Home Health & Hospice Week
HHA Owners Plead Guilty to $48-Million Fraud Scheme
Two HHA owners pled guilty to a $48-million fraud scheme, which involved paying kickbacks to patient recruiters so the agencies could submit false claims to Medicare. Rogelio Rodriguez and Raymond Aday allegedly co-conspired to bill Medicare for unnecessary home health care and therapy services, reports the OIG’s Miami Office of Investigations.
Rodriguez was the owner of Caring Nurse Home Health Corp. and Good Quality Home Health Inc., and Aday was the co-owner of Good Quality and manager of Caring Nurse. Both HHAs are Miami-based agencies. From January 2006 through June 2011, the two HHAs purportedly billed Medicare for $48 million worth of claims for home health services that were not provided or not medically necessary.
The U.S. District Court for the Southern District of Florida will sentence Aday and Rodriguez on Feb. 27, 2013. Both men face up to 10 years in prison.
Home Health & Hospice Week
- Compliance:
Get Ready For A Big Crackdown From MACs & ZPICs
Are ZPICs going easier on you than MACs? If your home health agency is in [...] - Organization:
Meet Goals With This 7-Step Plan
Don’t let everyday tasks overwhelm you. With a little planning, you can erase any discouragement [...] - Staffing Strategies:
Beef Up Your Grievance Policy To Manage Complaints
How your complaints process affects more than just staff morale. If you don’t have a [...] - OASIS:
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Could your ADL item response send a patient to the nursing home? The OASIS ADL/IADL [...] - Education:
Get Training On This Year's Outlook For Hospices
Plus: Check out crucial HIPAA training and review the HH PPS final rule. You can [...] - Industry Notes:
Try This Approach to Assessing Ability
Adjust your phrasing for more accurate answers. When it comes to completing OASIS items, there [...] - Industry Notes:
HHA Owners Plead Guilty to $48-Million Fraud Scheme
Two HHA owners pled guilty to a $48-million fraud scheme, which involved paying kickbacks to [...] - Industry Notes:
Co-Owner of HHA Faces 10-Year Prison Sentence
The co-owner of a former HHA faces a 10-year sentence in federal prison for defrauding [...] - Industry Notes:
Beware of LUPA Glitch for High Therapy Episodes
Now a total of 12 states are on their way to operating health insurance Exchange [...] - Industry Notes:
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Now a total of 12 states are on their way to operating health insurance Exchange [...] - Industry Notes:
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Effective Feb. 1, Louisiana will cut Medicaid payments for hospice care, along with other Medicaid [...] - Industry Notes:
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