Home Health & Hospice Week
Company That Bought Gentiva Settles Therapy Fraud Charges For 6 Figures
One of the nation’s largest home health services providers has settled therapy-related fraud charges for a whopping $125 million — but the settlement doesn’t pertain to home health therapy.
Kindred Healthcare Inc., which acquired Gentiva for $1.8 billion last year, says “the settlement agreement … relates to allegations that rehabilitation therapy services provided to patients in skilled nursing centers were not delivered or billed in accordance with Medicare requirements,” according a release. The settlement covers services furnished by Kindred division RehabCare Group Inc.
A Department of Justice release rattles off a laundry list of scams to game the Medicare system and maximize therapy reimbursement for Rehab-Care and four nursing homes. “RehabCare and its nursing facility customers engaged in a systematic and broad-ranging scheme to increase profits by delivering, or purporting to deliver, therapy in a manner that was focused on increasing Medicare reimbursement rather than on the clinical needs of patients,” says U.S. Attorney Carmen M. Ortiz for the District of Massachusetts in the DOJ release.
Home Health & Hospice Week
- Face-To-Face:
CMS Issues Revised F2F Form As Confusion Reigns
MAC calls out agencies for not including physician records in ADR responses. Medicare officials are [...] - Compliance:
New F2F Form Makes Slight Improvements
Agencies can fight off denials by using form in an unexpected way. Check out the [...] - Medical Review:
Hold Off On Responding To F2F ADRs Under P&E
Add another wrinkle to the already confusing Probe & Educate mandate. The burden of Medicare’s [...] - Hospice:
Hospice Claims Under Fire For Terminal Prognosis
Warning: Dementia patients at high risk. Hospice claims are subject to more scrutiny every day, [...] - Medical Review:
Document Decline With These 5 Steps
How often are you taking measurements? You can bulletproof your hospice patients’ claims against denials [...] - Hospice:
Consider These Measurement Tools To Bolster Data
Stock your toolbox to protect your claims. Your longer-stay patients’ records will need to prove [...] - Industry Note:
CMS Unveils HIS Submission Calculation
A chunk of your pay rides on it. If you’re not sure what counts — [...] - Industry Note:
Pass On Newly Clarified Rules For Advance Care Planning Codes To Your Referring Physicians
You can help your referring physicians figure out how to obtain additional reimbursement for some [...] - Industry Note:
Tune In To Forthcoming CMS Call On IMPACT Act
The IMPACT Act is already changing OASIS with the proposal of OASIS-C2 for January 2017. [...] - Industry Note:
Publicly Traded Chain Diversifies With Big Non-Medicare Buy
Chain Almost Family Inc. has acquired Natick, Mass.-based Long Term Solutions Inc., a large provider [...] - Industry Note:
Company That Bought Gentiva Settles Therapy Fraud Charges For 6 Figures
One of the nation’s largest home health services providers has settled therapy-related fraud charges for [...] - Industry Note:
Medicare Adds Future Hospice G-Codes
You may just be getting used to the new G-codes for nursing services, but other [...]
