Home Health & Hospice Week
Oklahoma Hospice Pays Modest Settlement To Settle Fraud Charges
A Tulsa, Okla. hospice has agreed to pay $48,830.70 to resolve allegations that it submitted false claims to Medicare for hospice care provided to beneficiaries who did not qualify for the services. The settlement resolves charges that Evergreen Hospice LLC 鈥渒nowingly submitted false claims to Medicare for hospice services provided to patients who were not terminally ill and for services that were not medically necessary,鈥� the Department of Justice says in a release. 鈥淓vergreen knowingly submitted false claims from Sept. 1, 2017, to May 31, 2020, to Medicare for hospice services that were provided to beneficiaries who did not qualify under the Medicare guidelines for routine hospice care because they were improperly certified as terminally ill,鈥� the DOJ alleges. 鈥淭his settlement should serve as notice to others who consider similar practices that we will vigorously pursue them,鈥� Oklahoma U.S. Attorney Clinton Johnson says in the release.
Home Health & Hospice Week
- Patient-Driven Groupings Model:
2.2% Reimbursement Cut To Hammer HHAs Next Year
Medicare officials are slicing deep this time. Medicare is putting beneficiaries鈥� access to home health [...] - Reimbursement:
CMS Goes Back To Negative Rate Adjustments After A 5-Year Break
Don鈥檛 stop at base rate when calculating rule鈥檚 impact on your pay next year. The [...] - Value-Based Purchasing:
VBP Ground Continues To Shift Under HHAs鈥� Feet, Experts Say
Under newly proposed configuration, half of VBP points will come from only 2 measures. As [...] - Quality:
COVID Vax Quality Measure To Land On HHAs鈥� Plates
Plus: Beware looming DC Function problems. Like much of the rest of the home health [...] - Hospice:
The Other Shoe Finally Drops On Hospice Special Focus Program
Multiple hospice program integrity measures feature in HH rule this year. It鈥檚 yet another year [...] - Enrollment:
Take A Closer Look At Hospice Enrollment Changes
CIMO application aims to prevent new hospice 鈥榝lipping.鈥� The hospice Special Focus Program isn鈥檛 the [...] - Fraud & Abuse:
Changes To PPEO, Retroactive Termination Aim To Close Loopholes
Plus: Period for non-billing before deactivation will get cut by half. Hospices aren鈥檛 the only [...] - Industry Notes:
Revised Quality Measure Procedures Take Shape As New QM Contractor Ramps Up
Put deadlines for QM book webinar and comments, plus PQM committee nominations, on your calendar. [...] - Industry Notes:
Oklahoma Hospice Pays Modest Settlement To Settle Fraud Charges
A Tulsa, Okla. hospice has agreed to pay $48,830.70 to resolve allegations that it submitted [...] - Industry Notes:
COVID Fraud Remains On Feds' Radar
The COVID-19 public health emergency ended on May 11, but federal enforcement of COVID fraud [...]
