Home Health & Hospice Week
Industry Note:
Doc Draws 9-Year Sentence For Home Care Fraud
Published on Fri Apr 29, 2016
After pleading guilty in February to receiving kickbacks in exchange for writing bogus home care prescriptions and falsifying patient records to make it appear they qualified for home care, physician Henry Lora has received a nine-year prison sentence. The Miami-area doc also was ordered to repay $30.3 million in restitution, the Department of Justice says in a release.
Lora was the medical director of Merfi Corp., whose owner Isabel Medina also drew a nine-year prison sentence after pleading guilty to a $20 million Medicare fraud scheme involving Flores Home Health (see Eli’s HCW, Vol. XXIII, No. 12).
Other Articles in this issue of
Home Health & Hospice Week
- Hospice:
Medicare Proposes 2% Pay Increase For Hospices
Cap year switch to take place in 2017. MedPAC may be agitating for a hospice [...] - Quality:
Prepare For 2 New Hospice Quality Measures Next Year
Proposed measure focuses on visits in last days of life. If this year’s watchword is [...] - Quality:
7 Quality Measures To Comprise New Composite
A few more tweaks planned for HIS tool. Hospices have been submitting data for these [...] - Referrals:
Polish Your Processes In Prep For Publicly Reported Ratings
Hospice Compare, 5-star ratings on deck in new proposed rule. You’ve had a lot of [...] - Assessment:
Assessment Tool For Hospice Looms
Will hospices get their own OASIS? If you’ve been wondering if and when HIS would [...] - Industry Note:
End In Sight For F2F Probe & Educate Reviews?
Plus: If it hasn’t yet, your turn will come. If you’re not passing the Probe [...] - Industry Note:
Corrected Claims Glitch Could Cause Takebacks
Your claims that must be recoded to or from a high-therapy HIPPS code should now [...] - Industry Note:
Non-Profits Merge Under Reimbursement Pressures
Industry consolidation continues as reimbursement pressures squeeze home care and hospice providers. In Denver: the [...] - Industry Note:
Home Health Start-Up Aims High
A San Franciso-based home health start up has national aspirations. Jet Health disclosed $16.65 million [...] - Industry Note:
Senators Speak Out Against Prior Authorization
The comment period on CMS’s home health prior authorization demonstration may be over, but the [...] - Industry Note:
Doc Draws 9-Year Sentence For Home Care Fraud
After pleading guilty in February to receiving kickbacks in exchange for writing bogus home care [...] - Industry Note:
Are You Using This HIPAA Safeguard Process?
If you’re not using two-factor authentication to safeguard your agency’s PHI, you may pay the [...]
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