Archive for August 2018
CMS to Ease HHA, Ambulance Enrollment Restrictions
The Centers for Medicare & Medicaid Services (CMS) will ease restrictions it imposed on the enrollment of new home health and non-emergency ambulance providers in six states. In a notice that appeared in the Aug. 20 issue of the Federal Register, CMS announced that providers will be able to apply for a waiver to the…
Read MoreHospital Offering Patient Discounts not Entitled to Full Reimbursement by Insurer
Cigna Healthcare emerged victorious from a lawsuit filed by a Houston hospital that had accused it of underpaying claims to the tune of at least $50 million. In an August 7 ruling, U.S. District Court Judge Keith Ellison of the Southern District of Texas found that the insurer did not abuse its discretion when it…
Read MoreCMS Proposes Payment Changes for Medicare HHAs for 2019
The Centers for Medicare & Medicaid Services (CMS) is soliciting comments on a proposed rule that will impact payment and policy for home health agencies and home infusion therapy suppliers. The proposed rule is an update to the Medicare home health prospective payment system rates for calendar year 2019, as well as a broader case-mix…
Read MoreMedical Device Maker Settles False Claims Allegations, Agrees to Pay $12.5M
A New York-based medical device manufacturer has agreed to pay $12.5 million to settle allegations it caused healthcare providers to submit false claims to federal healthcare programs relating to the use of two of its medical devices. AngioDynamics Inc. was accused of causing false claims to be submitted to Medicare, Medicaid, TRICARE, and other federal…
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