Home Health & Hospice Week
3 Indicted In $12M HH Scheme
A Michigan couple faces fraud and tax evasion charges in connection with a $12 million home health scam. From 2011 to 2018, Isabel Tcruz and Noli Tcruz owned and operated home health agencies in Roseville, Michigan, including Maxicare Home Health Agency Inc., Faith Home Care Services, and Affinity Home Care, plus agencies in Arizona and Nevada, the Department of Justice says in a release. The Tscruzs paid physicians, including Detroit doc Terry S. Baul, kickbacks in exchange for referrals and beneficiary information, according to an indictment. They attempted to disguise the kickbacks as cash and gifts. The Tcruzs also evaded taxes by paying for personal expenses, including homes in Michigan and Nevada, from their HHA business accounts. And they diverted funds to other parties to pay for their personal expenses.
Home Health & Hospice Week
- Fraud & Abuse:
OIG Hits HHAs Hard On Near-LUPA Episodes
Medicare overpaid HHAs $192 million for episodes slightly exceeding LUPA thresholds. LUPAs are more of [...] - Hospice:
Addendum Requirement Continues To Barrel Toward Hospices This Fall
Hospices have less than 2 months until implementation. Hospices hoping to get some breathing room [...] - Reimbursement:
Hospice Final Rule Reduces Pay Update Slightly
Big swings for wage index areas may batter already struggling hospices. A minor reduction in [...] - Regulations:
Hospice Final Rule Seems To Give Thumbs Up To Electronic Signatures
More good news: Contractors can’t trigger the condition for payment, only patients. There’s a lot [...] - Industry Notes:
Calculate Your PPP Loan Forgiveness With New Clarifications
Owners of multiple businesses can decide how to allocate their compensation. If you’re still trying [...] - Industry Notes:
NY Federal Court Decision Creates Potential Labor Law Risk.
A Department of Labor frequently asked question set from March may not be the final [...] - Industry Notes:
No-Pay RAPs And Related Penalties Loom On The Horizon
If you’d been hoping the penalty for late or no RAPs would go away for [...] - Industry Notes:
Hospices' PEPPER Reports Have Arrived And HHAs' Are Nearly Here
Now that providers’ pandemic-related break from PEPPER reports is over, it’s time for home care [...] - Industry Notes:
CMS Touts Telehealth Expansion
Telehealth expansion is on Medicare’s to-do list, but it may not touch home care providers [...] - Industry Notes:
PHE Gets Another Extension
The Department of Health and Human Services Secretary has officially extended the COVID-19 public health [...] - Industry Notes:
Take A Look At Corrected Reports
If you’ve looked at your Provider Preview Reports and/or the Quality of Patient Care Star [...] - Industry Notes:
Find Out How to Track Cost Reports
Bone up on the cost report system’s new tracking feature via a recording or transcript [...] - Industry Notes:
3 Indicted In $12M HH Scheme
A Michigan couple faces fraud and tax evasion charges in connection with a $12 million [...] - Industry Notes:
Authorities Continue To Focus On Medicaid Fraud — This Time In FL
Authorities have arrested a Florida Medicaid home and community-based services agency owner for an alleged [...]
