HHS sets goals for expanding new Medicare payment models
The White House administration wants 30% of payments for traditional Medicare benefits to be tied to alternative payment models such as accountable care organizations by the end of 2016. The …
HME News: PECOS preparation pays off, providers say
CMS on Jan. 6 officially began denying claims with the names of physicians not enrolled in PECOS, and providers say so far, so good. “We’ve been very fortunate,” said Lori …
Congress Braves First Steps in Medicare Reform
Seniors beware: Congress is considering changes to what Medicare will pay for, and what’s coming out of your pocket. Congress is getting serious about changes to Medicare, even if that …
CMS replaces executives who departed after HealthCare.gov troubles
The Centers for Medicare and Medicaid Services has named replacements for two top executives who exited the agency after the botched rollout of the federal government’s online insurance exchange, HealthCare.gov. …
Silver Spring woman sentenced for health care fraud
A Silver Spring woman who pleaded guilty in a health care fraud case will have to spend six months in home confinement and pay back more than $150,000. Rosemary McDowall, …
PAMS: CBA Reimbursement Question Clarification from CBIC
PAMS has received a positive response from CMS and the Competitive Bidding Implementation Contractor (CBIC) regarding who can serve Medicare beneficiaries who live outside of a CBA but who purchase …
CMS issues guidance on survey timing for facilities that change ownership
Surveyors should prevent providers from being able to game the Medicare system through well-timed facility sales and purchases, the Centers for Medicare & Medicaid Services instructed in a recent memorandum. …
Miami Home Health Company Owners and Patient Recruiter Plead Guilty for Roles in $20 Million Health Care Fraud
The owners and operators of several Miami home health care agencies and a patient recruiter pleaded guilty today in connection with a health care fraud scheme involving defunct home health …