Home Health & Hospice Week
Volunteer State HHAs Agree To $9 Million Settlement
Fees paid under cost-based reimbursement lie at the heart of a $9 million settlement agreed to by a Tennessee home care provider and related entities. A group now known as CareAll Manage-ment, which includes former management company Diversified Health Management Inc. and three home health agencies, has agreed to pay $9.4 million to settle charges that it violated the False Claims Act and other laws, the Department of Justice says in a release. From 1999 to 2001, eight cost reports from the entities "knowingly hid the relationship between the management company and the home health agencies," the DOJ alleges. CareAll owner James W. Carell owned the management company and his friend Robert Vining -- an attorney -- served as the sham owner of the agencies, prosecutors charge. "The cost reports should have disclosed that the management company was related to the home health agencies, which would have lowered the Medicare reimbursement for the management company's services," the feds maintain. "Carell profited greatly from this 'sham' owner relationship and ... he monetarily rewarded Robert Vining for his participation in this scheme," the feds allege. "The lawsuit involved issues that related to an arcane method of cost accounting that is no longer required by the federal government," according to a statement released by CareAll to the press. "CareAll vehemently denies that CareAll, or Jim Carell, were involved in any wrongdoing whatsoever," says the statement printed by the Nashville Business Journal.
Home Health & Hospice Week
- Regulations:
Claims Become Source For Hospital, ER Measures
But the hospitalization change takes place only on your CASPER reports.Your hospitalization and emergency department [...] - Hospice:
Tap These New Resources For Quality Reporting Info
Hospices can turn to two new user guides and a training session.The specifics of Medicare's [...] - Compliance:
Check Your Employees Carefully Against Exclusions List
Two home care providers face big repayments due to excluded employees.You could have to cough [...] - Therapy:
Know Your Part B Therapy Review Ropes Or Face Big Payment Delays
HHAs furnishing outpatient therapy should pursue advanced approval when pushing $3,700.CMS has finally revealed details [...] - Emergency Preparedness:
Gulf Coast Providers Kick Emergency Plans Into Gear In Face Of Hurricane Isaac
Disruptions won't be over right away.If you've let your emergency preparedness plan quietly molder on [...] - Industry Note:
ICD-10 Implementation Date Finalized For Fall 2014
One-year delay to new diagnosis coding set gives providers some breathing room.The pressure may ease [...] - Industry Note:
Revocation For Hospice Patients Entering Nursing Homes Raises Red Flags
Medicare contractors are putting hospices on notice that they are watching for shady dealings regarding [...] - Industry Note:
Watch For This Claims System Fix In September
Home health agencies should have one less claims glitch to worry about soon.The problem: Canceled [...] - Industry Note:
Feds Join Whistleblower Suit Filed By Former Hospice VP
Add one more whistleblower action to the list of lawsuits the feds have joined. U.S. [...] - Industry Note:
HHH MAC Offers Replays Of Education Sessions
Have you missed out on helpful educational sessions from your Medicare contractor due to a [...] - Industry Note:
Volunteer State HHAs Agree To $9 Million Settlement
Fees paid under cost-based reimbursement lie at the heart of a $9 million settlement agreed [...] - Industry Note:
Miami Nurses Handed Guilty Verdicts For Diabetes Scam
Two more RNs have been convicted in the Ideal Home Health fraud case in Miami.RNs [...] - Industry Note:
Hospice Co. Partners With Retirement Community
Phoenix-based Banner Health has entered into a partnership agreement with Sun Health's Grandview Care Center [...]
