Beginning March 29: To help insurance agents and financial advisors like you guide clients in making critical wealth, health and life decisions we will be moving our coverage from to

Our comprehensive coverage will help you expand your knowledge base and adapt a new client-centric approach that incorporates both insurance and investment solutions.

ThinkAdvisor’s new Life/Health channel is your roadmap to thriving in a disrupted environment.


Filed Under:Health Insurance, Ltci

Watchdog: Doctors skimp on home health reviews

Physicians often fail to make a serious effort to look at the patients who are getting Medicare home health care benefits.

Officials at the U.S. Department of Health and Human Services Office of the Inspector General (HHS OIG) say a lack of proper "face-to-face encounters," or failures to document the encounters according to Medicare standards, may affect about $2 billion per year in Medicare home health spending.

Medicare does not normally pay for long-term care (LTC) services for enrollees who live in nursing homes, but it does pay for home health care services.

HHS OIG reviewed 644 face-to-face encounter documents and found that 32 percent failed to meet Medicare program requirements.

"Physicians inconsistently completed the narrative portion of the face-to-face documentation," officials say.

The Centers for Medicare & Medicaid Services, the agency in charge of Medicare, provides "minimal" oversight of compliance with the face-to-face encounter requirement, and CMS has not even provided a standardized documentation form, HHS OIG officials say.

CMS should come up with a form that includes blanks for relevant information, such as a printed version of the physician's name, officials say. 

See also:



Featured Video

Most Recent Videos

Behind the scenes with Vicki Gunvalson [VIDEO]


In this exclusive interview, Vicki Gunvalson shares how she built a $15 million a year annuity business by planning for...

Regulator: Market may need to reinvent LTCI


Cioppa says Maine's governor wants to spur the creation of better products.

Dementia: It's more than Alzheimer's


An association calls for policymakers to remember lesser-known neurodegenerative conditions.

Protesters Disrupt WellPoint Annual Meeting


Hecklers call for more disclosures of information about political contributions.

Related resources

More Resources


Power your business with up-to-the-minute insurance news, analysis, and best practices from LifeHealthPro Daily eNewsletter – FREE.

Power your business with LifeHealthPro Daily eNewsletter – FREE.

Enter a valid email address.
Nichole Morford

Nichole Morford
Managing Editor

Thank you for subscribing to LifeHealthPro Daily!

Check Out More eNewsletters Now! Close

Advertisement. Closing in 15 seconds.