A group home providing services to disabled individuals has settled with the HHS Office of the Inspector General allegations that it employed a nurse who has been excluded from participation in Federal health care programs and allowed that person to care for residents. The facility, Agape Homes, LLC, of Avondale, Arizona also offers day treatment services. Under federal law, a provider who has been excluded from federal health care programs can neither provide services to Medicare or Medicaid beneficiaries nor have those services paid for by Medicare or Medicaid. Agape agreed to pay $41,995.30 to settle these allegations. Senior Counsel Nancy W. Brown represented OIG.
Affinity Medical Center, LLC, - a community hospital in Birmingham, Alabama that operates under the name Trinity Medical Center - entered into a settlement agreement with the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services, effective December 15, 2014. The $111,969.11 settlement resolves the allegation that the hospital employed an individual who was excluded from participating in any Federal health care programs and then billed Federal health care programs for items and services provided by the excluded individual.
After it self-disclosed conduct to OIG, Hospice Care of America, Inc. d/b/a Hospice Care of California (HCC), California, agreed to pay $146,774.94 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that HCC submitted claims to Medicare for hospice services that: (1) were not supported by face-to-face encounter documentation; and (2) were provided to one beneficiary as routine home care hospice services when the documentation did not support Medicare hospice eligibility requirements.