MEDICARE HOME HEALTH AGENCIES: STILL NO SURETY AGAINST FRAUD AND ABUSE HEARING BEFORE THE SUBCOMMITTEE ON ITUMAN RESOURCES OF THE COMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT HOUSE OF REPRESENTATIVES ONE HUNDRED FIFTH CONGRESS SECOND SESSION JULY 22, 1998 Serial No. 105-171 Printed for the use of the Committee on Government Reform and Oversight ae U.S. GOVERNMENT PRINTING OFFICE 51-063 CC WASHINGTON : 1999, Forsale by the U.S, Government Printing Office Superintendent of Documents, Congressional Sales Of, Washington,DC 20402 PZCOMMITTEE ON GOVERNMENT REFORM AND OVERSIGHT DAN BURTON, Indiana, Chairman BENJAMIN A. GILMAN, New York HENRY A. WAXMAN, California J. DENNIS HASTERT, Illinois TOM LANTOS, California CONSTANCE A. MORELLA, Maryland ROBERT E. WISE, Jn., West Virginia CHRISTOPHER SHAYS, Connecticut MAJOR R. OWENS, New York CHRISTOPHER COX, California EDOLPHUS TOWNS, New York ILEANA ROS-LEHTINEN, Florida PAUL E, KANJORSKI, Pennsylvania JOHN M. McHUGH, New York GARY A. CONDIT, California STEPHEN HORN, California CAROLYN B. MALONEY, New York JOHN L. MICA, Florida ‘THOMAS M. BARRETT, Wisconsin ‘THOMAS M. DAVIS, Virginia ELEANOR HOLMES NORTON, Washington, DAVID M. McINTOSH, Indiana Dc MARK E. SOUDER, Indiana CHAKA FATTAH, Pennsylvania JOE SCARBOROUGH, Florida ELIJAH E. CUMMINGS, Maryland JOHN B. SHADEGG, Arizona DENNIS J. KUCINICH, Ohio STEVEN C. LATOURETTE, Ohio ROD R. BLAGOJEVICH, Mlinois MARSHALL “MARK” SANFORD, South DANNY K. DAVIS, Illinois Carolina JOHN F. TIERNEY, Massachusetts JOHN E. SUNUNU, New Hampshire JIM TURNER, Texas PETE SESSIONS, Texas THOMAS H. ALLEN, Maine MICHAEL PAPPAS, New Jersey HAROLD E. FORD, Ja, Tennessee VINCE SNOWBARGER, Kansas ee BOB BARR, Georgia BERNARD SANDERS, Vermont DAN MILLER, Florida Undependent) Kevin BINGER, Staff Director Danie. R. MOLL, Deputy Staff Director Davin A. Kass, Deputy Counsel and Parliamentarian dupitH McCoy, Chief Clerk PHU SCHILIRO, Minority Staff Director SUBCOMMITTEE ON HUMAN RESOURCES CHRISTOPHER SHAYS, Connecticut, Chairman VINCE SNOWBARGER, Kansas EDOLPHUS TOWNS, New York BENJAMIN A. GILMAN, New York THOMAS H. ALLEN, Maine DAVID M. McINTOSH, Indiana TOM LANTOS, California MARK E. SOUDER, Indiana BERNARD SANDERS, Vermont (Ind.) MICHAEL PAPPAS, New Jersey THOMAS M. BARRETT, Wisconsin picaahiappeame DENNIS J. KUCINICH, Ohio EX OFFIcIo DAN BURTON, Indiana HENRY A. WAXMAN, California LAWRENCE J. HALLORAN, Staff Director and Counsel Maxcia Savor, Professional Staff Member Jesse 8. BUSHMAN, Clerk CHERRY BRANSON, Minority Counsel anCONTENTS Hearing held on July 22, 1998 Statement of: Schubert, Lynn M., president, Surety Association of America; Bill Koniers, senior vice president for business development, AMH Health Group, Inc., Connecticut; William A. Dombi, vice president for law, National Association for Home Care; Jayne F. Quinn, home care coordi: nator, York Hospital Home Care, York, ME; Steven Richard, CFO, Sun Home Health Service, Northumberland, PA; and Steve Schneider, CEO, VNA of Central New Jersey ..... 1 Thompson, Penny, director, program integrity, Health Care Financing ‘Administration; and George W. Grob, Deputy Inspector General, De- partment of Health and Human Services ..... Letters, statements, etc., submitted for the record by: Dombi, William A., vice president for law, National Association for Home Care, prepared statement of ... Grob, George W., Deputy Inspector General, Department of Health and Human Services, prepared statement of .. Koniers, Bill, senior vice president for business development, AMH Health Group, Inc., Connecticut, prepared statement of ....... Quinn, Jayne F, home care coordinator, York Hospital Home Care, York, repared statement of. rihed: Steven, CFO, Sun Home Health Service, Northumberland, PA prepared statement of .. Schneider, Steve, CEO, VN. y: Information concerning interim payment system for Medicare ....... Prepared statement of” Schubert, Lynn M., president, Surety Association of America, prepared statement of .. Thompson, Penny, director, program integrity, Health Care Financing Administration, prepared statement of Towns, Hon. Edolphus, a, Representative in Congress from the State of New York, letter dated April 15, 1998... ap 55 83 20 14 127 121 158 114 5B 35