Tag: Program Integrity

President’s Budget Reinforces Goal of Unified Post-Acute Payment System, Takes Aim at Hospice in Nursing Homes

On Monday, February 10, 2020, a general outline of the President’s fiscal year (FY) 2021 budget was submitted to Congress. The FY2021 budget proposes to reduce spending on programs administered by the Centers for Medicare & Medicaid Services (CMS) by $1.6 trillion over the next 10 years, including $500 billion from Medicare and $920 billion…

Heightened CMS Medicaid Oversight Could Lead to Audits, Red Tape

The Centers for Medicare & Medicaid Services (CMS) announced Tuesday, June 26, that it is moving forward with an initiative “to strengthen Medicaid program integrity,” with plans for stricter enforcement of federal rule compliance, tighter regulation of contracts between sates and private insurance, greater oversight of beneficiary eligibility, and a beefed-up audit system. Medicaid spending…

Administration’s Proposed FY2019 Budget Ups Ante on Medicare/Medicaid Program Integrity

The President’s Fiscal Year 2019 budget release on Monday includes a slate of Medicare and Medicaid program integrity proposals certain to affect the home health care community. Centers for Medicare & Medicaid Services (CMS) actuaries project that every new dollar spent combating fraud results in $2 saved, and budget documents point to a return on…