excalibur
Diamond Member
- Mar 19, 2015
- 29,407
- 59,605
- 2,290
The grift is more enormous than anyone would believe.
And the money-laundering is monumental. Overwhelming the system.
legalinsurrection.com
And the money-laundering is monumental. Overwhelming the system.
We have been reporting on the astonishing levels of fraud in the Medicaid system, especially in hospice services.
The level of abuse in this system involving California services is mind-blowing. Vice President JD Vance’s anti-fraud task force originally suspended 70 hospice and home health care businesses in Los Angeles at the start of his efforts.
The move came shortly after investigations by CBS News and Nick Shirley revealed a fraud scheme in California involving hospices.
Then Vance’s task force suspended over 400 more.
Subsequently, House of Representatives lawmakers convened on Capitol Hill to hold a hearing on Medicare fraud. The witness testimony regarding fiscal abuse and corruption is staggering.
Sheila Clark, president and CEO of the California Hospice and Palliative Care Association, focused on what advocates call “ground zero” for hospice fraud in LA County, telling lawmakers about empty offices with mail piled up, whose owners purport to be providing hospice services.
When someone is fraudulently enrolled in hospice care, it can be difficult to get unenrolled. Many victims spend hours trying to get someone to help them remove the care they do not need and were fraudulently signed up for. Hospice care enrollment also often disqualifies them from getting other medical care they do need through Medicare.
Clark recommended Congress create a mechanism for people to get out of a fraudulent hospice enrollment, so they’re not left trapped in the system unable to get other care.
“We need better enforcement on entry. We need better enforcement at licensure, at the state level. We need it at the certification, the accreditation agencies,” Clark said. “We’re not going to convict our way out of this. We have to stop them from entering the system.”
Clark described how one burrito stand was registered as a hospice.
You’d be amazed at how many hospices, the door you can walk up to in California and there is nobody there. There is five months worth of mail that you can see stacked up from CMS and nobody’s there. And that passed a survey. How did that happen?
How do you put a hospice in a burrito stand in California? How do you put a hospice in a tire store in California? That all had to be vetted through licensure and certification and accreditation.
...
The level of abuse in this system involving California services is mind-blowing. Vice President JD Vance’s anti-fraud task force originally suspended 70 hospice and home health care businesses in Los Angeles at the start of his efforts.
The move came shortly after investigations by CBS News and Nick Shirley revealed a fraud scheme in California involving hospices.
Then Vance’s task force suspended over 400 more.
Subsequently, House of Representatives lawmakers convened on Capitol Hill to hold a hearing on Medicare fraud. The witness testimony regarding fiscal abuse and corruption is staggering.
Sheila Clark, president and CEO of the California Hospice and Palliative Care Association, focused on what advocates call “ground zero” for hospice fraud in LA County, telling lawmakers about empty offices with mail piled up, whose owners purport to be providing hospice services.
When someone is fraudulently enrolled in hospice care, it can be difficult to get unenrolled. Many victims spend hours trying to get someone to help them remove the care they do not need and were fraudulently signed up for. Hospice care enrollment also often disqualifies them from getting other medical care they do need through Medicare.
Clark recommended Congress create a mechanism for people to get out of a fraudulent hospice enrollment, so they’re not left trapped in the system unable to get other care.
“We need better enforcement on entry. We need better enforcement at licensure, at the state level. We need it at the certification, the accreditation agencies,” Clark said. “We’re not going to convict our way out of this. We have to stop them from entering the system.”
Clark described how one burrito stand was registered as a hospice.
You’d be amazed at how many hospices, the door you can walk up to in California and there is nobody there. There is five months worth of mail that you can see stacked up from CMS and nobody’s there. And that passed a survey. How did that happen?
How do you put a hospice in a burrito stand in California? How do you put a hospice in a tire store in California? That all had to be vetted through licensure and certification and accreditation.
...
A Burrito Stand Qualifies for Hospice Funding Under California's Medicaid System
Hint: Neither burrito nor real patients were being served — taxpayer dollars were.
legalinsurrection.com
