Home Health & Hospice Week
Detroit HHA Owners Face Kickback, Fraud Charges
Two more home health agency owners in Detroit are facing fraud charges. Usha and Dee-pak Shah, owners of Miracle Home Health of Southfield, submitted nearly $9 million in fraudulent claims to Medicare, the FBI says in a release. The Shahs paid kickbacks for Medicare beneficiaries' identifications, according to the in-dictment. And they submitted claims for services that were medically unnecessary or never provided, prosecutors charge. "We want providers to know that we are scrutinizing billing records to root out fraud," U.S. Attorney Barbara McQuade says in the release. "These types of crimes motivated by greed will continue to be investigated vigorously by the FBI and our law enforcement partners," FBI Acting Special Agent in Charge Edward Hanko adds in the release.
Home Health & Hospice Week
- Survey & Certification:
Surveyors Gain New Arsenal Of Tools In Proposed Rule
CMS gives HHAS a survey wakeup call with alternative sanctions.Are you ready to pay $10,000 [...] - Enforcement:
Check Out 5 New Alternative Sanctions
How long would you survive under a payment suspension?As always, the Medicare program will retain [...] - Regulations:
Surveyors To Use 6 Factors When Setting CMP Rates, Other Sanctions
Immediate jeopardy determination will make the biggest difference.How will a surveyor decide you just need [...] - Compliance:
Alternative Sanctions Come With A Silver Lining
Informal dispute resolution will give agencies a chance to point out surveyor mistakes.Medicare's newly proposed [...] - Industry Note:
Whistleblower Lawsuit Leads To Hospice GIP Settlement
Atlanta hospice forks over half-million dollars to lay fraud charges to rest.You'd better make sure [...] - Industry Note:
Your CAHPS Data Is Showing
Your Home Health CAHPS patient satisfaction data is now up on the Home Health Compare [...] - Industry Note:
Outlier Payments Still Aren't Fixed
You'll have to wait a while longer for your outlier reimbursement. The Centers for Medi-care [...] - Industry Note:
CMS To Base ACH Rate On Claims Data -- Not OASIS
Don't be surprised to see your acute care hospitalization (ACH) outcome data change. CMS plans [...] - Industry Note:
Use This Free Hospice Quality Reporting Training
Trying to get up to speed on the new hospice quality reporting requirements that kick [...] - Industry Note:
ACOs Continue To Expand
Still trying to figure out exactly what your role should be in Medicare's Accountable Care [...] - Industry Note:
Docs Face 27% Pay Cut
Expect your referring physicians to be scrambling as their 27 percent Medicare pay cut looms [...] - Industry Note:
CMS To Collect Data On Therapy Patient Function
Wondering how CMS may reconfigure the therapy portion of home health payment rates? Take a [...] - Industry Note:
NYC Aides Win OT Suit
The battle over the federal "companionship exemption" to overtime laws continues, but that may not [...] - Industry Note:
Detroit HHA Owners Face Kickback, Fraud Charges
Two more home health agency owners in Detroit are facing fraud charges. Usha and Dee-pak [...]
