Home Health & Hospice Week
Miami Recruiter, Therapy Co. Owner Plead Guilty
A patient recruiter and a therapy staffing company owner have pled guilty in connection with a $7 million home care fraud scheme involving the now defunct HHA Anna Nursing Services Corp., the DOJ says in a release.
Ivan Alejo negotiated and paid kickbacks and bribes to patient recruiters in return for the recruiters providing patients to Anna Nursing for home health and therapy services that were medically unnecessary and/or not provided, prosecutors allege. Alejo also paid doctors and their office staff for signing plans of care, certifications and other documentation.
Hugo Morales, owner of Professionals Therapy Staffing Services Inc., created fictitious progress notes and other patient files indicating that therapists from Professionals Therapy had provided physical or occupational therapy services for Anna, when those services had not been provided and/or were not medically necessary, the DOJ says.
Home Health & Hospice Week
- Referrals:
Scrutiny May Squeeze Home Care, Hospice Referrals
Billing report contractor, ZPIC contact docs about home care and hospice referrals. Reviewers peering over [...] - Hospice:
Take These 8 Steps To Head Off Costly Investigations, Lawsuits
Will your compensation system result in charges instead of legit admits? If you had any [...] - Compliance:
Compliance Plan May Rescue You If Feds Come Knocking
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Check Your Data -- Before Reviewers Do
You should know how you stack up against your peers, because regulators are looking at [...] - Industry Note:
Medicare Reviews Less Than 1% Of Claims
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Provider Pays $750K For Mishandling Overbilling
If your agency accepts the fact that you received an overpayment, you can’t simply nod [...] - Industry Note:
Boost Your Charting For Observation & Assessment
Your documentation specifics will be the key to proving that a post-hospital-discharge patient requires observation [...] - Industry Note:
AMAPresses CMS On Incarceration Takebacks
Steamed about the reimbursement withheld for supposedly incarcerated beneficiaries? You now have a powerful ally. [...] - Industry Note:
Incomplete HETS Info Ups Hospice Claim Risk
Hospices fed up with denials due to in-complete hospice eligibility information aren’t getting much help [...] - Industry Note:
OIGWork Plan Clues Must Wait Until New Year
It’s that time of year again — as summer turns to autumn, the OIG typically [...] - Industry Note:
Doc House Call Execs Charged With HHA-Related Fraud
The CEO and a staff physician for a physician housecall company have been arrested and [...] - Industry Note:
Miami Recruiter, Therapy Co. Owner Plead Guilty
A patient recruiter and a therapy staffing company owner have pled guilty in connection with [...] - Industry Note:
Newly Opened HHA Serves 5 Counties In Land of Lincoln
Canton, Ill., has a new home health agency. Iris Home Health Services is now serving [...]
