Home Health & Hospice Week
Doc Gets 3 Years In Prison For Hospice Fraud
A former physician hospice owner and his business partner have been sentenced to nearly three years in federal prison for Medicare fraud. A federal judge has sentenced physician Camilo Primero and Aurora Beltran to 33 years each, after prosecutors proved that Angel Eye Hospice received about $7.1 million in Medicare payments from 2012 to 2015 despite Primero being excluded from Medicare for a previous hospice fraud case with California-based West Coast Hospice. When Angel Eye had its Medicare payments suspended, Primero and another defendant bought Vision Home Health Care, formed Adventist Hospice, and received another $1.8 million in Medicare reimbursement. Primer and Beltran concealed Primero’s ownership in Angel Eye, Vision, and Adventist, and submitted claims for patients who weren’t terminally ill, the Department of Justice says in a release. In addition to the prison terms, 76-year-old Primero and 63-year-old Beltran agreed to repay nearly $2.5 million, the DOJ says.
Home Health & Hospice Week
- Reimbursement:
Beware: New HHA Cost Report May Give Rise To Rebasing
New hourly wage calculation will prove crucial to future rate reductions, expert predicts. A new [...] - Hospice:
CMS Pulls The Trigger On Hospice Payment Level Rebalancing
So-called ‘budget-neutral’ rebalancing will really mean a cut to hospice pay. After years of criticizing [...] - Finance:
Here's Why Hospice Cost Reports Matter
HHAs, pay attention. While Medicare’s proposal to rebalance hospice payment between care levels isn’t exactly [...] - Regulations:
Hospice Proposed Rule To Add Major Election Burden
Plus: Regulation also addresses wage index, HQRP, and alternative care models. Hospices will have to [...] - Industry Note:
Check Out Your OASIS-D Tool
Are you ready to collect these 2 newly added items at Follow-Up? Medicare may have [...] - Industry Note:
Personal Care Services Come Under The Microscope
Medicaid home care services have been on the HHS Office of Inspector General’s hit list [...] - Industry Note:
Medicare Board Of Trustees Gauges Cost Growth
Don’t be surprised to see Medicare officials trying to tighten budget belts even further. In [...] - Industry Note:
Medicare Makes Changes To LCD Process
You may be hearing more about Local Coverage Decisions from your Medicare Administrative Contractor. As [...] - Industry Note:
Yet More RHC Payment Errors Revealed
Many hospices are not surprised to see a recent Medicare message about Routine Home Care [...] - Industry Note:
ERS Procedures Undergo Overhaul
If you find yourself in a bind and needing an Extended Repayment Schedule from Medicare, [...] - Industry Note:
Broken Equipment Nets You A Fall For J1800
A new quarter has brought a new set of OASIS questions and answers from Medicare. [...] - Industry Note:
California Equity Firm Makes HH Investment
HCAP Partners, a California-based private equity firm, has made an undisclosed “investment” in home health [...] - Industry Note:
Doc Gets 3 Years In Prison For Hospice Fraud
A former physician hospice owner and his business partner have been sentenced to nearly three [...] - Industry Note:
Michigan HHA Owner Draws Lengthy Sentence
A former Michigan home health agency owner has been sentenced to seven years in federal [...]
