Home Health & Hospice Week
New Orleans HH Patient Recruiter Convicted
A patient recruiter has been convicted of Medicare fraud in a scam centering around mentally ill Medicare patients. Evidence at trial showed that from 2008 to 2013, Kim Ricard and others “engaged in a scheme to refer mentally ill Medicare patients to home health agencies in and around New Orleans, in exchange for kickbacks,” the Department of Justice says in a release. Prosecutors showed that Ricard illegally used the Medicare identification information of three Medicare beneficiaries and lied to investigators. As a result, Ricard’s co-conspirator caused Medicare to pay more than $2.1 million based on those illegally-obtained referrals, according to the DOJ. Another defendant in the case, Milton Diaz, has pled guilty and is awaiting sentencing, the DOJ says.
Home Health & Hospice Week
- Prospective Payment System:
Home Care Industry Declares War On HHGM Model
Give CMS your two cents by Sept. 25. Medicare’s proposal to reform the Home Health [...] - Fraud & Abuse:
Another Stiff Sentence Handed Down For Home Care Fraudster
Plus: Shocking 75-year sentence being appealed in Houston fraud case. It may not be the [...] - Reimbursement:
Beware RAP Billing Pitfalls
MAC offers pre-billing tool to avoid returned claims. If you’re not careful, some missteps with [...] - Referrals:
Share Hints For CCM Coding With Your Referral Sources
Physicians who refer to you can obtain their rightful reimbursement for your patients. Chances are, [...] - Referrals:
5 CCM Coding Pointers Your Referral Sources Must Know
Tip: The care plan matters. So how can your referral sources accurately report CPT® codes [...] - Industry Note:
Prepare Your NOE Agreements Before New Year's, MAC Urges
NOE companion guide is out. Your ability to eliminate — or at least drastically reduce [...] - Industry Note:
Watch Out For These Claims System Glitches
If billing system problems have been slowing your cash flow, you’re not alone. Glitch #1: [...] - Industry Note:
Use New Medical Review Tool To Ward Off TPE Failure
Medical review is on the rise, including the potentially devastating Targeted Probe & Educate campaign. [...] - Industry Note:
Get New QoPC Star Rating Methodology Info Here
Changes are ahead for your Home Health Compare Quality of Patient Care star rating, including [...] - Industry Note:
Be Alert To Hospice Compare Preview Report Error
If your Hospice Compare preview report for the next refresh looks a little weird, it may [...] - Industry Note:
Transition Period To Ease New Medicare Card Debut
Medicare won’t start sending out its new beneficiary cards until next April, but it’s already preparing [...] - Industry Note:
Health Systems, HHAs Partner Across The Country
Three recent deals highlight the popularity of health systems joining forces with home health providers. Example [...] - Industry Note:
New Orleans HH Patient Recruiter Convicted
A patient recruiter has been convicted of Medicare fraud in a scam centering around mentally [...]
