US Senate criticises home health companies for “gaming” Medicare

According to the federal Centers for Medicare and Medicaid, the number of visits changed after the introduction of the scheme in 2008: six visits rose by 19%; 10 visits fell by 43%; 14 visits increased by 42%; and 20 visits rose by 30%. [...]teams were charged with developing programmes to target th...

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Bibliographic Details
Published in:	BMJ 2011-10, Vol.343 (oct07 1), p.d6454-d6454
Main Author:	Charatan, Fred
Format:	Article
Language:	eng
Subjects:	Baucus, Max Bills Congressional committees Congressional investigations Dove, Henry Health care industry Home Care Agencies - economics Home Care Agencies - legislation & jurisprudence Home Care Agencies - organization & administration Home health care Humans Insurance Claim Review - economics Insurance Claim Review - legislation & jurisprudence Insurance Claim Review - organization & administration Insurance, Health, Reimbursement - economics Insurance, Health, Reimbursement - legislation & jurisprudence Legislatures Medicare Medicare - economics Medicare - legislation & jurisprudence Medicare - organization & administration Medicare fraud Patients Politics Therapy United States
Online Access:	Get full text
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Summary:	According to the federal Centers for Medicare and Medicaid, the number of visits changed after the introduction of the scheme in 2008: six visits rose by 19%; 10 visits fell by 43%; 14 visits increased by 42%; and 20 visits rose by 30%. [...]teams were charged with developing programmes to target the most profitable Medicare therapy treatment patterns, and therapists and regional managers were pressured to follow new clinical guidelines to maximise Medicare reimbursement.
ISSN:	0959-8138 0959-8146 1468-5833 1756-1833