A new comprehensive study is shining a light on potential factors that have led to home health billing fraud over the years. Among other findings, researchers at Dartmouth’s Geisel School of Medicine concluded that home health agencies that share patients across multiple agencies, and those that had high rates of expenditures across hospital referral regions […]
Category: Fraud
For home-based care providers, cyber attacks are less likely to be an “if,” and more likely to be a “when.” And, as cyber attackers get more creative and persistent, it’s important for providers to understand the implications of attacks. “Over the last 18 months, we’re seeing massive impacts to patient care,” Fortified Health Security CEO […]
The owner of a Brooklyn-based home health agency is being sentenced to prison for four and a half years for her role in defrauding Medicaid funds, which resulted in the loss of more than $100 million. According to Damian Williams, the United States Attorney for the Southern District of New York, Marianna Levin engaged in […]
The federal courts have been busy of late, especially when it comes to convicting home health owners and operators for wage-fixing, fraud, kickbacks and other illegal schemes. One of the most recent examples is Akop Atoyan, the former co-owner of a Sacramento-based home health and hospice agency. He pleaded guilty last week to one count […]
The U.S. Department of Labor (DOL) announced that it will recover $9.3 million in back wages and liquidated damages. The funds stem from a Philadelphia health care staffing company misclassifying 1,756 employees, including home health aides, and depriving them of overtime wages. A consent judgment in the U.S. District Court for the Eastern District of […]
A home health nurse has pleaded guilty, in federal court in Boston, in relation to a $100 million home health care kickback scheme. Last week, Winnie Waruru pleaded guilty to one count of conspiracy to commit health care fraud; one count of health care fraud; one count of conspiracy to pay and receive kickbacks; two […]
A number of health care providers that billed Medicare for telehealth services likely did so in a fraudulent or wasteful manner, according to federal watchdogs. That finding and others like it dampen the chances of home health providers being able to bill for virtual care moving forward. That’s one major takeaway from a recent report […]
The federal government saw a return of nearly $1.9 billion in health care fraud settlements and judgments in 2021. Of this $1.9 billion, the Medicare Trust Funds received $1.2 billion, and the U.S. Centers for Medicare & Medicaid Services (CMS) received roughly $98.7 million. The Health & Human Services Office of Inspector General’s (HHS-OIG) annual […]
Compassionate Homecare Inc., has agreed to pay $6.53 million to MassHealth in order to resolve allegations of unauthorized billing for services. The settlement irons out a 2018 lawsuit filed by the Attorney General’s office against Compassionate. The state’s lawsuit alleges that the company stole millions of dollars from MassHealth. Aside from the $6.53 million settlement, […]
Home health enforcement efforts have been on the rise in 2021, especially over the past couple of months. There have been developments with at least two multi-million-dollar fraud schemes, with the watchdog arm of the U.S. Department of Health and Human Services (HHS) also releasing findings from a large hospice-related audit. On July 15, federal […]
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