article thumbnail

Blue Sky Hospice Medical Director Convicted of $2.8M Hospice Fraud

Hospice News

“Thropay fraudulently certified Medicare patients of Blue Sky as having terminal illnesses that the patients did not have so that Blue Sky Hospice could bill Medicare for hospice services,” a statement by the U.S. Justice Department indicated. “In Schmale from the Justice Department’s Criminal Division, Fraud Section.

article thumbnail

MA Beneficiaries More Likely than Fee-for-Service Patients to Enter Hospice from Community Setting

Hospice News

Medicare Advantage (MA) beneficiaries are more likely to enroll in hospice from a community setting than patients in traditional fee-for-service programs. In 2011, for example, 50% of MA patients came to hospice from the community, compared to 39% of those in traditional Medicare. This is close to half of all Medicare beneficiaries.

2011 246
professionals

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Providers Work to Solve Palliative Care’s Biggest Growing Pains

Hospice News

Samaritan Healthcare & Hospice launched its palliative care service line in 2007, mainly providing these services in hospital-based settings. A small number [of payers are] commercial, and then you’ve got Medicaid and several government payer pieces, with Medicare tending to be viewed as a lower payer for these services,” Spragens said.

Palliate 245
article thumbnail

Hospice Workers ‘Crave’ Safety, Connection, Efficiency 

Hospice News

In 2007, 27,400 recorded injuries occurred among close to 900,000 workers providing health care in the home setting, according to the National Institutes for Occupational Safety and Health (NIOSH). . Center for Medicare & Medicaid Services (CMS), the U.S. Chart used with permission).

Hospice 278
article thumbnail

Former Blue Sky Hospice Medical Director Sentenced to 37 Months in Fraud Case

Hospice News

million fraud scheme in which Medicare was billed for hospice services that the patients did not need. “In In 2015, Thropay was listed as the attending provider for more hospice claims paid by Medicare than any other provider in the nation,” the Justice Department indicated in a press release.

article thumbnail

Understanding Policymakers’ Frame of Reference Crucial to Hospice, Palliative Care Advocacy

Hospice News

In 2007, Olajide established the tech firm Axxess with a mind toward improving the efficiency of health care delivery to allow providers to devote more time and resources to their interactions with patients. Typically, when we hear about value, it’s about saving money for payers and Medicare.

article thumbnail

Pediatric Hospice, Respite Program Combatting Financial Challenges

Hospice News

The idea for Sarah House came into being in 2007. Current Medicaid and Medicare per diem rates do not sufficiently support the full scope of interdisciplinary pediatric hospice and respite services, according to Marcum. Image courtesy of Sarah House's board of directors.

Hospice 263