tci Medicare Compliance & Reimbursement - 2012 Issue 21
Home Health Regulations: Brace For More Monetary And Compliance Burdens
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Article Overview
This article examines a Medicare home health policy issue involving a long-delayed surety bond requirement, the HHS Office of Inspector General’s push for implementation, and CMS’s cautious response. It also summarizes industry objections, access-to-care concerns, and contrasting views from home health associations and lobbying groups. The piece is useful for home health billing and compliance professionals, agency owners, and advisors tracking Medicare program integrity and regulatory changes.
Why This Topic Matters
The topic affects home health agencies’ enrollment, compliance obligations, and potential financial burden under Medicare oversight. It also highlights how program integrity initiatives can influence provider access, especially for smaller agencies and new entrants.
Article Sections
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OIG recommendation and CMS response
This section covers the inspector general’s push for implementation of a long-postponed Medicare home health policy and CMS’s stated position on evaluating its options.
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Surety bonds likely to bring access problems
This section summarizes concerns from industry participants about cost, feasibility, administrative burden, and possible effects on provider participation and beneficiary access.
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Chains call for even higher bond
This section presents support from a home healthcare lobbying group and its views on targeting the policy to certain provider segments and situations.
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Agreement
This section notes areas of overlap between industry groups on limiting the scope of the policy and protecting access in underserved areas.
What You Will Learn
- How a home health surety bond proposal is framed as a Medicare program integrity issue
- What CMS and the HHS Office of Inspector General say about the policy
- Why home health stakeholders are concerned about compliance, cost, and access impacts
- How different industry groups propose narrowing or targeting the requirement
Who Should Read This
- Home health agency owners
- Medical billing and compliance professionals
- Healthcare attorneys
- Medicare policy analysts
- Healthcare consultants
- Home health association staff
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