Home Health & Hospice Week
LTC Co. Settles Hospice Fraud Charges
Long-term care company Genesis Healthcare Inc. has agreed to pay $53.6 million to settle six federal lawsuits and investigations about billing for unnecessary hospice services, among other violations. Three of the four sets of allegations in the case pertain to therapy and “grossly substandard” nursing home care. But one of the sets of allegations covered by the settlement is that from April 2010 through March 2013, Skilled Healthcare Group Inc. and its subsidiaries Skilled Healthcare and Creekside Hospice II submitted or caused to be submitted false claims to Medicare for services performed at the Creekside Hospice facility in Las Vegas, the Department of Justice says in a release. Skilled and Creekside billed for hospice services for patients who were not terminally ill and billed inappropriately for certain physician evaluation management services, the DOJ charges. Seven whistleblowers will receive $9.67 million as their share of the recovery, the DOJ notes. The settlement amount was based on the company’s ability to pay, the DOJ points out.
Home Health & Hospice Week
- OASIS:
OASIS Matching Edit Hits Claims Hard
Agencies angered by unexpected denials. Anew Medicare claims edit is drawing more blood than many [...] - Reimbursement:
Mitigate OASIS Matching Edit Losses With These 5 Steps
It’s worth it to check HICNs before claim submission. Many home health agencies are learning [...] - Appeals:
Know Which OASIS Matching Edit Denials Are Appealable — And Which Aren't
Even appealable denials trigger a full medical review. A simple technical glitch can cost home [...] - Education:
Bone Up On OASIS Matching Edit Facts, Advice
What does your MAC have to say about the reimbursement-robbing edits? You may have thought [...] - Fraud & Abuse:
Update Your OIG Work Plan Schedule
Hospice survey deficiencies are the newest item under the feds’ microscope. Every good compliance plan [...] - Industry Note:
Chain Settles Shareholder Suit For $43.75 Million
Insurance covers $15 million. Three years after coughing up $150 million to settle Medicare billing [...] - Industry Note:
Tune In For New Appeals Procedure Info
Will Medicare’s new claims appeal procedures hurt or help you? You can get more information [...] - Industry Note:
Start Calculating Your 2017 Hospice Cap Liability Soon
The end of the hospice year is fast approaching — don’t get caught flat footed. [...] - Make The Most Of Your Eli's Home Care Week Subscription
You have more than a decade’s worth of information on a multitude of home health [...] - Industry Note:
Share This CCM Tool
Want to help your referral sources understand how to get paid for services they are [...] - Industry Note:
FISS DDE Screen Changes
Don’t let that new privacy and security message on your FISS DDE welcome screen throw [...] - Industry Note:
Check Out State Spending
Interested in seeing where your state’s spending is trending? You can check out a new [...] - Industry Note:
Make Quality Data — Not Survey Results — Public
If you don’t like the idea of your accreditation survey results going public, you aren’t [...] - Industry Note:
LTC Co. Settles Hospice Fraud Charges
Long-term care company Genesis Healthcare Inc. has agreed to pay $53.6 million to settle six [...] - Industry Note:
HHA Exec Heads To Prison
A California home health agency executive has been sentenced to 18 years in prison for [...] - Industry Note:
Texas Co. Buys Hospice
In Houston, Traditions Health Care Holding Company has acquired Hallmark Hospice through its Traditions Hospice [...] - Industry Note:
AARP Rates States
Which states are the best for home care users? The AARP has weighed in on [...]
