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Former Canon Healthcare Owner Convicted for $47 Million in Hospice Fraud

Hospice News

Canon Healthcare was a New Orleans-based hospice provider that also served the Baton Rouge and Covington, Louisiana, markets, as well as parts of Mississippi. Between 2013 and 2016, the company billed Medicare for $62 million and received $47 million in payments, according to the U.S. Justice Department.

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Hospice of the Foothills Joins California Hospice Network

Hospice News

Hospice of the Foothills of Nevada County has joined the California Hospice Network, a regional collaborative of nonprofit providers. Hospice of the Foothills launched in 1979 to serve two California counties as an all-volunteer organization and now cares for more than 500 patients and families annually.

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Untangling the Hospice GIP Conundrum

Hospice News

With heightened regulatory scrutiny and dropping utilization, hospices are walking a tightrope when it comes to providing the General Inpatient (GIP) level of care. Though hospices are required to offer all four levels of care, more than half did not provide a single day of GIP during 2022, according to the U.S. GIP represented 1.8%

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Canon Healthcare Owner Receives Prison Sentence, $42 Million Fine in Fraud Case

Hospice News

The court also ordered Akula to repay $42 million in fraudulent Medicare billing claims made between January 2013 and December 2019, which totaled roughly $84 million during that six-year span. The charges included fraudulent claims for physician services and home visits, as well as manipulation of Medicare billing codes.

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Payer Partnerships ‘Critical’ in VBID: Ohio’s Hospice, Pure Healthcare Contract with Aetna

Hospice News

CVS Health Corporation (NYSE: CVS) subsidiary Aetna has selected Ohio’s Hospice and Pure Healthcare as part of the insurance company’s hospice and palliative care preferred provider network for Value-Based Insurance Design (VBID) in the Buckeye State. The collaborative began with three hospice members and now includes 11 organizations.

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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. million patients who elected hospice in the last 90 days of life during the years 2011, 2013, 2016 and 2018. This is close to half of all Medicare beneficiaries.

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Agape Expands to Alabama, Louisiana with Journey Hospice Deal

Hospice News

Agape Care Group has expanded into Alabama and Louisiana with the acquisition of Journey Hospice. Both [Alabama and Louisiana] are tremendous markets with compelling demographics and strong workforces,” Agape CEO Troy Yarborough told Hospice News. “We Hospice utilization among Medicare decedents in Alabama reached 47.4%

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