CMS rescinded the mplementation of the hospice certifying physician enrollment requirement due to already established law and regulation

WASHINGTON & ALEXANDRIA, Virginia—The National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) responded to the Centers for Medicare & Medicaid Services (CMS) recently revised guidance regarding the implementation of the hospice certifying physician enrollment requirement.

U.S. Senator Kevin Cramer is cosponsoring a Congressional Review Act resolution of disapproval against the final rule issued by CMS

WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) announced a final rule in April, imposing minimum staffing requirements for long-term care facilities (LTC), which provide care to nearly

Julio Arsenio Rodriguez submitted millions in fraudulent claims to Medicare & Medicaid for medically unnecessary DME

MIAMI—A Miami federal district judge sentenced a fugitive to 87 months in prison followed by three years of supervised release for his role in a multimillion-dollar conspiracy to commit money laundering. The judge also ordered him to pay $3,709,860 in restitution.

Shiva Akula was convicted ton 23 counts in relation to an extensive health care fraud scheme

NEW ORLEANS—U.S. District Judge Lance Africk sentenced Shiva Akula, age 68, of New Orleans, to 240 months of imprisonment, three years of supervised release and $2,300 in mandatory special assessment fees, in relation to an extensive health care fraud scheme orchestrated by Akula. In November 2023, a federal jury convicted Akula of all 23 counts of his underlying indictment.

The bipartisan group demanded answers from CMS on the implementation of recent reforms aimed at combatting hospice fraud & abuse

WASHINGTON—On Wednesday, May 8, Congressman Earl Blumenauer (D-OR) and Congresswoman Beth Van Duyne (R-TX) led a bipartisan group of 38 lawmakers demanding answers from Centers for Medicare & Medicaid Services (CMS) on the implementation of recent reforms aimed at combatting hospice fraud and abuse.


The fee schedule payment rates for the PoNS Controller and Mouthpiece is to be discussed at the bi-annual HCPCS Public Meeting

NEWTOWN, Pennsylvania,—Helius Medical Technologies, Inc., a neurotech company focused on delivering a therapeutic neuromodulation approach for balance and gait deficits, announced that the Centers for Medicare & Medicaid Services (CMS) posted proposed Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment rates for the PoNS Controller and Mouthpiece to be discussed at the bi-annual Healthcare Common Procedure Coding System (HCPCS) Public Mee

CGM suppliers who are recipients of the OIG requests have likely been notified via email

The American Association for Homecare (AAHomecare) reported that last week, the HHS Office of Inspector General (OIG) began sending emails and letters to a select group of continuous glucose monitor (CGM) suppliers as part of an evaluation for its study "Medicare Payments Compared to the Prices Available to Consumers and Suppliers for Continuous Glucose Monitors and Sensors." This study aims to determine the cost-effectiveness of Medicare payments in comparison to the supplier’s acquisition c

More have spoken on the rule which many believe will only add more pressure to already stressed staffing in home- and community-based care.

Since the Centers for Medicare & Medicaid Services (CMS) released its Final Rule on "Ensuring Access to Medicaid Services" on Monday, April 22, many in the industry have voiced their disappointment in the rule, including the National Association for Home Care & H

The organization said the Final Rule will result in agency closures, force providers to exit the Medicaid program and make access issues overall worse

WASHINGTON—The National Association for Home Care & Hospice (NAHC) released a statement noting that it was, 'extremely disappointed that the Centers for Medicare and Medicaid Services (CMS) elected to finalize the “payment adequacy” provision in the Medicaid Access Final Rule (CMS 2442-F).'

The proposed rule includes a 2.6% payment rate update, regulatory text changes and a proposed implementation of the Hospice Outcomes & Patient Evaluation (HOPE) tool.

WASHINGTON—On March 28, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (CMS-1810-P) that would update Medicare hospice payments and the aggregate cap amount for fiscal year (FY) 2025 in accordance with existing statutory and regulatory requirements.


This implementation facilitates statewide aggregation of critical health care data aligned with the 21st Century Cures Act

VERLAND PARK, Kansas—Netsmart, a provider of software and services for payers, providers and state Medicaid Agencies, announced the deployment of the Netsmart electronic visit verification (EVV) system for the Montana Department of Public Health & Human Services (DPHHS). This implementation facilitates statewide aggregation of critical health care data aligned with the 21st Century Cures Act.

Findings reveal current audit process’ shortcomings

WASHINTON and ALEXANDRIA, Virginia—Following a series of meetings with the Centers for Medicare & Medicaid Services (CMS) and Members of Congress on efforts to improve and protect hospice program integrity, four national hospice organizations—LeadingAge, the National Association for Home Care & Hospice (NAHC), the National Hospice and Palliative Care Organization (NHPCO)


Fees for codes L8701 and L8702 are effective as of April 1, 2024

BOSTON—Myomo, Inc. (Myomo or the Company), a wearable medical robotics company that offers increased functionality for those suffering from neurological disorders and upper-limb paralysis, today announced that on February 29, 2024, the Centers for Medicare & Medicaid Services (CMS) posted the final Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule payment rates for the MyoPro.

HHS & CMS are looking for comments related to all aspects of the MA program including access to care, PA, care quality and more

WASHINGTON—The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), released a Request for Information (RFI) to solicit feedback from the public on how best to enhance Medicare Advantage (MA) data capabilities and increase public transparency. 

Jeffrey Brooks was charged with conspiring to submit or cause to be submitted false and fraudulent claims to Medicare

GREENVILLE, South Carolina—Jeffrey Brooks, 40, of Clarence Center, New York, was sentenced to more than seven years in federal prison after pleading guilty to one count of conspiracy to commit health care fraud. In addition to Brooks’ criminal conviction, last year, Brooks paid $850,000 in a civil settlement to resolve allegations that he provided kickbacks and caused false claims to be submitted in violation of the federal False Claims Act.

NAHC President Bill Dombi said the recommendation would "destroy the primary Medicare benefit"

WASHINGTON—The Medicare Payment Advisory Commission (MedPAC) voted on Jan. 11 to recommend that Congress reduce 2025 home health payment rates by 7%.

While the move was expected, advocates and the National Association for Home Care & Hospice (NAHC) still voiced their disappointment at the guidance.