CMS Opens Medicare Fraud Command Center
The Centers for Medicare and Medicaid Services has announced it would step up its efforts to identify fraud in the nation’s two health care entitlement programs with a new Command Center. The CMS...
View ArticleFlorida: A Bellwether for Medicaid Expansion
By Erin N. Marcus, The Atlantic He was a “frequent flyer” — a patient with multiple health problems who gets admitted to the hospital repeatedly. It was usually because he hadn’t taken his medicine...
View ArticleHHS Issues New Rule on Electronic Claim Payments
Health and Human Services Secretary Kathleen Sebelius said Tuesday that a new rule for making health care claim payments electronically would save up to $9 billion over the next decade. “These new...
View ArticleFlorida May Get HHA Moratorium From Feds
By Brian Bandell, South Florida Business Journal More of Florida’s home health agencies have questionable billings than any other state, a report found. Now, federal regulators are considering a...
View ArticleOwner of Miami Home Health Company Pleads Guilty in $60 Million Health Care...
The owner of a Miami health care agency pleaded guilty this week for his participation in a $60 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and the...
View ArticleHHS Finalizes ICD-10 Deadline Delay
Department of Health and Human Services (HHS) Secretary Kathleen Sebelius has announced a rule that makes final a one-year proposed delay – from Oct. 1, 2013, to Oct. 1, 2014– in the compliance date...
View ArticleHHS: New Health Care Standards to Save up to $6 Billion
On August 24, HHS Secretary Kathleen Sebelius announced a final rule that will save time and money for physicians and other health care providers by establishing a unique health plan identifier (HPID)....
View ArticleCMS: News Models for Dual Eligible Tested
The Centers for Medicare & Medicaid Services provided guidance to states on opportunities to test two new financial models designed to help states improve quality and share in the lower costs that...
View ArticlePalm Beach County Woman Speaks for Medicare at DNC
By Andrew Abramson, The Palm Beach Post About 15 years ago, Carol Berman exhausted virtually all of her assets to pay for long-term care for her Alzheimers-inflicted husband. Finally faced with having...
View ArticleCMS Presents Open Door Forum on the Affordable Care Act on Sept. 13th
The Centers for Medicare & Medicaid Services (CMS) announced today the first in a series of monthly conference calls for an update on Affordable Care Act (ACA) implementation efforts that impact...
View ArticleHHS: Medicare Advantage Remains Strong
Enrollment in the Medicare Advantage (MA) program is projected to increase by 11 percent in the next year and premiums will remain steady, Health and Human Services Secretary Kathleen Sebelius...
View ArticleSeniors with Medicare Reap Savings Through ACA
Department of Health and Human Services Secretary Kathleen Sebelius says more than 5 million seniors saved money on prescription drugs and received preventative care through the Affordable Care Act in...
View ArticleMedicare Fraud Strike Force Charges 91 Individuals for $430 Million in False...
Indictments Include $230 Million in Home Health Fraud; Miami Agency Charged for Fraudulently Billing Medicare $74 Million By publishing announcements about home health fraud, HCAF demonstrates its...
View ArticleCongress Calling on CMS to Impose Temporary, Targeted Moratorium
Florida congressman joins call for moratorium In light of ongoing reports of Medicare home health care fraud across the nation – including yesterday’s news that indictments were filed in Miami in a...
View ArticleElizabeth Hogue on Questionable Billing Practices to Fix Now
The Office of Inspector General of the U. S. Department of Health and Human Services issued Report OEI-04-11-00240 in August 2012, entitled “Inappropriate and Questionable Billing by Medicare Home...
View ArticleNearly a Million Floridians Could Gain Health Insurance Without the State Paying
By Laura Green, The Palm Beach Post WASHINGTON — Close to one million Floridians could gain access to health insurance without the state chipping in a penny, if state leaders agree to expand Medicaid...
View ArticlePeople With Medicare Have More High Quality Choices
Health and Human Services Secretary Kathleen Sebelius announced late Friday that people with Medicare have more high quality choices and the performance of Medicare Advantage plans is improving. HHS...
View ArticleSettlement Eases Rules Regarding Medicare Home Health Patients
By Robert Pear, The New York Times WASHINGTON — Tens of thousands of people with chronic conditions and disabilities may find it easier to qualify for Medicare coverage of potentially costly home...
View ArticleVermont Woman Was the Lead Plaintiff in National Class Action Lawsuit Against...
By Andrew Stein, The Vermont Digger When 76-year-old Glenda Jimmo of Lincoln was denied Medicare coverage for home nursing services, the blind and diabetic mother of four said she felt it was an...
View ArticleMedicare’s Home Health Care Rules to Focus More on Prevention
By Stephen Nohlgren, The Tampa Bay Times TARPON SPRINGS — Larry Tilson, 52, figures he’s doing pretty well for a guy with Lou Gehrig’s disease. Three-quarters of people with the incurable neuromuscular...
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