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Home health agency closes after losing reimbursement

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Carmel-based ABC Homecare LLC closed last week after state and federal authorities cut off its access to Medicare and Medicaid reimbursement.

The in-home health care agency, first licensed in 2006, employed 37 people and served 84 patients, according to a May survey conducted by the Indiana State Department of Health.

But the Indiana State Department of Health cited the agency based at 138 W. Carmel Drive for 14 deficiencies in that May survey. And, on subsequent visits, the health department determined that ABC was still not able to document that its home care programs were appropriate, effective and efficient, the report said.

The health department faulted ABC for its program in a May survey, and then in follow-up visits in July and August, according to a letter to ABC from the federal Centers for Medicare & Medicaid Services in August.

Based on the health department’s findings, the federal Medicare agency cut off ABC from Medicare payments for senior payments in September.

“We have determined that the deficiencies limit the capacity of your facility to render adequate care and ensure the health and safety of your patients,” Pam L. Thomas, manager of the non-long-term-care certification and enforcement branch at the federal Medicare agency, wrote in an Aug. 24 letter to ABC Administrator Lucy Howard.

In November, the Indiana Medicaid program followed Medicare’s lead and terminated its provider agreement with ABC.

Marni Lemons, spokeswoman for the Indiana Family and Social Services Administration, which oversees the Indiana Medicaid program, said the state is required to follow the federal decisions on home health agencies.

Medicare and Medicaid account for more than half of all home health revenue, according to the National Association of Home Care & Hospice. So few agencies can survive without them.

Calls left on ABC’s office voicemail and paging service were not returned Monday morning.

Lemons said every ABC patient has a case manager that should be able to find a new home health agency.

“There is no shortage of these types of providers,” Lemons said, adding, “We don’t see any reason for people to be without care.”
 

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  1. So much for Eric Holder's conversation about race. If white people have got something to say, they get sued over it. Bottom line: white people have un-freer speech than others as a consequence of the misnamed "Civil rights laws."

  2. I agree, having seen three shows, that I was less than wowed. Disappointing!!

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  4. Say It Loud, I'm Black and Ashamed: It's too bad that with certain "black" entertainment events, it seems violence and thuggery follows and the collateral damage that it leaves behinds continues to be a strain on the city in terms of people getting hurt, killed or becoming victims of crimes and/or stretching city resources. I remember shopping in the Meadows area years ago until violence and crime ended make most of the business pack you and leave as did with Lafayette Square and Washington Square. Over the past 10 to 12 years, I remember going to the Indiana Black Expo Soul Picnic in Washington Park. Violence, gang fights and homicides ended that. My great grandmother still bears the scares on her leg from when she was trampled by a group of thugs running from gun fire from a rival gang. With hundreds of police offices downtown still multiple shootings, people getting shot downtown during Black Expo. A number of people getting shots or murdered at black clubs around the city like Club Six on the west side, The Industry downtown, Jamal Tinsley's shot out in front of the Conrad, multiple fights and shootings at the skating rinks, shootings at Circle Center Mall and shooting and robberies and car jackings at Lafayette Mall. Shootings and gang violence and the State Fair. I can go on and on and on. Now Broad Ripple. (Shaking head side to side) Say It Loud, I'm Black and I'm Ashamed.

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