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Shares of four home bloom affliction providers confused Thursday afterwards the Senate Finance Board aloft questions about whether the companies accept added their cardinal of accommodating visits out of medical call or in adjustment to advisedly activate college Medicare reimbursements.

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The board beatific belletrist to Amedisys Inc., Almost Family Inc., Gentiva Bloom Casework Inc. and LHC Group Inc. allurement for capacity about visits provided to patients, aggregation guidelines and added information. The assay followed an assay of Medicare abstracts by The Wall Street Journal that showed that companies appeared to addition the cardinal of visits they fabricated to patients to 10 or aloft – the beginning at which Medicare reimburses providers an added $2,200.

The letter, citation the Journal, acclaimed that amid 2000 and 2007 the cardinal of patients Amedisys visited 10 times was three times college than the cardinal of bodies it visited 9 times.

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Sen. Chuck Grassley, R-Iowa, said in a board account that companies charge to accomplish abiding affliction is based on accommodating interests, not profit.

“So far, it appears that either the home bloom affliction agreement action is flawed, some companies are gaming the system, or both,” he said.

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The board additionally aloft questions about an Amedisys abatement accident appraisal form. The aboriginal catechism on it asks if the acknowledging is 65 or older. “As 65 years is the age of accommodation for Medicare, the barometer anatomy raises apropos that the affairs may be demography advantage of Medicare payments in adjustment to advance aggregation profits,” the letter to the companies said.

“Companies that assignment with Medicare should not be accustomed to ambition seniors aloof because they accept Medicare or acclimatize the way they affliction for patients artlessly to access profits,” said Sen. Max Baucus, D.-Mont., the committee’s chair.

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All four providers said they will abet with the Senate committee.

Almost Family CEO William Yarmuth said in a account that his company’s “Senior Advocacy” mission calls for it to action affliction based alone on accommodating needs and analytic conditions, “and we are assured that back our abstracts is thoroughly reviewed, it will accommodate a abundant clearer account than was portrayed in The Wall Street Journal article.”

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Amedisys said the WSJ commodity told “an abridged story.”

LHC said in a account that all home affliction services, including therapy, “are dictated by an absolute physician order.” It additionally said the Journal affected a changeless accommodating citizenry from 2007, but the company’s home bloom citizenry grew about 47 percent in 2008 which badly afflicted the architecture of its top 20 accommodating diagnoses.

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Shares of Almost Family fell $3.22, or 7.6 percent, to aing at $39.37. Amedisys fell $4.48, or 8 percent, to $51.73; Gentiva was bottomward $2.20, or 7.4 percent, to accomplishment at $27.55; and LHC shares alone 83 cents, or 2.3 percent, to $35.28.

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