Delays in Reimbursement for Home Health Services in New York City

HRD-78-8: Published: Oct 17, 1977. Publicly Released: Oct 17, 1977.

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An audit was conducted of New York City's home health care program by examining the reimbursement system used by the Borough of Queens, with particular emphasis on identifying reasons for delays in paying for home attendant services.

Twelve home attendant cases having problems making payments to home attendants on the regular 2-week basis were identified. Delays generally ranged between 1 and 3 months, although one 10-month delay was attributed to a lost check. Some of delays were caused by the city and some by the clients' failure to report changes in their status or the status of the home attendants. The most frequent cause of delay by the city involved slow reauthorization of beneficiary eligibility. New York City officials said they were aware of the delays and had proposed some procedural changes to correct the problems. New program procedures are to be implemented throughout the city and administrative changes such as centralizing the payment function and printing computer runs in a more useful format will be implemented.

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