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Tulsa Hospice Firm Settles Medicare False Claims Allegations for $48,830
Evergreen Hospice, LLC, a Tulsa-based hospice company, has agreed to pay $48,830.70 to settle allegations that it submitted false claims to Medicare for hospice care provided to beneficiaries who did not qualify for the services. The settlement resolves allegations that Evergreen knowingly submitted false claims to Medicare from September 1, 2017, to May 31, 2020, for hospice services that were not medically necessary. The claims resolved by the settlement are allegations only; there has been no determination of liability.
“Unfortunately, some healthcare providers seek to defraud Medicare by billing unnecessary hospice services,” stated U.S. Attorney Clinton Johnson. “Left unchecked, this misconduct would deplete funds available for terminally ill patients desperately in need of the relief that hospice care provides. This settlement should serve as notice to others who consider similar practices that we will vigorously pursue them.”
Hospice care is special end-of-life care for terminally ill patients intended to comfort the dying. Patients admitted to hospice care generally stop receiving coverage for traditional medical care intended to cure their illnesses and instead receive medical care focused on providing them with relief from the symptoms, pain, and stress of a terminal illness. Medicare patients are hospice eligible when they are considered terminally ill and have a life expectancy of six months or less, if their illness runs its normal course.
The government’s action in this matter illustrates the emphasis on combating health care fraud, and one of the most powerful tools in this effort is the False Claims Act. Tips from all sources about potential fraud, waste, abuse, and mismanagement can be reported to the Department of Health and Human Services, at 800-HHS-TIPS (800-447-8477).
Assistant U.S. Attorney Marianne Hardcastle prosecuted this case. The Office of Inspector General for the U.S. Department of Health & Human Services investigated this case.
Evergreen Hospice, LLC, is a hospice company located in Tulsa, Oklahoma. The company has agreed to pay $48,830.70 to resolve the allegations.
Key Facts
- State: Oklahoma
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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