Compliance News Roundup: Are Hospices Broken?

Compliance News Roundup: Are Hospices Broken?

Posted by Healthicity
Aug 21, 2019 11:07:47 AM

1. Two Kansas Chiropractors Settle False Claim Allegations for $350,000 - Brothers Ryan Schell and Tyler Schell, of the Kansas City area, recently paid $350,000 to settle allegations of submitting false claims to Medicare, U.S. Attorney Steven McAllister said today.

The two chiropractors and their former clinic, Kansas City Health and Wellness Clinic, P.A., agreed to settle allegations of violating the False Claims Act. Kansas City Health and Wellness Clinic was located in Lenexa, Kansas.

In an action filed in federal court in Kansas, the Schells charged Medicare for procedures that were not medically necessary, not actually provided, or not covered by the program.  Get the full scoop here >>

2. Treatment Center Owner Pleads Guilty To $57 Million Money Laundering Conspiracy - Kyle Ryan Marcotte, the owner of a Jacksonville, Florida-area substance abuse treatment center plead guilty for his role in a $57 million money laundering conspiracy. The conspiracy was associated with a pass-through billing scheme, which involved laboratory testing services.

According to his guilty plea, Marcotte, 36, was the owner of a substance abuse treatment facility in Jacksonville Beach, Florida, where he entered into an arrangement with a lab owner to send urine samples of the facility’s patients to the owner’s lab for urine drug testing, in exchange for receiving 40% of the reimbursements. Get the full scoop here >>

3. Deeper Than the Headlines: Are Hospices Broken? - The Office of Inspector General (OIG) recently released a report titled, “Hospice Deficiencies Pose Risks to Medicare Beneficiaries.” In it, the OIG identified “significant vulnerabilities in the Medicare hospice benefit and found that hospices did not always provide needed services to beneficiaries and sometimes provided poor quality care.” In the conclusion of the report, the OIG lays out a series of recommendations for Hospices nationwide. Get our take in this week’s Deeper than the Headlines >>

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