Agape Hospice Care of Northeast Georgia d/b/a Agape Hospice Care
Outcome
Agape Hospice Care self-disclosed and settled for $250,993.97 for submitting claims for hospice services provided by two nurses who lacked valid nursing licenses; damages calculated as full salary and benefits paid during unlicensed period.
Details
Agape Hospice Care (Northeast Georgia) — Two Unlicensed Nurses
Outcome: Self-disclosed and settled for $250,993.97 for billing Medicare for hospice services provided by two nurses who worked without valid nursing licenses; damages based on full salary and benefits paid during the unlicensed period.
Agape Hospice Care of Northeast Georgia submitted claims for hospice nursing services rendered by two nurses who lacked valid nursing licenses at the time of service. Having two simultaneously unlicensed nurses suggests a systemic failure in credential monitoring rather than an isolated lapse.
OIG calculated damages as the full salary and benefits paid to both nurses during the periods they worked without valid licenses. The voluntary self-disclosure resulted in the August 8, 2023 settlement of $250,993.97.
How Crucible Prevents This
Crucible's nursing-license verification enforcement hooks would catch two simultaneously unlicensed nurses; automated monthly verification of all hospice nursing staff licenses against state board records would flag license lapses for both nurses before their first billable visit.
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