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Tennessee hospice firm filed false Medicare claims, lawsuit claims

Share this…FacebookPinterestTwitterLinkedin A Tennessee hospice firm falsely claimed some sufferers have been eligible for Medicaid or Medicare advantages after they…

By Staff , in Medicare , at June 3, 2021



A Tennessee hospice firm falsely claimed some sufferers have been eligible for Medicaid or Medicare advantages after they weren’t terminally unwell, a brand new lawsuit filed by the state and the federal authorities claims. 

A federal investigation into the claims primarily based on whistleblower testimony has moved silently via the courts for almost a decade.

It was revealed this week by the U.S. Lawyer’s Workplace after the state and federal governments filed to intervene within the go well with, unsealing the earlier filings. 

The federal lawsuit claims some departments of Curo Well being Providers, together with Avalon Hospice, knowingly submitted false claims for hospice providers for ineligible sufferers since at the very least 2010.

It additionally alleges Avalon hid the duty to repay overpayments for these providers. 

The lawsuit particulars a coverage that used “aggressive monetary targets and incentives” to extend admissions into the hospice applications, “whereas concurrently discouraging the discharge of sufferers who have been not eligible for the Medicare or Medicaid hospice profit,” in response to a information launch from the U.S. Lawyer’s Workplace. 





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