid Services. CMS announced the final changes to the Medicare home health prospective payment system (HH PPS) on Oct. 31. The new rule, which takes effect on Jan. 1, 2017, means Medicare…
Read MoreFlorida Home Health Agencies Targeted by CMS for Pre-claim Review
Florida is one of five states that the Centers for Medicare & Medicaid Services (CMS) is targeting for a three-year Medicare pre-claim review demonstration for home healthcare services. However, just how this program will work has raised questions in the home healthcare community. CMS says the steps it is taking are designed to “provide timely…
Read MoreGovernment cracks down on pharmacies, home health agencies, medical directors for medically unnecessary services
It’s no secret that in recent years the number of healthcare fraud investigations and prosecutions in the U.S. has rocketed. Clearly, the amount of taxpayer dollars being lost to fraud and abuse, coupled with the potential for big payoffs when fraud is detected, is a great motivator. Every year that the government racks up successful…
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