Home Health & Hospice Week
Detroit HHA, Therapy Company Co-Owner Gets 10 Years In Prison
A Detroit-area HHA owner has been sentenced to 10 years in prison for his 2012 Medi-care fraud conviction. A federal judge also ordered All American Home Care Inc. co-owner Chira-deep Gupta to pay more than $10 million in restitution, the Department of Justice says in a release.
In a $14.5 million scheme conducted at All American and Patient Choice Home Healthcare Inc., patient recruiters paid Medicare beneficiaries to sign blank documents for physical therapy services that were never provided and/or medically unnecessary, prosecutors said in the trial. The owners of Patient Choice and All American paid physicians to sign referrals and other therapy documents. Then PTs and PT assistants provided through contractors, including two owned by Gupta, would create fake medical records using the blank, pre-signed forms obtained by the patient recruiters to make it appear as if PT services were actually rendered when they were not provided, according to prosecutors.
Gupta also doctored and directed the doctoring of fake patient files and laundered the proceeds of the fraud through multiple shell companies, the trial showed.
Home Health & Hospice Week
- Face-To-Face:
F2F Denials Are Growing
MAC to discontinue one therapy-focused probe. Face-to-face physician encounter denials are not easing following Medicare’s [...] - Documentation:
Review This MAC's Documentation Checklist To Protect Against Medical Necessity Denials
How well do your patients’ records tell their story? Wondering how to make sure your [...] - Medical Review:
Beef Up Documentation To Avoid Medical Necessity Pitfalls
Be sure to cover all your technical bases, too. The physician face-to-face encounter re-quirement may [...] - Hospice:
Limit Your Respite Care Billing To 5 Consecutive Days
Claims with respite care stretching more than 5 days will RTP starting this summer. Hospices [...] - Reimbursement:
Use Reopening For Certain PECOS Edit Denials, MAC Says
Good news may lighten your PECOS edit load. Don’t waste time on the resource-consuming, risky [...] - Industry Note:
HIS Implementation May Overwhelm Hospices
Take time out to watch new CMS HIS training. You can now learn more about [...] - Industry Note:
Providers Gain Much-Needed Breathing Room On Employer Mandate
Many home care providers are breathing a sigh of relief at the latest Obamacare delay. [...] - Industry Note:
Cancel NOE When Previous Hospice Asks Or For Coding Mistakes, MAC Says
If you have an error on your hospice patient’s Notice of Election (NOE), you’ll have [...] - Industry Note:
Looming Doc Fix Deadline Threatens Home Care
As the March 31 deadline for the Medi-care physician pay cut nears, home care providers [...] - Industry Note:
Know ICD-10 Testing Requirements For Next Month
March 3 is only a few weeks away, so MACs are prepping now for ICD-10 [...] - Industry Note:
Detroit HHA, Therapy Company Co-Owner Gets 10 Years In Prison
A Detroit-area HHA owner has been sentenced to 10 years in prison for his 2012 [...] - Industry Note:
Beleaguered Gentiva Reveals It Will Close 46 Locations, Lay Off Hundreds Of Workers
Trying reimbursement times are leading to expansion for some and contraction for others. Gentiva Health [...]
