June 18, 2015
Posted January 25, 2016
Non-profit hospice care provider Covenant Hospice Inc. agreed to pay $10,149,374 to reimburse the government for alleged overbilling of Medicare, Tricare and Medicaid for hospice services. According to the government, Covenant Hospice improperly submitted hospice claims for general inpatient care that should have been billed at the routine home care level. The government further alleged that Covenant Hospice’s medical records did not support the medical necessity of the general inpatient care. DOJ
Tagged in: FCA Federal, Home Health and Hospice, Lack of Medical Necessity, Medical Billing Fraud, Other Government Health Programs, Upcoding,