RE:RE:RE:RE:RE:RE:RE:RE:RE:Did you do your DD and read the transcript of CC?theinvestor22 wrote: For Q2 of fy 2018, based on my calcs, CMS paid for everyone that had been onboarded to that point. Virtually no one could have been deemed ineligible based on payments received for that quarter.
Why? Because it's pretty easy to determine if people are seniors/meet income cutoffs and have 2 qualifying disease conditions. Now, there might be the odd few who slip between the cracks, but we're largely dealing with rural poor folks in bad health. The staff know it. The doctors know it.
In the end, I think you guys are going to find this is more a matter of process than eligibility.
That isn't to say that process isn't important, but I don't think it's reasonable to claim that the rural rich are trying to commit massive healthcare fraud with these providers of home health supports to low income rural people.
For you comfort, here's an excerpt from the news release stating that Paz had been given an additional 5,000 patients to look after...
"We are excited to announce that as a result of their implementation of the iUGO Care remote patient monitoring platform, our client Paz Home Health has been accepted as a Superior HealthPlan approved provider for in-home telemonitoring. Superior HealthPlan is a managed care organization that works with the State of Texas Health and Human Services Commission to deliver care through approved providers to Medicare and Medicaid patients. As a result of becoming an approved provider, Paz has increased their registered Medicare/Medicaid home care clients to over 15,000 patients across southern Texas," said Dr. Lisa Crossley, chief executive officer of Reliq Health Technologies. "Paz Home Health has successfully demonstrated the benefits of using Reliq's iUGO Care remote patient monitoring system to improve health outcomes and reduce hospital admissions and ER visits in their patients.
Look, I get it that imaginations run rampant in the face of scant info, but to assume that a huge number will be ineligible just makes no rational sense.
Here is the thing. If you can get Lisa to simply say that they are planning to restate q4, the upcoming q1 result, and probably the current q 2 quarter when they have clarity, to reflect the revenue that is actually coming in, I will be full steam ahead! But , if this were true, don't touch think she would? It is not would be a huuuggggeee step to putting down these fears. 2- how long do you think it takes someone to get clarity on getting paid. Even if they are only getting 20% of what is on boarded, they may not like the number but it should still be clear ffs. They could also keep claiming revenue for what is actually received, and keep writing off older receivables, which is a million times better than what they are choosing to do. The only rational reason for this that I can think of is that it is true, CMS is still paying some of the claims, but RHT is letting them keep the revenue for now for all the headaches!