Home Health & Hospice Week
If You Pay Docs For Services, Watch Out
Will your payment arrangements with your referring physicians stand up to scrutiny? If not, you could end up in the position of one Florida home health agency.
Recovery Home Care in West Palm Beach and National Home Care Holdings have agreed to pay $1.1 million to resolve allegations that Recov-ery violated the False Claims Act by improperly paying doctors for referrals, the Department of Justice says in a release.
Recovery allegedly paid dozens of physicians thousands of dollars per month to perform patient chart reviews, the DOJ notes. “According to the government’s lawsuit, the physicians were over-compensated for any actual work they performed and, in reality, payments to the physicians were used to induce them to refer their patients to Recovery,” in violation of the Anti-Kickback Statute and the Stark Law, Justice says.
Former Recovery employee Gregory Simony filed a whistleblower lawsuit including the allegations, and he will receive nearly $200,000 of the settlement, the DOJ notes. National Home Care Holdings bought Recovery after the alleged violations took place from 2009 to 2012. “The government continues to litigate this case against Recovery Home Care’s previous owner, Mark Conklin,” the DOJ notes.
Home Health & Hospice Week
- Referrals:
IMPACT Act Showcases Hospital Readmission Rates First
CMS fast-tracking measures across post-acute settings. You may see your referrals affected much more by [...] - Quality:
Take A Look At The First Round Of IMPACT Measures
Stay tuned to rulemaking for final call. In addition to the hospital readmission measure, the [...] - Quality:
Prepare To Report Your Own HHA Readmission Rates, Too
PEPs won’t be your only penalty for readmitting patients within a month of discharge. Medicare’s [...] - Education:
Get Training On Care Planning, Survey Readiness & Face-To-Face
Also, check out Eli audioconferences on 2015 home health prospective payment system changes and hospice [...] - Hospice:
Hospice Facilities Open From Coast To Coast
Will more inpatient availability help with feds’ concerns about GIP utilization? Despite budgetary uncertainty ranging [...] - Diagnosis Coding:
Be Ready For Concurrent ICD-9/ICD-10 Coding
CMS accepts 81 percent of ICD-10 test claims. It appears that ICD-10 really will be [...] - Industry Notes:
Follow Your MAC's Instructions To Submit Hospice Cap
Warning: If you’re a week late, CGS will suspend your payments. How exactly sequestration will [...] - Industry Notes:
Face-To-Face Problems Lead To Denial Rate Of 55% In Recent Review
Palmetto GBA continues to shoot down claims billing for 20 or more therapy visits. The [...] - Industry Notes:
Prepare For Star Ratings This Summer With New Info
Curious for more information on your upcoming star rating from Medicare? The Centers for Medicare [...] - Industry Notes:
Medicare Requires Both OASIS And CAHPS For Full 2017 Payment Update
The CAHPS data you’ll have submitted starting next month — or not — will affect [...] - Industry Notes:
If You Pay Docs For Services, Watch Out
Will your payment arrangements with your referring physicians stand up to scrutiny? If not, you [...] - Industry Notes:
New Uber-Style Home Visit Service For Nurses Starts Up In Metro Areas
You may soon see market competition from an unexpected source — an Uber- - HIPAA:
Install Encryption On Laptops Or Pay The HIPAA Price
Tip: Even remote management isn’t enough to prevent a HIPAA violation. Just because a laptop [...]
