Hospice of San Antonio paid $256,138 after self-disclosing that it submitted Medicare claims for hospice nursing services provided by a registered nurse who lacked a valid nursing license.

Hospice of San Antonio (Texas) — Unlicensed RN Claims Submitted to Medicare (2025)

Outcome: SIXRSIG d/b/a Hospice of San Antonio paid $256,138.68 after self-disclosing that it billed Medicare for hospice nursing services provided by a registered nurse who did not hold a valid nursing license during the period services were rendered.

Hospice of San Antonio, operating in San Antonio, Texas, voluntarily disclosed the violation to the OIG through the fraud self-disclosure program. The organization employed a registered nurse who provided hospice nursing care to patients, and the nurse's services were billed to Medicare. However, the nurse did not hold a valid nursing license during the relevant service period.

The $256,138.68 civil monetary penalty represents a substantial sum for this type of violation, indicating a meaningful period of unlicensed nursing service billed to Medicare. Hospice providers are required under Medicare Conditions of Participation to ensure all clinical staff maintain current, valid professional licenses in the states where they practice.

The case was resolved through the OIG's self-disclosure protocol, which resulted in a more favorable settlement than a formal enforcement action. The violation was settled in 2025.

Primary Source: OIG Enforcement Record