Compliance and Fraud Risks for Homecare and Hospice . Deborah Randall, Esq. www.deborahrandallconsulting.com firstname.lastname@example.org. Congress Acts through PPACA. HHAs and hospices in a “moderate” category for Risk, requiring Social Security number checks, on-site visits
Deborah Randall, Esq.
United States v. Rahman, 11-CR-20540, ED MI, plea filed 2012. Falsified physical therapy credentials.
United States v. Mussa, D. Minn., No. CR-11-266SRN, guilty plea entered 10/7/11. Medicaid Personal care homecare aides not provided.
United States v. Nunez, S.D. Fla., No. 11-CR-20113. Most of 21 defendants have pled; kickbacks to patients and referral sources.
--”Gaming” the system by Therapy Level Targeting, SR 112-24, Report of the Senate Comm. on Finance
March 2012, Director Prof’l Services&4 nurses indicted, allegedly authorized $9 million inappropriate admissions, record alterations for ADR, notes discharges when CAP exceded
Office breakfasts and lunches to discuss the field of end of life, palliative and hospice care
CEUs = where and how they might be given, saving the costs to inpatient facilities/nurses
address at least 3 indicators related to patient care reflects a commitment not only to
assessing the quality of care provided to patients but also to identifying opportunities for improvement that pertain to the care of patients.”
Deborah A. Randall, Esq.