Home Health & Hospice Week
HH DON Fraudster Gets 10 Years In Prison
A federal judge has handed down another relatively stiff prison sentence related to a Houston home health fraud case. Evelyn Mokwuah, the former director of nursing and administration of Beechwood Home Health and Criseven Health Management Corp., has been sentenced to 10 years in prison for her role in a $20 million Medicare fraud scheme. The judge also ordered Mokwuah to pay $20.5 million in restitution to Medicare A four-day trial in August 2017 proved that from 2008 to 2016, Mokwuah and others falsely certified and billed for patients who were not homebound or did not qualify for home health services; falsified patient records to show that patients were homebound when they were not; paid patient recruiters for referrals; and paid doctors to certify false plans of care for Medicare beneficiaries (see Eli’s HCW, Vol. XXVI, No. 31).
Home Health & Hospice Week
- Review Choice Demonstration:
HHAs In RCD Demo States Should Start Prep Yesterday
Don’t discount PDGM’s exacerbation of the pre-claim review program’s impact. Illinois home health agencies are [...] - Targeted Probe & Educate:
MAC: Like It Or Not, You're On The Hook For Physicians' Documentation
Tip: Make sure claim is supported before you submit it. You may not be able [...] - Survey & Certification:
Make Sure Your Administrator Reports Directly To Gov. Body
Keep working on compliance with new CoPs. You could risk a survey deficiency if you [...] - Conditions of Participation:
Know The CoPs Ruling Your Administrator Duties
Medicare surveyors cited hundreds of agencies on administrator CoP since new requirements took effect. Be [...] - Mergers & Acquisitions:
Publicly Traded Chain Buys 50-Year-Old Provider
Plus: Check out the latest deals from coast to coast. Acquisition of a longstanding agency [...] - Industry Note:
Check Your RAP Stats With This Report From Medicare
Get familiar with Comparative Billing Reports. You can find out if your Request for Anticipated [...] - Industry Note:
OIG Investigated Scores Of Hospices Last Year
Hospice oversight continues to ramp up, and a recent HHS Office of Inspector General report [...] - Finance:
Do You Know These New Cost Report Requirements?
If not, you could be risking payment suspension. You’ll soon receive a cost report reminder [...] - Industry Note:
MBI Usage Rises Again
Providers submitting Medicare claims are closing in on the three-fourths mark for using MBIs. For [...] - Industry Note:
Choose Who Signs Up For eServices Carefully
Illinois home health agencies getting ready to go under the Review Choice Demonstration need to [...] - Industry Note:
CMS Adds Podcast Ep
You can check out the latest episode of the podcast from the Centers for Medicare [...] - Industry Note:
Download Your New Hospice PEPPER
The newest hospice PEPPER report is now available. The free benchmarking report from Medicare covers the [...] - Industry Note:
GAO Pushes For More Prior Authorization
Don’t count on Medicare seeing the error of its ways when it comes to preauthorization [...] - Industry Note:
HH DON Fraudster Gets 10 Years In Prison
A federal judge has handed down another relatively stiff prison sentence related to a Houston [...]
