A patient lived in a group home, which is a home that is licensed by the
state to care for seniors. The group home referred “Mr. Jones” for hospice so that they wouldn’t have to pay for all of the supplies and provide all of the personal care that he required. Mr. Jones’ family lived out-of-state, so my general manager decided to allow the group home worker to sign the Consent to Treat – but this is illegal. Only the patient or his legal representative can give permission for a patient to receive medical
Everything was fine until the unthinkable happened: Medicare asked for a
copy of the patient's chart. The general manager called the Jones family in a panic, and faxed them the consents. He told them just to sign and ignore the fact that he had back-dated the form. To make things even worse, the family missed a signature and the general manager signed their name for them in his best imitation of their signature. The new consent forms were faxed to Medicare and the general manager thought that he had resolved the issue.
The manager wasn’t detail-oriented; the forms he sent to Medicare not
only had the actual date the family signed stamped at the top of the page, but his assistant also sent the fax cover sheet that instructed the family to sign and ignore the “back-dating,” along with the original form that the facility worker had signed on the patient’s behalf.
The Medicare program was not amused and asked for all of its money
back. The state visited the care home as well. Both the hospice and the group home were out of business within a couple of years.