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Proposed California Budget Calls for Prior Authorization for Hospice in Medicaid

Hospice News

The proposed California budget would require prior authorizations for hospice care within the states Medicaid program. Californias Department of Health Care Services (DHCS) indicated in a 2025-2026 budget revision that this could save $25 million over the next two years and more than $50 million in the long term.

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California Physician Sentenced to 24 Months for $3.2M Hospice Fraud

Hospice News

A Ventura County, California, physician has been sentenced to 24 months in federal prison for Medicare fraud for medically unnecessary hospice services. Dr. Victor Contreras worked for two hospices in Pasadena California Arcadia Hospice Provider Inc., The post California Physician Sentenced to 24 Months for $3.2M

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Man Pleads Guilty to $17M California Hospice Fraud Scheme

Hospice News

Petros Fichidzhyan pleaded guilty to charges of health care fraud, aggravated identity theft and money laundering in connection with the Medicare fraud case involving multiple California-based hospice and home health companies. The post Man Pleads Guilty to $17M California Hospice Fraud Scheme appeared first on Hospice News.

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California Hospice Physician Sues CMS, HHS Over Fraud Allegations

Hospice News

A California-based physician is suing the U.S. Shaarawy provides internal and family medicine, palliative care and hospice services and operates a private practice in Canoga Park, California. The nonprofit contracted with CMS to act as the fiscal intermediary for the state of California. court documents stated.

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California Hospice Owner Receives 12-Year Prison Sentence in Fraud Case

Hospice News

Petros Fichidzhyan, 44, of Granada Hills, California, has been sentenced to 12 years in prison and three years of supervised release for his role in a mulit-year scheme to defraud Medicare of more than $17 million. ” The post California Hospice Owner Receives 12-Year Prison Sentence in Fraud Case appeared first on Hospice News.

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California Electronic Visit Verification (California EVV): An Essential Guide

AlayaCare

California’s Electronic Visit Verification (EVV) was designed to help accurately track and document services, keeps caregivers on schedule, and ensure clients receive the care they’ve been promised. What is California Electronic Visit Verification (California EVV)? Equip caregivers with easy-to-use mobile apps for daily tasks.

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Medicaid Health Plans Failing to Pay Hospices for Nursing Home Room and Board

Hospice News

Stymied Medicaid reimbursement for nursing home room and board could threaten access to care for hospice patients in California and possibly other states. Medi-Cal, Californias Medicaid program, is among the states that shifted management of its safety net health coverage to health plans.