Industry Note:
OIG Highlights Home Care Fraud
Published on Thu Nov 29, 2012
The HHS Office of Inspector General's latest semiannual report is playing the agency's greatest hits when it comes to home health agency and hospice fraud, just in time for lawmakers to consider when entertaining funding sources for averting the "fiscal cliff" and implementing a "doc fix" for physician payment rates. The report rehashes previous OIG documents on questionable billing characteristics of HHAs (see Eli's HCW, Vol. XXI, No. 29) and the unimplemented surety bond requirement for agencies (see Eli's HCW, Vol. XXI, No. 35). The OIG also reviews prison sentences and multi-million-dollar settlements in fraud cases against Prime Home Health Services in Miami for paying kickbacks and bribes to patient recruiters (see Eli's HCW, Vol. XXI, No. 24), Hospice Care of Kansas for basing pay on admissions and census (see Eli's HCW, Vol. XXI, No. 24), and Hospice Family Care Inc. in Phoenix for General Inpatient (GIP) upcoding (see Eli's [...]