Home Health & Hospice Week
Fake Home Health Nurse To Serve 18 Months, Repay $50K
Watch out for home health nurse imposters. One who pleaded guilty in Texas has been brought to justice. Nora Nely Avila “admitted that from January 2017 through December 2019, she impersonated a nurse and performed unlicensed work at multiple hospitals and home health companies in the Laredo area,” the Department of Justice says in a release. “Avila stole the identity of a licensed nurse and repeatedly and fraudulently presented the license and credentials of this licensed nurse at federally funded Medicare and Medicaid providers,” it says. Avila incorrectly took out stitches from a patient’s wound, leading to an infection, according to the release. Plus: “At other home health agencies, Avila falsified patient records and failed to show up to work which left patients without needed care,” the DOJ adds. A federal judge has ordered Avila to serve 18 months in federal prison, followed by three years of supervised release. The judge also entered a money judgement against Avila for more than $52,000.
Home Health & Hospice Week
- Review Choice Demonstration:
Last-Minute Extension Of RCD May Be Just The Tip Of The Iceberg
Why the late notice? Your Medicare crystal ball may be cloudy, but you can be [...] - Medical Review:
Is A National Review Choice Demo Rollout In HHAs’ Future?
Here’s what may be next for RCD — including maybe even hospice. Every expert contacted [...] - Reimbursement:
New Hand-Off Policy From MAC Blindsides HHAs
Industry seeks CMS clarification on face-to-face-related instruction. The extension and expansion of the Review Choice [...] - Value-Based Purchasing:
You’ll Know Your VBP Payment Adjustment Before Summer Is Over
Plus: Keep your iQIES account active or face delays. Whether you’ve been working hard on [...] - Regulations:
Prepare For HH Star Ratings Change
Plus: Get those comments in before it’s too late. School may be out for summer, [...] - Industry Notes:
Hospice Fraudster Draws 20-Year Prison Sentence
Billing unnecessary physician services for hospice patients was part of the conviction. Six months after [...] - Industry Notes:
Get Friendly With The Order And Referring Data File
See the latest on the upcoming Medicare claims edit requiring hospice certifying physicians to be [...] - Industry Notes:
Protective Services Final Rule Hits The Books
Home care agencies that have interactions with Adult Protective Services may want to take a [...] - Industry Notes:
Meet Your MAC In Vegas
If you’d like to get up close and personal with your HHH Medicare Administrative Contractor, [...] - Industry Notes:
APRNs, PAs Now May Help FL Residents Access Home Health
A new Florida law is aiming to make Medicaid-funded home care easier to access. Gov. [...] - Industry Notes:
Unionized Home Health Workers Negotiate Contract In NY
Home health workers at University of Rochester Medicine Home Care have begun talks on their [...] - Industry Notes:
Fake Home Health Nurse To Serve 18 Months, Repay $50K
Watch out for home health nurse imposters. One who pleaded guilty in Texas has been [...]
