New Online Roadmap Addresses Elder Abuse
A new online resource aims to tackle challenges to elder abuse prevention and prosecution. Elder abuse is an emerging health, justice, financial and social crisis, says The Department of Justice (DOJ)....
View ArticleMiami Patient Recruiters Plead Guilty in $20 Million Home Health Fraud
Four patient recruiters have pleaded guilty for their participation in a home health fraud scheme that bilked the federal government out of an estimated $20 million in Medicare dollars. The four...
View ArticleCouple Arrested in $800,000 Home Health Fraud Scheme
An Illinois couple has been arrested and charged with several counts of health care fraud after allegedly bilking Medicare for more than $800,000 and paying kickbacks for referrals of Medicare...
View ArticleMiami Woman Bilks Medicare Out of $74 Million in Home Health Fraud Scheme
A Miami resident who owned a home health care company and was the administrator of another pleaded guilty for her involvement in a $74 million Medicare fraud scheme. Elsa Ruiz, 45, pleaded guilty...
View ArticleIllinois Home Health Care Nurse Charged in $20 Million Fraud Scheme
A registered nurse who operated an Illinois-based home health care agency was arrested Tuesday on federal health care fraud charges for her alleged role in a scheme that billed Medicare more than $20...
View ArticleHome Health Agency Owner Sentenced in $5 Million Medicare Fraud Scheme
The latest in a string of home health care fraud, a registered nurse who operated a home health agency in Los Angeles has been sentenced to nearly five years in federal prison for orchestrating a $5...
View ArticleCMS Fraud System Detects $210 Million of Improper Medicare Payments in 2013
Medicare fraud continues to be an ever-present area of concern across various industries and home health is no exception as regulators strive to realize cost savings by identifying improper billing...
View ArticleInvestigators Dismantle $60 Million Home Health, Pharmacy Fraud Ring
Federal investigators announced Friday the take down of a massive health care fraud scheme that involved more than $60 million of improper billing to Medicare and Medicaid and the convictions of 39...
View ArticleNY Times: Health Care Fraud Proves Elusive for Medicare
Fraud has long blighted federal healthcare programs, but even as the government recovers billions of dollars from fraudsters each year, waste and abuse activity continues to elude authorities, reports...
View ArticleMiami Home Health Owner Sentenced In $6 Million Medicare Fraud Scheme
A co-owner of Professional Medical Home Health LLC has been sentenced to serve nearly six years in prison and ordered to pay $6.2 million in restitution for her participation in a health care fraud...
View ArticleHome Care Fraud Allegations Call for More Internal Oversight Among Providers
Several home care fraud developments in New York, Rhode Island and Louisiana have led the National Assoication for Home Care and Hospice to recommend that providers “re-double” their internal efforts...
View ArticleMiami Woman Gets 6 Years For $6.5 Million Home Health Fraud Scheme
The owner and operator of a Miami, Fla., home health care company was sentenced to more than six years in prison Monday for her alleged participation in a $6.5 million Medicare fraud scheme, the U.S....
View ArticleFBI Investigating Ohio Home Care Company for $17 Million Fraud
The Federal Bureau of Investigation (FBI) is looking into the operations of a Northeast Ohio home health care agency on suspicions of health care fraud totaling more than $17 million, according to...
View ArticleMiami Home Care Agency Owner Arrested for $8 Million Medicare Kickback Scheme
The owner of a Miami home health care agency has been arrested in connection with an $8 million health care fraud scheme involving kickbacks, according to FBI reports. Orelvis Olivera, 45, of Miami,...
View ArticleDetroit Home Health Owners Convicted in $29 Million Medicare Fraud Scheme
A federal jury in Detroit last week convicted two individuals who owned and operated a network of home health care companies, along with the operator of an adult day care center, for their...
View ArticleMichigan Home Health Owner Pleads Guilty to $22 Million Medicare Fraud Scheme
A former owner and manager of two Detroit-area home health care agencies pleaded guilty last week in federal court for his role in a Medicare fraud conspiracy that bilked $22 billion from the federal...
View ArticleFederal Report Presses Medicare for Stronger Anti-Fraud Reforms
While Medicare fraud isn’t specific to any one sector of healthcare, it can be a blemish on industries like home health, which ultimately suffer due to a few bad actors. However, implementing several...
View ArticleDetroit Home Health Agency Founder Pleads Guilty to $22 Million Medicare...
The founder of three Detroit-area home health agencies has pleaded guilty in federal court for his role in a $22 million home health care fraud scheme involving kickbacks, the U.S. Department of...
View ArticleMiami Home Health Fraudster Sentenced for $74 Million Medicare Scheme
The owner and administrator of two Miami home health agencies was sentenced Wednesday to serve 80 months in prison for her participation in a $74 million Medicare fraud scheme. Elsa Ruiz, 45, of...
View ArticleOIG to Focus on Home Health Payments, Hospice in Senior Living in 2015
The Office of the Inspector General (OIG) has released its work plan for 2015, addressing various issues relating to home health care and hospice. Among the topics addressed are the home health...
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