West Altamonte Facility Operations LLC d/b/a Consulate Health Care of West Altamonte

West Altamonte, FL 2021 Assisted Living / Long-Term Care
OIG HHS Unlicensed Staff Billing Civil Monetary Penalty
Penalty
$33,388

Outcome

Consulate Health Care of West Altamonte, a Florida nursing care facility, paid $33,388 after self-disclosing that it billed Medicare for services provided by a nurse who lacked a valid nursing license.

Details

Consulate Health Care of West Altamonte (FL) — Unlicensed Nurse Billed to Medicare (2021)

Outcome: West Altamonte Facility Operations LLC, doing business as Consulate Health Care of West Altamonte, a Florida nursing care facility, paid $33,388.40 after self-disclosing that it billed Medicare for services provided by a nurse operating without a valid nursing license.

Consulate Health Care of West Altamonte is part of the Consulate Health Care long-term care network, which operates numerous skilled nursing facilities in Florida. At this facility, a nurse provided patient care services that were billed to Medicare, but the nurse lacked valid licensure during the period of service. The facility self-disclosed the violation to the OIG, resulting in a civil monetary penalty of $33,388.40 under the Civil Monetary Penalties Law.

Consulate Health Care has faced multiple enforcement actions across its network. Nursing facilities are required to verify and monitor nursing license status as a Condition of Participation in Medicare. The penalty was entered February 2, 2021.

Primary Source: OIG Enforcement Record

How Crucible Prevents This

Crucible's nursing license monitoring and automated credential verification hooks would detect a lapsed nursing license before the nurse continues providing billable care. Real-time integration with state nursing board license status and automated alerts on expiration prevent billing for unlicensed nursing services.

Source: Consulate Health Care of West Altamonte Agreed to Pay $33,388.40 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse

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