HCA-401 Chapter 8 Compliance Plans Case Study #2 Home Health Fraud.
HCA-401 Chapter 8 Compliance Plans Case Study #2 Home Health Fraud.
Homework Answers
Answer: When home health is being provided to the patients, the physician provides specific details regarding the treatment that will be provided to the patients such as occupational therapy, physical therapy, speech language therapy etc. Along with this many other benefits of care are being provided to the patient.
But in the case of fraud, there is no proper care is being provided to the patients. The fraudulent physician along with the nurse mention every services on the documents. But these services are not provided to the patient. Sometimes the non beneficiary physician may sign or mentioned that the patient is unable to take care of themselves. For example in the case of diabetes, it can be mentioned that patient is unable to inject insulin himself.
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