Home Health & Hospice Week
Miami HHA Owner Draws 10-Year Prison Sentence
Three Miami HHA operators who pled guilty to Medicare fraud early this year have received jail time. Roberto and Olga Gonzalez and their son, Fabian Gonzalez, owners of Nany Home Health Inc., pled guilty to paying kickbacks and bribes for recruited patients and their plans of care, according to a release from the Department of Justice. Nany's nurses and office staff falsified patient records to make the patients appear homebound and to require insulin injections, prosecutors say. Medicare paid about $40 million for the false claims from 2006 to 2009. A federal judge in Miami sentenced Roberto Gonzalez to 10 years in prison, and Olga and Fabian Gonzalez to more than seven years in prison each. Each defendant was also sentenced to three years of supervised release and was ordered to pay $40 million in restitution jointly with co-defendants.
Home Health & Hospice Week
- Medical Review:
MAC Denies Almost All Long-Stay HTN Claims
Medical necessity can be hard to prove for hypertension patients. If you're treating a patient [...] - Coverage:
Take These 8 Steps To Torpedo HTN Denials
Make patient, treatment changes the cornerstone of your documentation for hypertension patients. Don't write off [...] - Hospice:
Hospices Off The Hook For Some Hospital Costs
CMS rep answers providers' hospice coverage questions in forum. Every hospice has been there -- a [...] - Billing:
CMS Clarifies Rules For Submitting MSP Claims
Hint: Record all beneficiary insurance cards, not just the Medicare one. Don't let Medicare Secondary [...] - Reimbursement:
Your Top 3 Secondary Payer Questions Answered
Understand coordination of benefits to receive your rightful reimbursement. Still have questions about the often-confusing [...] - Industry Note:
Don't Pay Docs For Face-To-Face Documentation
Physicians must turn to Medicare for payment, Q&A says. If you cave in to physicians' [...] - Industry Note:
Facilities Pay For Late Data
Have you been wondering if Medicare would follow through on penalizing home health agencies for [...] - Industry Note:
Make Sure Your Docs Are Enrolled In PECOS Before It's Too Late
Indicators that PECOS edits may be right around the corner are increasing. Background: In May [...] - Industry Note:
New HHS Initiatives Boost Medicaid Home Care
The Department of Health and Human Services is sending mixed messages about the value of [...] - Industry Note:
OIG Blasts Use Of KX On DME Claims
You may need to get more careful about using KX modifiers on your DME claims. [...] - Industry Note:
Copay Proposals Dog Home Care Providers
The specter of copays continues to plague home care providers this budget season. After being [...] - Industry Note:
Heed MAC Clarification On Hospice Revocation Billing
Billing can get tricky for patients who choose to revoke their hospice election. HHH MAC [...] - Industry Note:
Miami HHA Owner Draws 10-Year Prison Sentence
Three Miami HHA operators who pled guilty to Medicare fraud early this year have received [...] - Industry Note:
Feds Make Another Record-Breaking Fraud Bust
Another nationwide coordinated fraud bust has taken place. Hundreds of federal agents fanned out around [...]
