by Tim Rowan | Aug 23, 2023 | CMS, Regulatory
by Tim Rowan, Editor Home Care Agency Removed Black and Hispanic Home Health Aides from Assignments to Accommodate Racial Preferences of Clients, Federal Agency Charges There is a question that appears on social media chat pages with great regularity. What does a home...
by Tim Rowan | Aug 9, 2023 | Editorial
analysis by Tim Rowan, Editor It is good to occasionally remind ourselves that 2023 is the year enrollment in Medicare Advantage reached a full half of Medicare beneficiaries. Originally conceived as a plan to control spending, MA does seem to be achieving that goal....
by Elizabeth E. Hogue, Esq. | Jul 12, 2023 | CMS, Regulatory
by Elizabeth Hogue, Esq. For providers to be liable under the federal False Claims Act, enforcers must prove that they knowingly submitted false claims. The U.S. Supreme Court recently issued an opinion in United States ex rel. Schutte v. SuperValu, Inc. [No. 21-1326...
by Tim Rowan | May 17, 2023 | Admin, Regulatory
by Tim Rowan, Editor T he Department of Labor, Wage and Hour Division, has selected several southeastern states as targets for its investigation into a practice that appears to be quite common, underpaying in-home caregivers. It appears, based on early DoL reports,...
by Rowan Report | Feb 1, 2023 | Admin
by Wendell Potter Medicare Advantage is a money-making scam. I should know. I helped to sell it. Right now, well-funded lobbyists from big health insurance companies are leading a campaign on Capitol Hill to get Members of Congress and Senators of both parties to sign...
by Tim Rowan | Feb 1, 2023 | CMS, Medicare Advantage, Regulatory
by Tim Rowan, Editor CMS Rule to Protect Medicare The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, finalized the policies for the Medicare Advantage “Risk Adjustment Data Validation” program, which...
by Tim Rowan | Sep 16, 2020 | CMS, Regulatory
Bi-Partisan Congressional Committees Demand CMS Administrator Repay Misspent Funds his month, two House committees and two Senate committees published a report of a joint investigation into Centers for Medicare and Medicaid Services Administrator Seema Verma’s...
by Tim Rowan | Sep 9, 2020 | CMS
CMS News: New Training, New HH Compare Home Health Quality Reporting Training September 01, 2020 Introduction to the Home Health Quality Reporting Program Web-Based Training The Centers for Medicare & Medicaid Services is offering a web-based training course for...
by Tim Rowan | Aug 19, 2020 | Clinical
New COVID Evidence Changes the Way Healthcare is Delivered by Tim Rowan, Editor In its August 12 edition, Smithsonian Magazine summarized new research conducted by epidemiologists and published both in The New England Journal of Medicine and a bulletin of the Centers...