Home Health & Hospice Week
Massage Therapist, HHA Owner Plead Guilty
A Miami home health agency owner and a massage therapist masquerading as a physical therapist have pleaded guilty in an $8.6 million fraud scheme. Alexander Ros Lazo, owner and operator of T.L.C. Health Services Inc., admitted to paying kickbacks and bribes in exchange for referrals and “prescriptions” for home care, the Department of Justice says in a release. Lazo also arranged for licensed massage therapist Misleidy Ibarra “to render therapy services on behalf of licensed therapists despite the fact that they knew she was not licensed to render the physical and occupational therapy services to the Medicare beneficiaries and billed Medicare for those services,” the release says. Lazo and Ibarra face sentencing Feb. 5.
Home Health & Hospice Week
- Targeted Probe and Educate:
About Half Of HHAs Flunk Palmetto TPE Review
Major discrepancy between MACs shows in results. If you consider a 50 percent failure rate [...] - Medical Review:
Big Chunk Of TPE Denial Reasons Still A Mystery
Are you taking these 4 steps before submitting every claim? No matter which HHH Medicare [...] - Reimbursement:
Are Latest Payment Error Numbers Delaying RCD?
Home health errors account for 10% of overall Medicare improper pay rate. Dec. 10 came [...] - Hospice:
Hospice Payment Error Rate Dips
Bad news: Hospices had the highest rate of erroneous claims. The heavy hand that the [...] - Regulations:
See Where Your State Falls On Improper Payment Rate Spectrum
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might [...] - Fraud & Abuse:
OIG Doubles Down On Hospice Crackdown
Plus: Senior Medicare Patrol investigation leads to $2 million hospice settlement. Home health agencies are [...] - Industry Note:
OIG Highlights Medicaid, Physician-Centered Home Health Cases
Medicaid agency settles fraud charges for $3.3 million. The HHS Office of Inspector General may [...] - Industry Note:
Rate Of Spending Growth Down 1%
Health care spending continues its slow and steady growth. “Overall national health spending grew at [...] - Industry Note:
Take A Look At Your Next Hospice Compare Data
Don’t miss your chance for a sneak preview of your Hospice Compare data. Hospice provider [...] - Industry Note:
Therapy Caps Transition To Therapy Thresholds
Home care providers that also furnish Part B outpatient therapy in the home should take [...] - Industry Note:
That U5181 Return You Think Is An Error May Be Legit
Beware an ongoing payment system glitch that could be hanging up your hospice claims — [...] - Industry Note:
Alaskan Providers Can Use Offered Regulatory Relief
Check out regulatory flexibility offered to providers affected by the Alaskan earthquake at www.cms.gov/Emergency. HHS [...] - Industry Note:
Tap This Updated HIPAA Education Tool
Find out more about HIPAA with the Centers for Medicare & Medicaid Services’ newly updated [...] - Industry Note:
Massage Therapist, HHA Owner Plead Guilty
A Miami home health agency owner and a massage therapist masquerading as a physical therapist [...]
