Home Health & Hospice Week
HHA Fraud Nets Jail Time
Participants involved in a home care scam are facing years of jail time. Miami-area physician Jose Nunez was sentenced to 40 months in prison and $1.1 million in restitution, according to a release from Assistant Attorney General Lanny A. Breuer. In August, Nunez pled guilty to prescribing medically unnecessary services, including home health and therapy, care plans and medical certifications, from January 2006 until March 2009, in exchange for kickbacks and bribes from ABC Home Health and Florida Home Health Care Providers Inc. in Miami (see Eli's HCW, Vol. XX, No. 31, p. 246). RN Luisa Morciego will serve 24 months in prison and pay $296,000 in restitution. Morciego admitted to falsifying patient records in the scheme (see Eli's HCW, Vol. XX, No. 28, p. 218). And LPN Eneida Fry will serve 24 months and pay $395,000 in restitution for falsifying patient records and recruiting beneficiaries in exchange for kickbacks and bribes, the release says.
Home Health & Hospice Week
- Medical Review:
Beat One Top Denial Reason With 8 Tips
You should check for ADR'd claims daily. With medical review from government contractors and agencies [...] - OASIS:
Improve OASIS Accuracy -- And Your Rightful Reimbursement -- With 13 OASIS Basics
Watch out for these pitfalls. Is your OASIS assessment process costing your agency payment you [...] - OASIS:
Follow 7 Rules for OASIS Completion
OASIS expert Judy Adams with Adams Home Care Consulting in Chapel Hill, N.C. offers seven [...] - Hospice:
Beware Claims Denials For OBS Hospice Patients
Other claims getting caught up in edits include those for nursing home patients, vascular lymphoma, [...] - Hospice:
Beef Up Documentation For Dementia Patients With 8 Steps
The more objective measures you use, the better off you'll be in medical review. You'd [...] - Tool:
Try Using These Quantifiable Measures To Nail Your Terminal Diagnosis Documentation
Without objective evidence of your patient's decline, you are risking claims denials and your compliance [...] - Education:
Get Training On 2012 PPS, New HIPAA Requirements, And More
Prepare for the curveballs the prospective payment system update will throw you in the new [...] - Regulations:
F2F Clarifications To Ease Denials
If your claims were denied for these F2F errors, submit them for reopenings. Now you've [...] - Industry Notes:
CMS Adds One More Medical Review Burden
Your utilization may land you in new medical review crosshairs. You may receive even more [...] - Industry Notes:
DOJ Recovers $2.9B
The Departments of Health and Human Services and Justice have a lot of reasons to [...] - Industry Notes:
Beware 'Doc Fix' Cuts
Will Congress give home health agencies a lump of coal in their Christmas stockings? The [...] - Industry Notes:
Elderly Population Rises
Who will your client base be in coming years? You can look to a new [...] - Industry Notes:
Therapy Caps At $1,880
Caps for outpatient Part B therapy will be $1,880 in 2012, CMS reminds in a [...] - Industry Notes:
CMS Billing Cert Coming
Soon you can get billing certification from CMS. In early 2012, the agency will offer [...] - Industry Notes:
Docs Lack Hospice Info
You may have more doctors on your side than you think, if you're trying to [...] - Industry Notes:
Do This To Get Another RA
It won't do you any good to request a copy of a remittance advice if [...] - Industry Notes:
Catch New OIG Training
You can tune in to the OIG's website each week to watch a new video [...] - Industry Notes:
HHA Fraud Nets Jail Time
Participants involved in a home care scam are facing years of jail time. Miami-area physician [...] - Industry Notes:
Ohio Chain Makes Big Buy
An Ohio chain has made its biggest acquisition to date. Kenwood-based Home Care by Black [...]
