Glossary – HO

Contact Form - Your First Step

Home Health False Claims – See Home Healthcare Fraud in this Glossary

Home Healthcare Fraud – See Home Healthcare Fraud

HOPD Hospital Outpatient Department Fraud – See Ambulatory Payment Classification Fraud in this Glossary.

Hospice False Claims – See Hospice Fraud in this Glossary

Hospice Fraud – providers are paid daily per diem amounts to care for patients with terminal illnesses. Fraud issues include: whether the hospice is billing for services at the correct level of care, and whether arrangements with nursing facilities to provide services involves kickbacks. Fraud issues also include false claims by the hospice provider for billing drugs under Part D, which are already included in the per diem rate. This is one example of “unbundling.”

Hospice Medicare Fraud – See Hospice Fraud in this Glossary

Hospital Capital Cost Fraud – involves cost report fraud where either the methodology used to update the capital rates are intentionally wrong, where the hospital misrepresents administrative costs as capital costs or the hospital claims capital expenditures for non-patient related purposes.

Hospital False Claims – See Diagnosis Related Group Fraud, Cost Report Fraud, and Ambulatory Payment System Fraud in this Glossary.

Hospital Fraud – See Diagnosis Related Group Fraud, Cost Report Fraud, and Ambulatory Payment System Fraud in this Glossary.

Hospital Inpatient prospective payment system Medicare Fraud – See Cost Report Fraud in this Glossary.

Hospital Kickback – See Kickback Violation in this Glossary.

Hospital Medicare Fraud – See Diagnosis Related Group Fraud in this Glossary. See Ambulatory Payment Classification Fraud in this Glossary. See Cost Report Fraud in this Glossary.

Hospital Outpatient Prospective Payment Medicare Fraud – See Ambulatory Payment Classification Fraud in this Glossary.