Home Health & Hospice Week
Another HHA Owner Pleads Guilty In Detroit
The guilty pleas keep coming in the fraud case involving four Detroit-area home health agencies -- Physicians Choice Home Health Care, First Care Home Health Care, Quantum Home Care Inc. and Moonlite Home Care Inc. Co-owner Muhammad "Sib" Ahmad pled guilty to a $13 million home care scam, the Department of Justice says in a release. The laundry list of misdeeds Ahmad admitted to includes paying non-licensed professionals to pretend to be physicians to Medicare beneficiaries; paying clinical staff to create fictitious files for services never rendered; paying kickbacks to recruiters; having beneficiaries pre-sign forms and visit sheets that were later falsified; and forging beneficiary signatures on such forms. Ahmad also admitted to forming a shell company, Century Home Care, to launder the proceeds. Co-conspirators who also have pled guilty in the scheme include Zahir Yousafzai, Dr. Dwight Smith, and Tausif Rahman.
Home Health & Hospice Week
- Audits:
CMS Begins Cost Report Audits For PPS Rebasing
Sloppy cost reports will come back to haunt the home care industry.The feds' new effort [...] - Finance:
Standardize Financial Info With New Cost Reporting Guidelines
Industry strives to enhance uniformity of financial data.One of the home care industry's handicaps in [...] - Hospice:
GIP Hospice Care Under Fire
MAC denies majority of claims with 7 or more general inpatient days.Scrutiny of hospice general [...] - Education:
Get Training On Confusing Therapy Assessment Concepts
Plus: Learn crucial tips on dealing with OASIS medication items. You can receive vital information [...] - Medical Review:
Review Lookback Period Booted
Your MAC could request files older than 1 year.When your HHH Medicare Administrative Contractor asks [...] - Industry Note:
GAO Praises HHA Payment Suspensions
But home care audits are relatively few.The Government Accountability Office continues to highlight home care [...] - Industry Note:
RAC Focuses On RAPs Without Final Claims
Add one more HHA issue to the approved list of RAC audit topics. Recovery Audit [...] - Industry Note:
5010 Deadline Cut Short By Calendar
You may have a few less days to make the switch to the 5010 claims [...] - Industry Note:
Seek Accelerated Payments For Outlier Shortfalls
If Medicare's underpayment of outliers is killing your bottom line, you should consider appealing to [...] - Industry Note:
Avoid ADR Pitfalls With These MAC Tips
You can increase your chances of successfully defending your claims against additional development requests if [...] - Industry Note:
HHS Funds Increased Availability Of Home Care
Demand for Medicaid home care services may increase under a program approved by the Affordable [...] - Industry Note:
LHC Rejects Plan For Sale After Strategic Review
It appears LHC Group Inc. won't go on the auction block after all. Earlier this [...] - Industry Note:
Another HHA Owner Pleads Guilty In Detroit
The guilty pleas keep coming in the fraud case involving four Detroit-area home health agencies -- [...]
