Home Health & Hospice Week
Industry Note:
Tampa HHA Owner Convicted Of Medicare Fraud
Published on Fri Oct 14, 2016
The owner of Gold Care Home Health Services Inc. in Tampa, Fla., has been convicted of Medicare fraud, according to press reports. Pilar Garcia Lorenzo and the agency billed for services that weren’t provided or weren’t legitimately prescribed by a physician, notes the Tampa Bay Business Journal. Gold Care received about $2.5 million from Medicare, and about $2 million of that was laundered through fictitious shell companies in Hialeah, the Department of Justice says in a release. Garcia Lorenzo faces sentencing Jan. 5.
Other Articles in this issue of
Home Health & Hospice Week
- Prospective Payment System:
VBP Neglects Major Home Care Focus, Agencies Tell CMS
Improvement emphasis is disservice. Lack of stabilization measure inclusion in Medicare’s Home Health Value-Based Purchasing [...] - Quality:
VBP Risk Adjustment Doesn't Compensate Enough
Add socio-demographic adjusters, commenters urged CMS. If Medicare doesn’t want a whole section of the [...] - Value-Based Purchasing:
Change In VBP Comparison Groups Meets Mostly With Favor
Small providers somewhat nervous about cohort revamp proposal. Home health agencies in the nine Value-Based [...] - Appeals:
VBP Appeals Expansion Appeals To HHAs, But Longer Timeframe Needed
Questions remain about appeals decisions’ impact on other agencies. Medicare plans to give home health [...] - Benchmarks:
Set VBP Benchmarks Ahead Of Time, MedPAC And Other Commenters Urge
Retroactive benchmarks curb quality improvement, critics say. Home health agencies in the nine Value-Based Purchasing [...] - Value-Based Purchasing:
Reduce VBP Risk Pool To Be In Line With Other Provider Types
Public reporting, population base blasted. Commenters on the 2017 Home Health Prospective Payment System rule [...] - Fraud & Abuse:
Hospice Execs Sentenced In Fraud Cases
Benchmark: National live discharge rate is 18%. Hospices with sky-high live discharge rates drive their [...] - Fraud & Abuse:
States Crack Down On Home Care Providers
One states sees 80% spending spike over 2 years. As Medicaid spending on home care [...] - Industry Note:
More PCR Education On Deck
Palmetto offers additional in-person training. Don’t expect that Pre-Claim Review “pause” button to stay pressed [...] - Industry Note:
Learn New Hospice Vaccine Billing Ins And Outs
Hospices can get their newly updated vaccine billing instructions in a recently reissued transmittal. Reminder: [...] - Industry Note:
Tampa HHA Owner Convicted Of Medicare Fraud
The owner of Gold Care Home Health Services Inc. in Tampa, Fla., has been convicted [...] - Industry Note:
Hospice Owner Admits To Physician Kickbacks
Hospice medical director relationships are once again in the fraud and abuse spotlight. Lemont, Ill.-based [...]
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