Pre-Claim Review Coming Back for Home Health
CMS has introduced a new round of pre-claim reviews for home health agencies and the likelihood of it becoming a reality is getting closer than ever. This next round adds …
CMS has introduced a new round of pre-claim reviews for home health agencies and the likelihood of it becoming a reality is getting closer than ever. This next round adds …
Humana has been allowed to move forward with the ability to purchase a 40% stake in Kindred at Home. The insurer also has the first right to purchase the additional …
As many agencies are aware and undergoing, CMS has implemented a Targeted Probe and Educate program. Aside from the obvious jokes about being probed by Medicare and feeling uncomfortable, the …
Home health agencies know that overzealous survey and fraud programs can do more harm than good. A Texas agency knows this all too well. Family Rehabilitation Inc. located in Texas …
Does MedPac really understand home health? From their latest report to Congress it is safe to assume that their understanding stops at the basics. Their financial understanding of how well …
We often hear about agencies or clinicians committing fraud or partaking in abuse. But what are the clear definitions of fraud and abuse? The new Conditions of Participation (COPs) when …
A recent study in the Annals of Internal Medicine shed some interesting light on, and evidence of what many in home health have always thought occurred but didn’t have tangible …
A recent Inspector General’s (IG) report outlines the biggest and sometimes most conflicting item provided during a survey: the patient list. Agencies typically provide a list of all patients or …
Nursing homes and outpatient providers are rejoicing at the news that Congress has rescinded caps on how much therapy could be performed without significant hurdles. Congress made the change in …
Starting in 2019, agencies should expect more Medicare beneficiaries shift to Medicare advantage plans. CMS has released information that Medicare Advantage plans can now start to provide non-skilled services as …