tci Medicare Compliance & Reimbursement - 2005 Issue 20

HOME HEALTH: CMS Setting Sights On Medical Directors

Going overboard on number of directors raises a red flag. The newest compliance hotspot for home care providers is medical director kickbacks. Home health providers should be forewarned: Medicare can all but shut down a provider's cash flow if charges of medical director kickbacks arise.In response to provider requests, the Centers for Medicare and Medicaid Services addressed the issue of medical director kickback fraud in the April 21 Open Door Forum for home care providers.Recently, CMS has suspected home health agencies of paying physicians for referrals through sham medical directorships, a CMS official warned in the forum...

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