Home Health & Hospice Week
Home Health Fraudster To Pay 2.2 Million
An Ohio HHA owner has pleaded guilty to Medicaid and tax fraud charges. Cheryl McGrath, owner of Home Health Care of Southeast Ohio in Guysville, has been sentenced to three years in prison and agreed to pay $2.2 million in restitution to the Ohio Medicaid Program and nearly $367,000 to the Internal Revenue Service, the Department of Justice says in a release. From 2009 until 2015, McGrath defrauded Ohio Medicaid by billing on behalf of her agency for nursing services that were never rendered, routinely changing the claim information in the billing software to falsely reflect that additional hours of nursing services had been provided, and falsely increasing the number of nursing visits from one visit per week to between three and five visits per week. McGrath also submitted claims for Medicaid patients who were ineligible because they were either residing in private nursing homes or deceased. "This scheme was intentional and egregious," Ohio Attorney General Mike DeWine says in the release. "Fighting health care fraud is a priority of my office."
Home Health & Hospice Week
- Conditions of Participation:
Don't Let Simple Address Mistakes Torpedo Your Survey
Learn from one agency's citation under the new CoPs. The new Home Health Conditions of [...] - Quality:
Quality Takes Center Stage In Proposed Hospice Rule
Check out new time frames for Hospice Item Set data review. You'd better pay close [...] - Health Information:
Medicare Gears Up For EHealth Info Exchange Requirements
IT CoPs for post-acute providers on agenda. Before you find yourself slapped with a set [...] - Hospice:
Don't Let Physician Assistant Hospice Change Confuse You
CMS is clear on PAs' dos and don'ts under the new regs. You'll still need [...] - HIPAA:
Cover These HIPAA Basics Or Risk Hefty Penalties
Learn a valuable lesson from this $2.3 million HIPAA settlement. If you skimp on risk [...] - Industry Note:
CMS Aims To Keep Payment Model Experiments Voluntary
Return on investment matters when it comes to pay reform models, CMMI indicates. Curious about [...] - Industry Note:
CMS Launches Rural Health Strategy Initiative
Rural providers that feel like Medicare isn't doing enough to help cope with difficulties specific [...] - Industry Note:
New Way To See RHC Days On Claims Coming Soon
Medicare plans to give hospices a helping hand when it comes to identifying "high" or [...] - Industry Note:
Learn About New Cost Report Filing System
Get more details about the new Medicare Cost Report E-Filing (MCReF) system, which will accept [...] - Industry Note:
Accrediting Body Focuses On Fighting Workplace Violence
If you don't do your best to prevent workplace violence for your employees, you may [...] - Industry Note:
Home Health Fraudster To Pay 2.2 Million
An Ohio HHA owner has pleaded guilty to Medicaid and tax fraud charges. Cheryl McGrath, [...] - Industry Note:
Qui Tam Suit Against Texas Provider Fails
Not every whistleblower suit costs providers. Afederal judge has dismissed a whistleblower lawsuit alleging Medicare [...]
