Eli's Hospice Insider
DC-Area Hospice Shells Out $3.1 Million Settlement
PDF
Feds cite ineligible patients and faulty documentation. Hospice and palliative care provider Capital Caring in Falls Church, Virginia, has agreed to settle overbilling charges for $3.1 million, the Department of Justice says in a release. Overpayments resulted from billing for ineligible patients or for patients whom the hospice’s documentation did not support, according to the release. “Capital Caring cooperated fully with the review of certain hospice records for services furnished during that time period – 4 to 9 years ago,” the hospice says in a release shared with Eli. “This finalized resolution avoids protracted and expensive litigation over disagreements related to hospice records and was resolved without any allegations of fraudulent billing.” The CEO at the time of the questionable billings, Malene Davis, stepped down from Capital Caring and Arthurdale, West Virginia-based WV Caring in July 2018 following allegations she’d bullied employees and spent company money lavishly on herself and her leadership circle, The Dominion Post newspaper reported last summer.
Eli's Hospice Insider
- Elections:
Use Your Extra Time Until Election Statement Changes Wisely
CMS sticks to its guns on cost-sharing info. Hospices’ attention may be grabbed by the [...] - Regulations:
Brace Yourself For Added Election Burden Next Year
A relaxed timeline to issue the document is one bit of good news in an [...] - Reimbursement:
Addendum Will Carry Serious Payment Risks
Plus: CMS way underestimates burden for the new document. At the top of the list [...] - Compliance:
Learn Your Election Statement Addendum Duties
You need to become an expert on what’s related — and what’s not. You’ve got [...] - Fraud & Abuse:
Beware Claims Audits Related To Drug Coverage In Wake Of OIG Report
Hospices aren’t covering the meds they should, according to federal agency watchdog. You and the [...] - Compliance:
Stay Out Of Drug-Related Hot Water With These 4 Tips
Head off issues ranging from survey dings to reimbursement-seeking pharmacies with prudent steps. While getting [...] - Hospice News:
DC-Area Hospice Shells Out $3.1 Million Settlement
Feds cite ineligible patients and faulty documentation. Hospice and palliative care provider Capital Caring in [...]