Posted on Monday, September 16, 2019 1:42 PM
The Eleventh Circuit Court of Appeals has partially upheld a decision that favors Arkansas based hospice provider AseraCare in a False Claim Act (FCA) and this decision affects the whole industry. The ruling said that just because of a difference of opinion from a physician’s opinion on a patient’s prognosis does not indicate a falsity under the FCA. The case was trying to determine if the live dismissal from hospice care was fraud or because of the inability to pinpoint a patient’s exact life expectancy.
“This opinion provides comfort for the physicians who are making these difficult determinations related to terminally ill patients as well as the hospice providers who are reimbursed by Medicare for services for these patients,” AseraCare said in a statement.
Click here for the full article
About Corridor
Corridor is the nation’s preferred partner and trusted business advisor to home health and hospice providers, providing quality services and impactful results for 30 years. Focusing on key operational, regulatory and financial challenges, Corridor delivering industry-unique solutions and deep expertise in coding, clinical documentation review, compliance, billing and collections , consulting and provider staff education . At Corridor, we make the business of caring for people Better! For the most important industry updates and news that impacts home health and hospice, please make sure to sign up for our weekly newsletter to receive the latest up-to-date industry information direct to your inbox!
For additional information, please contact Corridor at 1-866-263-3795.
