Under the home health prospective payment system (PPS), the Centers for Medicare & Medicaid Services pays home health agencies (HHAs) a standardized payment for each 60-day episode of care that a beneficiary receives. The PPS payment covers intermittent skilled nursing and home health aide visits, therapy (physical, occupational, and speech-language pathology), medical social services, and medical supplies.Our prior audits of home health services identified significant overpayments to HHAs. These overpayments were largely the result of HHAs improperly billing for services to beneficiaries who either were not confined to home (homebound) or were not in need of skilled services.Our objective was to determine whether Caretenders of Jacksonville, LLC (Caretenders), complied with Medicare requirements for billing home health services on selected types of claims.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
|---|---|---|---|---|---|
| Department of Health & Human Services | Medicare Home Health Agency Provider Compliance Audit: Caretenders of Jacksonville, LLC | Audit | Agency-Wide | View Report | |
| Department of the Treasury | Audit of Treasury’s Compliance With the PIIA Requirements for Fiscal Year 2020 | Audit | Agency-Wide | View Report | |
| Pension Benefit Guaranty Corporation | Semiannual Report to Congress for the Period October 1, 2020 to March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
| Department of Agriculture | Office of Inspector General Semiannual Report to Congress FY 2021 - First Half | Semiannual Report | Agency-Wide | View Report | |
| Export-Import Bank | Semiannual Report to Congress: October 1, 2020 to March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
| Consumer Financial Protection Bureau, Board of Governors of the Federal Reserve System | Semiannual Report to Congress, October 1, 2020–March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
| Department of the Treasury | Semiannual Report to Congress (October 1, 2020 - March 31, 2021) | Semiannual Report | Agency-Wide | View Report | |
| National Aeronautics and Space Administration | Semiannual Report: October 1, 2021 to March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
| Securities and Exchange Commission | Semiannual Report to Congress: October 1, 2020 to March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
| AmeriCorps | Semiannual Report to Congress: October 1, 2020 - March 31, 2021 | Semiannual Report | Agency-Wide | View Report | |
