Eli's Hospice Insider
Data Mining, Whistleblowers Key To State’s New Fraud Strike Force
PDF
Health care fraudsters in West Virginia have another investigative body on their tail now. The Mountaineer Health Care Fraud Strike Force, a multi-agency unit “that will take a data-driven approach to uncovering waste and abuse,” is now in operation, the Department of Justice says in a release. “The time I spent in the private sector opened my eyes to the scope of the health care fraud that is occurring in West Virginia,” U.S. Attorney William Ihlenfeld says in the release. “It made me realize that more can and should be done by law enforcement, which is why this new group has been formed.” The strike force is emphasizing whistleblower rewards and has established a new hotline (304-234-7711), email address (wvfraud@fbi.gov) and mailing address to allow for the reporting of potential fraud. “I hope the community will use this tip line to aid us in our efforts to hold those who commit fraud accountable,” FBI Special Agent in Charge Mike Nordwall says in the release.
Eli's Hospice Insider
- Reimbursement:
Brace For More Hospice Audits In Wake Of OIG Report On Nonhospice Spending
Hospice payment structure may be in need of an overhaul, watchdog agency suggests. Getting hospices [...] - Quality:
More Of Your Quality Data Is About To Go Public
Make sure you know the ins and outs of HCI, Visits in Last Days of [...] - Mergers & Acquisitions:
Hospice M&A Market Continues To Hop In 2022
Humana readies hospice business for sale. Another group of nonprofit hospices have decided to form [...] - Compliance:
Consider This Newly Greenlit Strategy For Alleviating Aide Shortage
OIG gives thumbs up to paying patients’ family members to become aides. The current staffing [...] - Surveys & Certification:
Say Goodbye To Widespread Use Of Focused infection Control Surveys
Targeted FIC surveys are not totally forbidden, however. Hospices no longer have to worry about [...] - Hospice News:
Beware Forthcoming Hospice Claims Edit Aimed At Gap Billing
Get your definition of ‘transfer’ straight. Official transfers of hospice patients may get less common [...] - Hospice News:
Give More Notice Of ODFs, Providers Tell CMS
The content of Medicare’s Feb. 24 Home Health, Hospice & DME Open Door Forum wasn’t [...] - Hospice News:
Whistleblower Cases Ramped Up Last Year
It’s not your imagination if you’re feeling the heat of federal scrutiny. Last year the [...] - Hospice News:
CMS Educates On New QM Reports
Not sure what’s changed about the Hospice Quality Reporting Program’s Quality Measure reports? Check out [...] - Hospice News:
Data Mining, Whistleblowers Key To State’s New Fraud Strike Force
Health care fraudsters in West Virginia have another investigative body on their tail now. The [...] - Hospice News:
Hospice Owner Gets 5-Year Prison Sentence
A Georgia hospice owner has been sentenced to five years probation and ordered to pay [...]