When FCA Cases Result in Criminal Charges

Anti-kickback and fraud cases have proliferated as regulators zero in on the hospice industry. How a hospice works with referral sources can be a red flag that brings providers face-to-face with criminal charges in False Claims Act (FCA) cases.

FCA suits can include significant legal repercussions for hospice providers such as imprisonment for committing health care fraud. In some cases, hospice leaders have been arrested for their roles, received several years or decades of prison sentences, or they have been barred from practicing all together.

Criminal FCA cases often involve issues related to kickback schemes in which hospices billed Medicare for services that patients either weren’t eligible for, or never received.

Read more @ Hospice News