Home Health & Hospice Week

Industry Note:

GAO Praises HHA Payment Suspensions

But home care audits are relatively few.The Government Accountability Office continues to highlight home care fraud in front of Congress. In testimony before two congressional committees, the GAO pointed out home care fraud-related activities.On June 8, the GAO's Kathleen King testified before the House Energy and Commerce Subcommittee on Oversight and Investigations. King made note of the 78 HHAs whose payments were suspended in conjunction with the fraud case against Dr. Jacques Roy in Dallas, according to her testimony, "MEDICARE: Progress Made to Deter Fraud, but More Could Be Done." "Suspending payments to providers suspected of fraudulent billing can be an effective tool to prevent excess loss to the Medicare program while suspected fraud is being investigated," King told the committee. "While [the Centers for Medi-care & Medicaid Services] had the authority to impose payment suspensions prior to PPACA, the law specifically authorized CMS to suspend payments to providers pending [...]
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