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Senior Care Advocates, Hospital Groups Voice Concerns Over Potential 6% Medicare Cut

Home Health Care

Home health agencies and other Medicare stakeholders are worried, however, about a potential 6% cut that could be coming down the pike. The cuts come in the form of Medicare sequestration and PAYGO. Signed into law in August 2011, Medicare sequestration is a federal savings mechanism that aims to decrease the U.S.

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CMS is Taking Action to Address Benefit Integrity Issues Related to Hospice Care

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare Effective oversight and enforcement are important to protect the integrity of the Medicare program, especially for vulnerable, seriously ill individuals and their families. Unfortunately, hospices are profiting from fraud at the expense of beneficiaries far too often.

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Abuse and Neglect: CMS Should Strengthen Reporting Requirements to Better Protect Individuals Receiving Hospice Care

Briggs Healthcare

GAO’s review of Centers for Medicare & Medicaid Services (CMS) requirements for reporting and responding to abuse and neglect allegations found two gaps in the requirements for hospices, compared with requirements for extended care provided in hospitals and nursing homes.

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VCU Health Brings Hospital-At-Home Program To Central Virginia

Home Health Care

Virginia Commonwealth University (VCU) Health has rolled out a hospital-at-home program — the first in central Virginia. VCU Health at Home’s service lines includes home-based primary care, primary and specialty telehealth appointments, remote patient monitoring as well as skilled home health and hospice care.

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Given Regulatory Uncertainty, Hospital-At-Home Models Are Losing Momentum

Home Health Care

The Centers for Medicare & Medicaid Services (CMS) gave health systems and providers the ability to take hospital at home as a concept and run with it during the public health emergency (PHE). Indeed, there are plenty of hospitals that have been approved to provide hospital-level care in the home under the CMS waiver.

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What CMS Gets Wrong About Referral Rejection Rates In Home Health Care

Home Health Care

In light of the increasing need for post-acute care, hospitals are grappling with challenges tied to ensuring patients are directed to the most suitable post-discharge care setting. As home health stakeholders lobby Congress to counter Medicare cuts, they still question this view. “It million to 2.8

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HHS & DOJ FY 2022 Enforcement Targeted Fraud in COVID-19, Telemedicine, Opioid and Prescription Drugs, and Substance Use Treatment Centers, Among Other Initiatives

Sheppard Health Law

HHS-OIG conducted investigations resulting in 661 criminal actions against individuals related to Medicare and Medicaid, as well as 726 civil actions, including false claims, unjust-enrichment lawsuits, and civil monetary penalty settlements. Enhancing program integrity in noninstitutional care settings, such as home health and hospice care.