Bass, Berry & Sims attorney John Kelly was quoted in an article examining how disagreements between doctors can be viewed as fraud related to hospice discharges. The question arose in the case of United States vs. AseraCare currently before the Eleventh Circuit Court of Appeals, and it centered around a disagreement among physicians about whether it was medically necessary for a patient to continue to receive care in a hospice setting.
“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,” John said.
The full article, “WSJ Editorial Debates Hospice Fraud Case,” was published by Hospice News on April 18, 2019, and is available online.