California Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals

Although the California Department of Health Care Services (State agency) made Medicaid electronic health record (EHR) incentive program payments to eligible hospitals, it did not always make these payments in accordance with Federal requirements. Specifically, from October 1, 2011, through December 31, 2015, the State agency made incorrect Medicaid EHR incentive payments to 61 of…

United States Settles Health Care Fraud Action Involving Doctor Who Prescribed Unnecessary Opioid Prescriptions

A doctor who practiced in Warren, Michigan, agreed to pay $200,000 to resolve allegations that he violated the False Claims Act by writing prescriptions for oxycodone and other controlled medications without medical justification, and for billing for medical services without medical justification, announced U.S. Attorney Barbara L. McQuade. From 2010 through early 2012, Hussein Awada,…

Washington State Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals

Although the Washington State Health Care Authority (State agency) made Medicaid electronic health record (EHR) incentive program payments to eligible hospitals, it did not always make these payments in accordance with Federal requirements. Specifically, from October 1, 2011, through December 31, 2015, the State agency made incorrect Medicaid EHR incentive payments to 19 of the…

HHS’s Office of Inspector General Levies Largest Penalty Under a Corporate Integrity Agreement Against Nation’s Biggest Provider of Post-Acute Care

September 20, 2016 For More Information Contact: Don White 415/437-7982 Kindred Health Care, Inc., the nation’s largest provider of post-acute care, including hospice and home health services, has paid a penalty of more than $3 million for failing to comply with a corporate integrity agreement (CIA) with the Federal Government, Department of Health and Human…

Owner of Illinois Home Health Company Admits Paying Illegal Kickbacks to 20 Medical Directors for Referrals of Medicare Patients

CHICAGO — The owner of a home health care company headquartered in Lemont admitted in federal court today that he paid illegal kickbacks to procure referrals of elderly patients on Medicare. ROMY MACASAET JR. paid kickbacks to medical directors to obtain referrals of Medicare beneficiaries to his company, Home Bound Healthcare Inc., which was one…

Hospices Should Improve Their Election Statements and Certifications of Terminal Illness

WHY WE DID THIS STUDY Medicare hospice care is intended to help terminally ill beneficiaries continue life with minimal disruptions and to support beneficiaries’ families and other caregivers. Two key requirements of the Medicare hospice benefit are for the beneficiary to sign an election statement and for a physician to certify the beneficiary as terminally…

Healthcare Exclusion Screening: It’s Not Just for Hospitals- What About Imaging Companies?

Preferred Imaging, LLC, a provider of diagnostic imaging services, has agreed to pay $3,510,000 for improperly billing Medicare and Medicaid for services performed without proper medical supervision.  Preferred Imaging cooperated with the investigation and, by settling, did not admit any wrongdoing or liability.  The announcement was made July 22, 2016, by U.S. Attorney John Parker.…