article thumbnail

2 Convicted in $3.2M Hospice Fraud, Kickback Scheme

Hospice News

A California hospice owner and a freelance marketer have been convicted of Medicare fraud, totalling $3.2 Nita Palma of Glendale, California, in 2025 purchased Magnolia Gardens Hospice through her daughter and concealed her ownership from Medicare, according to the U.S. million, and anti-kickback statute violations. Justice Department.

Hospice 264
article thumbnail

California Hospice Physician Sues CMS, HHS Over Fraud Allegations

Hospice News

Centers for Medicare & Medicaid Services (CMS) in response to fraud allegations that have resulted in licensure and billing privilege revocation. court documents stated. District Court for the Central Division of California to allow for continued Medicare licensure until the fraud dispute is resolved through the U.S.

Hospice 257
professionals

Sign Up for our Newsletter

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

article thumbnail

CMS to Surveyors: Keep Eyes Open for Hospice Fraud

Hospice News

Centers for Medicare & Medicaid Services (CMS) has issued a memo to accreditation bodies and state agencies advising surveyors to watch out for potential hospice fraud. CMS said that reviewing certain documents and information that identify key managers, services and locations is “essential.”

Hospice 246
article thumbnail

Hospices Traverse the ‘New Twists’ in Increasingly Complex Auditing Processes

Hospice News

Auditors are raising new questions around two common issues in hospices Medicare claims documentation supporting patient eligibility and the physician narrative. Centers for Medicare & Medicaid Services (CMS), he indicated. For the physician, they need to understand the perspective of who they are documenting for.

Document 213
article thumbnail

Medicare Making Fewer Improper Payments to Hospices

Hospice News

Medicare fee-for-service programs made $31.23 of improper payments from Medicare in 2023, down from 12% in 2022, according to a new report from the U.S. The leading cause of these payments were inaccurate or incomplete documentation. The post Medicare Making Fewer Improper Payments to Hospices appeared first on Hospice News.

Medicare 264
article thumbnail

Hospice Attorneys: Regulatory Deck Stacked Against New Amid ‘Wide Net’ of Oversight

Hospice News

Centers for Medicare and Medicaid Services (CMS) regulatory oversight approach could potentially put some new hospices out of business, according to Bryan Nowicki, partner at the law firm Husch Blackwell. The risks include potential revocation of Medicare privileges and licensure and termination of the hospices provider number.

Hospice 237
article thumbnail

The Role of Medicare Advantage in Growing Palliative Care Services

Hospice News

For the time being, Medicare Advantage may be providers’ best bet for palliative care reimbursement. Centers for Medicare & Medicaid Services (CMS) also allows Medicare Advantage plans to cover palliative care as a supplemental benefit. This year, the number of MA plans swelled to 3,998 nationwide, up 6% from 2022.

Medicare 305