Home Health Care

OCTOBER 18, 2022

million in order to resolve allegations that it paid physicians to induce referrals of patients that led to false claims to the Medicare and TRICARE programs. The company’s former CEO Stanley Carter and COO Brad Carter have agreed to no longer participate in Medicare, Medicaid and all other federal health care programs for five years.

Tricare 105

Tricare Medicaid Medicare Integration 105

Home Health Care

NOVEMBER 8, 2024

Under fee-for-service (FFS) Medicare, home infusion therapy (HIT) involves the intravenous or subcutaneous admission of drugs or biologicals to an individual at home. The quarterly average of HIT service visits was about 7,500 from 2021 to 2023, according to the Centers for Medicare & Medicaid Services (CMS).

Tricare 111

Tricare Medicare Nursing Medicaid 111

Home Health Care

APRIL 26, 2023

Coming off an unfavorable final rule for Medicare Advantage (MA) plans, Humana Inc. During the call, Humana CEO Bruce Broussard applauded the Centers for Medicare & Medicaid Services (CMS) for adopting a three year phase-in in the risk model changes for the 2024 MA rate notice. NYSE: HUM) is still riding high.

Tricare 96

Tricare Medicare Primary Care Medicaid 96

HIT Consultant

MARCH 26, 2024

Extensive Program Support: Handles commercial, Medicaid, Medicare, Tricare, and more. This all-encompassing solution boasts several key benefits: Clear Cost Expectations: Gain a precise understanding of claim costs before processing. Automatic Pricing: Leverage a vast library of methodologies to price any claim in seconds.

Tricare 52

Tricare Regulations Medicaid Medicare 52

Home Health Care

DECEMBER 20, 2022

If a provider receives funding under the Medicare, Medicaid, TRICARE, Veterans Health Administration or Indian Health Services, they are subject to the federal Anti-Kickback Statute, the Stark Law and the Civil Monetary Penalties Statutes.

Tricare 105

Tricare Law Firms Medicaid Medicare 105

Home Health Care

APRIL 11, 2023

The nature of home health provider-Medicare Advantage (MA) plan relationships has slowly begun to change, as some organizations have found ways to successfully work together and derive value from these collaborations more effectively. In fact, MA has more than 28 million beneficiaries, or 45% of the Medicare population.

Tricare 97

Tricare Medicare Remote Care Primary Care 97

NASHP

NOVEMBER 9, 2022

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. X]% of the amount paid by Medicare for the same item or service; or.

Regulations 52

Regulations Medicare Tricare Hospitals 52