Home Health & Hospice Week
Former Miami HHA Owner Pleads Guilty To Fraud
A former Miami home health agency owner has pled guilty to a $42 million Medicare fraud scheme. Willsand Home Health Inc. owner Eulises Escalona paid kickbacks to Medicare beneficiaries to become patients and receive medically unnecessary services, according to a release from the De-partment of Justice. Escalona also paid kickbacks to patient recruiters and to doctors who signed fraudulent prescriptions and plans of care (POCs), and falsified documentation. Escalona submitted $42 million in false claims and received about $27 million in Medicare reimbursement. As part of the plea agreement, Escalona agreed to forfeit to the government two residential properties and cash proceeds of the fraud contained in several bank accounts, the DOJ says.
Home Health & Hospice Week
- Fraud & Abuse:
OIG Slams HHAs For Inappropriate Billing
Is a moratorium in the industry's future?Home health agencies' lives could get even harder if [...] - Compliance:
Take These 4 Steps To Minimize Compliance Risk With OIG Stats
Where do you stand on these 6 risk factors?In an unprecedented move, the OIG has [...] - Education:
Get Training On Coding Crucial To Your Reimbursement, Compliance Record
Plus: Learn how to negotiate the hospice-nursing home minefield and protect yourself against HIPAA pitfalls. [...] - Tool:
Benchmark Yourself Against These 6 Factors
\"These six measures of questionable billing indicate potential fraud,\" the HHS Office of Inspector General [...] - Industry Note:
Profits Fall For Publicly Traded Home Care Chains
One company bucks the trend with increased income compared to last year.The 2.3 percent Medicare [...] - Audits:
RAC Posts Painful HHA Audit Topic
Brace for complex medical review based on medical necessity and eligibility.Get ready to feel the [...] - Industry Note:
Court Highlights Hospice Beneficiary Appeal Process
Hospices may have to cover more drugs and services they don't approve, thanks to a [...] - Industry Note:
HHH MAC Denies Hospice Claims With Vague Diagnoses As Non-Terminal
Don't submit a claim with one of these diagnoses, unless your documentation thoroughly backs it [...] - Industry Note:
Use This New Interactive Map From CMS To Find Your Compliance Bearings
Do you find the alphabet soup of Medicare contractors who deal with your payment and [...] - Industry Note:
Former Miami HHA Owner Pleads Guilty To Fraud
A former Miami home health agency owner has pled guilty to a $42 million Medicare [...] - Industry Note:
Hospice Medical Director Indicted In Philly
Hospice medical directors are not out of reach of the long arm of the law. [...] - Industry Note:
Hospices Continue Trend Of Opening Facilities From Coast To Coast
The number of hospice facilities seems to be increasing as fast as the feds' scrutiny [...]
