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Petros Fichidzhyan, 44, of Granada Hills, California, has been sentenced to 12 years in prison and three years of supervised release for his role in a mulit-year scheme to defraud Medicare of more than $17 million. Fichidzhyan committed the fraud through sham hospicecompanies and a home health company that he owned, according to the U.S.
A guilty plea has been filed in a hospice fraud scheme that allegedly bilked Medicare for $17 million in false claims. Fichidzhyan was among the five individuals that the FBI arrested in June 2024 in connection with the hospice fraud and money laundering scheme. Justice Department.
Petros Fichidzhyan, Juan Carlos Esparza and Karpis Srapyan allegedly owned and operated a series of sham hospicecompanies that they falsely claimed were owned by “foreign nationals,” according to the U.S. Justice Department.
The 2025 proposed hospice rule is raising some questions along with payment rates. Centers for Medicare & Medicaid Services (CMS) proposed a 2.6% increase in hospice per diems for 2025. We know that hospice care has demonstrated $3.5 Hospice care saves Medicare roughly $3.5
New rules for changes in hospice ownership are likely to slow down or kill some mergers and acquisitions, according to Ari Markenson, partner at the law firm Venable LLP. Another recently proposed rule would require anyone who holds 5% ownership or more in a hospice must submit to a criminal background check, including fingerprints.
A coalition of hospice industry organizations recently urged the U.S. Centers for Medicare & Medicaid Services (CMS) to examine the issue and to consider actions like targeted moratoria on licenses. CMS initially proposed the SFP for 2023, but later decided to convene a Technical Expert Panel to inform the program’s design.
Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. Centers for Medicare & Medicaid Services (CMS) developed new approaches for enforcing hospice regulations that will become effective on Jan. Billion (April 21).
Hospice leaders will need to keep their eyes on five key trends in the new year when it comes to compliance, business operations and finance. Hospice utilization reached 51.7% The number of hospice care days also saw increases, as did average length of stay and average number of patient visits per week.
The nations hospice utilization rate among Medicare decedents has once again surpassed 50%, for the first time since the pandemic. Hospice utilization reached 51.7% in 2023, up more than two percentage points from the prior year, according to recent data from the Medicare Payment Advisory Commission (MedPAC).
Before beginning hospice care, make sure to ask your doctor some critical questions. As we go into hospice, will you provide me and my family with the information necessary to make decisions? If my health plan or insurance company tries to deny hospice care coverage, will you stand up for my rights?
Four national hospice and senior care industry groups have called on Congress and the U.S. Centers for Medicare & Medicaid Services (CMS) to make regulatory and legislative changes to instill stronger program integrity safeguards. The Hospice Program Integrity plan lists 34 recommendations that center around five key areas.
Hospices simply did not have enough staff to meet demand, which drove some of them out of business. Executives from almost every publicly traded hospicecompany raised this issue in earnings calls and presentations throughout the year. Hospices reported drops in their average length of stay during 2022. Length of stay.
Control of these assets also allows payer organizations to better manage the financial risks that come with the value-based payment models that many expect will overtake traditional Medicare in coming years. hospicecompany by market share and the leader of a growing for-profit provider based in the Midwest.
SEIU analyzed Medicare claims data showing that the average hospice transfer rate among HCA hospital discharges was nearly 40% above the national average in 2021 and represented a 50% growth rate over four years. For one, hospice utilization has been on a steady upswing nationally for several years. told Hospice News.
Medicare is going to set higher standards for nursing homes and make sure your loved ones get the care they deserve and expect.”. billion and would require firms to provide more information used for risk assessment and regulatory enforcement. That ends on my watch,” Biden said. The proposal would reduce that threshold to $1.5
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