by Audrey Kinsella, Telehealth Reporter Annual Event Set For Boston, October 20-21 “Digital Technology that Cares: Bringing the Human Element to Life” is the theme of this year’s 13th annual Partners Healthcare-sponsored Connected Health Symposium, taking place in Boston on October 20-21./ As in past years, the event will present dozens of seasoned speakers and […]
by Elizabeth E. Hogue, Esq. The U.S. Court of Appeals for the Tenth Circuit recently ruled in favor of a home health agency, Caring Hearts Personal Home Services, Inc; in Case #: D.C. No. 2:12-CV-02700-CM-KMH. Specifically the Court decided that CMS applied criteria to the retrospective denial of the Agency’s claims that were not applicable […]
By Tim Rowan. Editor If there is a single criticism that summarizes all the complaints about the CMS document that misrepresents early Pre-Claim Review results in Illinois, it is this. The decision to publish spin instead of fact is a tacit admission by the bureaucrats at CMS that they know Pre-Claim Review is failing. If […]
by Tim Rowan, editor and publisher, Home Care Technology Report Medicare-certified Home Health Agencies in Illinois are furious over a memo CMS posted on its web site on October 5. HHAs in Florida and Texas are not yet furious but are experiencing growing concern. NAHC has already released an official response, in which it criticizes […]
by Wendell Potter. senior analyst at the The Center for Public Integrity and president of Wendell Potter Consulting. You undoubtedly have heard that some of the country’s biggest health insurers have decided to leave several Obamacare markets, which means that tens of thousands of us will be affected next year. You probably haven’t heard — at least […]
Submitted by representatives of NAHC. October 5, 2016 CMS released “Early Data from Illinois” regarding the pre-claim review (PCR) demonstration program. While CMS attempts to paint a somewhat rosy picture of the project, both the data presented along with the data missing demonstrate that the problems that HHAs have cited with PCR are significant and […]
By Tim Rowan, Editor & Publisher, Home Care Technology Report Evidence continues to pour in from Illinois that CMS’s Pre-Claim Review pilot is devolving into utter chaos. Pre-Claim auditors at Palmetto GBA issue conflicting decisions, give out inaccurate advice, and change their minds about what the rules are from day to day. The frustration building […]
By Tim Rowan, Editor & Publisher, Home Care Technology Report Medical Equipment Divested; Decision pending about EMR division Editor’s note: This article was edited for accuracy on 10/5/16 at 1:00 pm EDT. Please disregard previous versions. McKesson and Change Healthcare have agreed to create a new healthcare information technology company. The new organization brings together […]
By Tim Rowan, Editor and Publisher of Home Care Technology Report Arriving at a complete understanding of the complex Illinois experience under the first Pre-Claim Review pilot and interpreting it for our readers is too large of a task at this early date. Instead, we offer nearly all of the comments we have heard — […]
by Tim Rowan, Editor & Publisher, Home Care Technology Report While most of the blame for Palmetto’s [Palmetto Government Benefit Administrators (PGBA)– Home Healthcare Medicare Administrative Contrators for IL and other states] 80% denial rate in Illinois can be laid squarely at the feet of PGBA reviewers who have not been adequately trained in Medicare […]
