“Federal watchdogs and health care policymakers are signaling plans to ramp up oversight of fraud, waste and abuse in 2020, especially when it comes to home health and hospice agencies.”
“While the efforts are, in part, linked to the misuse of Medicare dollars by bad actors, they’re also simply a result of the U.S. health care sector’s ongoing evolution and increased complexity, according to Centers for Medicare & Medicaid Services (CMS) officials.”
“President Donald Trump called on CMS to reinforce Medicare program integrity earlier this month in one of his latest executive orders. CMS Administrator Seema Verma provided a sneak peek into her agency’s five-pronged plan on Monday…”
“Additionally, CMS hopes AI-powered tools will also help it better oversee value-based payment programs and keep track of today’s increasingly integrated providers.”
“Amedisys, LHC Group Inc. (Nasdaq: LHCG) and many other home health companies have pursued integration by…” Read the full article here.
Source: Why CMS Wants to Use Artifical Intelligence to Sniff Out Home Health Fraud – By Robert Holly, October 24, 2019. Home Health Care News.
