“Ban the Box” LegislationHHAs also must be aware of the number of states, counties, and cities that have passed ban-the-box legislation limiting the use of criminal records in hiring. There are currently seven states (Hawaii, Illinois, Massachusetts, Minnesota, New Jersey, Oregon, and Rhode Island) and more than 100 counties and cities (including Baltimore, New York City, Newark, Philadelphia, San Francisco, Seattle, and Washington, DC) that have enacted legislation covering private employers. Generally, ban-the-box legislation restricts the timing of when an employer may inquire about an applicant’s criminal history (e.g., after the first interview or after a conditional offer has been made), but some of the laws (e.g., in New York City and Philadelphia) require employers to consider a list of factors before disqualifying an applicant based on criminal history. HHAs should determine whether they are subject to ban-the-box legislation, as certain laws specifically … [Read more...] about Home Health Care Industry Faces an Escalating Number of Criminal Background Check Laws and Requirements
Medicare medicaid home health care
Last year, in an effort to disband the union and curb what many saw as “forced unionization” of independent contractor home health care workers, the Michigan Legislature defunded the Michigan Quality Community Care Council. When that didn’t work to stop the deduction of union dues from home health care workers’ paychecks, the Legislature passed a law excluding home health care workers and similar employees from the definition of “public employee,” effectively outlawing the established SEIU home health care union. The law was challenged in court and a federal court judge issued a preliminary injunction in June allowing the union dues deductions to continue until the current contract expires in February 2013. … [Read more...] about Fight over unionization of Michigan home health care workers continues in federal court and at the ballot box in November
“I think the reality is under a Trump presidency, it’s probably not going to be passed in the next two years,” Harder said about Medicare-for-all. “But we need to be making it very clear what we’re standing up for, and we’re standing up for the fact that every individual needs to be covered.” … [Read more...] about Will Democratic control of House produce single-payer health care?
Simplify Therapy Reassessment TimeframesUnder current rules, therapy reassessments must be performed on or “close to” therapy visits 13 and 19 and at least once every 30 days. A qualified therapist, of the corresponding discipline for the type of therapy being provided, must functionally reassess the patient. The results of the reassessment and the effectiveness (or lack thereof) of the therapy must be documented in the clinical record. Moreover, when multiple types of therapy are provided, each therapist must assess the patient after therapy visit 10 but no later than therapy visit 13 and after therapy visit 16 but no later than therapy visit 19 for the plan of care. When a therapy reassessment is missed, any visits for that discipline prior to the next reassessment are not covered. As might be expected in view of the complexity of this documentation requirement, providers expressed frustration regarding the timing of reassessment for … [Read more...] about Centers for Medicare Service (CMS) Proposes Update to 2015 Home Health Prospective Payment System for Comment
On December 13, 2012, Dr. Michael David Goodwin, a Texas orthodontist, pleaded guilty to one count of health care fraud relating to a scheme he devised to defraud the Texas Medicaid program of approximately $2.6 million. Dr. Goodwin admitted that from January 2008 to March 2011 he: (1) billed Texas Medicaid for services that were not medically necessary; (2) billed for services provided by dental assistants without supervision by a dentist or orthodontist; (3) billed for services rendered to Medicaid patients scheduled for treatment on days when Dr. Goodwin was not in the state and which, instead, were rendered by dental assistants; (4) hired dentists who were not enrolled in Texas Medicaid to provide the appearance of supervision while dental assistants treated patients and billed for those services; and (5) instructed dental assistants to falsify patient records to reflect an “adjustment” when none had been performed. On February 11, 2013, Dr. Goodwin was ordered to … [Read more...] about Health Care Enforcement in 2012: A Year in Review