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Florida Hospice CEO Agreed to Be Excluded for 3 Years for Submitting Claims for Hospice Claims for Beneficiaries that Allegedly Did Not Meet Eligibility Requirements

In connection with the resolution of False Claims Act liability, the CEO of a corporation that provides hospice services agreed to be excluded from participating in Federal health care programs for a period of three years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that the CEO caused the submission of false claims to Medicare for hospice care provided to 19 patients who did not meet the eligibility requirements for the Medicare hospice benefit because each of these patients, during some, or all, of the period they received hospice care, did not have a medical prognosis of six months or less if their illnesses ran their normal course.

Action Details

  • Date:October 24, 2013
  • Enforcement Types:
    • CMP and Affirmative Exclusions