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Category: Fraud & Aduse

Fraud & Abuse: Recent Home Health Fraud Cases Focus On Kickbacks

  • By Sandy McCleve
  • September 11, 2018
  • No Comments

Whistleblower rakes in $2.3 million. Be sure to toe the line in your relationships with institutional referral sources, or you could both get in trouble. Long-term care and rehabilitation hospital … Continue Reading →

Fraud & Abuse: Intermediate Sanctions, Tougher Medical Review, And More May Be Ahead

  • By Sandy McCleve
  • August 23, 2018
  • 1 Comment

Prepare for these actions focused on GIP, nursing facility patients, and more. The OIG has issued a fraud-fighting wish list for hospices, and many of the recommendations would make life … Continue Reading →

Fraud & Abuse: OIG Pushes HHA Surety Bond Requirement — Again

  • By Sandy McCleve
  • August 17, 2018
  • No Comments

Watchdog agency isn’t letting this recommendation go. A major home health agency burden nearly tops the latest list of fraud-fighting recommendations from the HHS Office of Inspector General. In its “2018 … Continue Reading →

Fraud & Abuse: Hospices Pay Out Millions In Fraud Cases

  • By Sandy McCleve
  • July 24, 2018
  • No Comments

Hospice coughs up $3 million for integrity agreement settlement. A whistleblower lawsuit filed by hospice physicians has cost one nonprofit Florida hospice $2.5 million — and it could have been … Continue Reading →

Fraud & Abuse: OIG Targets LUPA Gaming In Newest Work Plan Item

  • By Sandy McCleve
  • July 3, 2018
  • No Comments

Feds will examine cases where one visit translates to additional thousands of dollars. Just where do you fall in relation to your peers when it comes to episodes barely exceeding … Continue Reading →

Hospice: Fraud Settlement Leads To Execs’ Salaries Splashed Across The Newspaper

  • By Sandy McCleve
  • June 28, 2018
  • No Comments

Hospice nursing supervisor admits to hastening patients’ death with overmedication. Two hospice fraud and abuse cases have widely publicized developments that may make hospices’ missions harder. Case #1: Trustbridge, the … Continue Reading →

Fraud & Abuse: OIG Shines Spotlight On Home Care Fraud

  • By Sandy McCleve
  • June 25, 2018
  • No Comments

Watchdog agency profiles Texas, Florida cases. The feds continue to paint home care with a broad fraud brush, as evidenced by the OIG’s latest Semiannual Report to Congress. “Home- and community-based … Continue Reading →

Fraud & Abuse: Fraud Report Tallies Hospice Enforcement Activities

  • By Sandy McCleve
  • May 1, 2018
  • No Comments

High-profile cases paint industry with fraud brush. The hospice industry continues to draw fraud-fighting attention from the feds, as shown in a recent report on the Health Care Fraud and … Continue Reading →

Fraud & Abuse: OIG Highlights Home Health Fraud In Latest Report

  • By Sandy McCleve
  • April 18, 2018
  • No Comments

The industry is still living down the Dr. Jacques Roy case. Don’t expect fraud and abuse scrutiny to let up any time soon, with the HHS Office of Inspector General reporting $2.4 … Continue Reading →

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About Me

Sandy McCleve is the Managing Director at Advantage Healthcare Consulting with nearly a decade of experience as an accounting and tax preparation consultant specifically for healthcare providers.

Sandy has developed proprietary tools and systems that allow Advantage Healthcare Consulting to provide the fastest, most accurate cost reports and truly qualifies him as a specialist in Medicare and Medicaid Cost Reporting for Home Health Care Agencies, Hospice Care Providers, and Skilled Nursing Facilities.

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