Odyssey HealthCare Operating A LP d/b/a Kindred Hospice
Outcome
Kindred Hospice in Arkansas paid $32,224 after self-disclosing that it billed federal healthcare programs for hospice services provided by an unlicensed nurse.
Details
Kindred Hospice (Arkansas) — Unlicensed Nurse Billed to Medicare (2018)
Outcome: Odyssey HealthCare Operating A, LP d/b/a Kindred Hospice, operating in Arkansas, paid $32,224.82 after self-disclosing that it billed federal healthcare programs for hospice nursing services provided by a nurse who did not hold a valid nursing license.
Kindred Hospice (part of Kindred Healthcare, later Gentiva Health Services) is one of the largest hospice providers in the United States. At its Arkansas operations, a nurse provided hospice care services to patients and those services were billed to Medicare and/or Medicaid, but the nurse lacked a valid nursing license during the relevant service period. The organization self-disclosed the violation and settled for $32,224.82 on November 8, 2018.
Hospice providers are required under Medicare Conditions of Participation to ensure all clinical staff hold current, valid professional licenses. This case demonstrates that even large national operators with substantial compliance infrastructure can experience license lapse violations without systematic automated monitoring.
Primary Source: OIG Enforcement Record
How Crucible Prevents This
Crucible's nursing license monitoring and automated verification hooks would detect a lapsed or invalid license before the nurse continues providing billable hospice care. Real-time integration with Arkansas State Board of Nursing license databases and automated alerts on license status changes are essential controls for large hospice operators with distributed nursing staff.
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