Home Health & Hospice Week
Hospice Owner Gets Jail Time For GIP Upcoding
The feds have their eye on hospice upcoding. The owner of a hospice in Muscle Shoals, Ala., has pled guilty to Medicare fraud and received a prison sentence of 28 months. He also must forfeit nearly $3.2 million to the government. Jackie Randolph Gist caused Good Sa-maritan Hospice USA Inc. to submit claims for General Inpatient Care when GSH actually provided routine home care, says the U.S. Attorney's Office for the Northern District of Alabama. "As a result of the scheme, GSH received reimbursements from Medicare totaling $4,108,924 when, if the correct code had been used, GSH would have been reimbursed $916,639," the release explains. "This office will not tolerate such fraud and remains committed to aggressively prosecuting individuals and companies that seek to steal from government programs," U.S. Attorney Joyce White Vance says in the release.
Home Health & Hospice Week
- Lawsuits:
Brace For More Whistleblower Suits In Home Care
The damage a qui tam lawsuit does to your reputation may be as bad as [...] - Compliance:
11 Tips To Ward Off Qui Tam Lawsuits
A robust reporting mechanism is your best defense against a whistleblower suit. Being the target [...] - Human Resources:
How To Create An Exceptional Team
Follow these 5 steps to make your team more cohesive and more productive. Before you [...] - Budget:
Politicians Look For Doc Fix Funding
Home care could be on the chopping block by the end of the month. Congressional [...] - Industry Note:
For-Profit Hospices Painted With Broad Fraud Brush
Press coverage of hospice closure 'distorted,' industry expert maintains. The hospice industry's reputation has gotten [...] - Industry Note:
Payment Across Post Acute Providers Doesn't Make Sense For Home Care
The findings of a Centers for Medicare & Medicaid Services demonstration project on bundling payments [...] - Industry Note:
OIG Wants Revalidating HHAs Classified As 'High Risk'
Home care providers are a target in the HHS Office of Inspector General's top challenges [...] - Industry Note:
Use This MAC's Tips To Fill Out Revalidation 855
Confused about how to fill out the 855 form for your revalidation? A new set [...] - Industry Note:
Assault On Nurse Shows Need For Security Precautions
It may be time to review your security procedures in light of a tragic crime [...] - Industry Note:
Watch For New ADR Delivery Style
Take note, providers served by Palmetto GBA: the HHH Medicare Administrative Contrac-tor has changed how [...] - Industry Note:
Vaccination Back Pay Coming To You Soon, MAC Says
Waiting on back payments for underpaid vaccinations from September? You should see those payments soon, [...] - Industry Note:
Gentiva Sheds 53 Locations Under Financial Pressure
Hard times call for hard measures. Na-tional chain Gentiva Health Services Inc. closed or sold [...] - Industry Note:
Hospice Owner Gets Jail Time For GIP Upcoding
The feds have their eye on hospice upcoding. The owner of a hospice in Muscle [...] - Fraud & Abuse:
Follow OIG Compliance Plan Guidance Step By Step
Missing an element could set you up for a costly lawsuit, or worse. Don't get [...]
