Earlier this month, the Eleventh Circuit Court partially affirmed a lower court’s decision in United States vs. Aseracare, stating that disagreements between doctors related to a patient’s prognosis does not qualify as hospice fraud under the False Claims Act (FCA).
Earlier in the year, I discussed the case with with Hospice News stating, “Settlements involving allegations about medical necessity of hospice services continued to dominate enforcement actions this last year. Hospice organizations should be particularly mindful of the patients they are accepting and ensure that the appropriate documentation is retained.” The publication repurposed the quote for the September 2019 article.
The full article, “Court: Difference of Opinion is Not Hospice Fraud,” was published by Hospice News on September 11, 2019, and is available online.