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17 Jan 2024, 10:43 am by Second Circuit Civil Rights Blog
This is a case brought under the False Claims Act in which the plaintiffs allege that a home health and hospice care company in Louisiana with facilities around the country falsely certified unqualified patients for home health care, provided unnecessary and improper treatment, falsified time records, and manipulated patient records. [read post]
24 Feb 2023, 12:29 pm by Ana Popovich
Of that $2.2 billion, “over $1.7 billion related to matters that involved the health care industry, including drug and medical device manufacturers, durable medical equipment, home health and managed care providers, hospitals, pharmacies, hospice organizations, and physicians. [read post]
17 Feb 2023, 4:13 am by Public Employment Law Press
  Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
17 Feb 2023, 4:13 am by Public Employment Law Press
  Department of Health – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (2022-F-31) A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. [read post]
7 Feb 2023, 6:19 pm by Ben Vernia
The False Claims Act thus serves to safeguard government programs and operations that provide access to medical care, support our military and first responders, protect American businesses and workers, help build and repair infrastructure, offer disaster and other emergency relief, and provide many other critical services and benefits.Of the more than $2.2 billion in False Claims Act settlements and judgments reported by the Department of Justice this past fiscal year, over $1.7… [read post]
12 May 2022, 6:59 am by Robert Liles
State prosecutors have alleged that these hospices: Enrolled patients into hospice who were not terminally ill; or Enrolled patients into hospice care, without the patients’ knowledge; or Enrolled patients into hospice care despite the fact that the patients didn’t have an understanding of what hospice entails. [read post]
1 Feb 2022, 4:08 pm by Ben Vernia
”Of the more than $5.6 billion in settlements and judgments reported by the Department of Justice this past fiscal year, over $5 billion relates to matters that involved the health care industry, including drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories and physicians. [read post]
28 Jan 2022, 1:49 pm by luiza
Medicare will not cover hospice care unless a qualifying physician certifies the patient is terminally ill, meaning expected to live no more than six months. [read post]
1 Dec 2020, 1:26 pm by Nate Nead
One sub-sector that saw a substantial increase was Home Health and Hospice which had a 29.4x Q2 2020 multiple1. [read post]
1 Dec 2020, 1:26 pm by Nate Nead
One sub-sector that saw a substantial increase was Home Health and Hospice which had a 29.4x Q2 2020 multiple1. [read post]
3 Jun 2020, 1:07 pm by Robert Liles
Notably, the root cause of the problem was clearly understood by the government long ago: “The use of emergency rooms for non-urgent care results primarily from the recipient’s lack of access to primary care during or after office hours. [read post]
10 Sep 2019, 8:00 am by Robert Kreisman
She developed sepsis and was moved to the facility’s critical care unit, where she was diagnosed as having a Stage 4 pressure sore on her sacrum; staff administered three debridements and hospice care. [read post]
1 Jan 2019, 5:10 pm by Ben Vernia
” Of the $2.8 billion in settlements and judgments recovered by the Department of Justice this past fiscal year, $2.5 billion involved the health care industry, including drug and medical device manufacturers, managed care providers, hospitals, pharmacies, hospice organizations, laboratories, and physicians. [read post]