Due to its being “plagued” by allegations of fraud and abuse, home health care is largely to blame for Medicare spending in Dallas County being among the highest in the nation, says a Dallas News report. Two separate accounts conducted by the U.S. Department of Health and Human Services and more recently by the Medicare […]
Category: Fraud
In just two years after the implementation of the Affordable Care Act (ACA), the number of Medicare license revocations more than doubled compared to preceding years, according to data released by the Centers for Medicare & Medicaid Services (CMS). Since March 2011, CMS has revoked 14,663 providers’ and suppliers’ ability to bill in the Medicare program. […]
Roberto Marrero made his acting debut as a drug dealer named De La Carte in an episode of Miami Vice. Now, the former actor, director and producer of mostly spanish soap operas has found himself in hot water with the federal government for his part in a home health fraud scheme. Marrero and his wife, […]
Following a landmark anti-fraud crusade spearheaded by the U.S. Department of Justice that turned up $223 million worth of Medicare fraud across eight cities, the need to protect federal programs from aberrant billing has become a hot topic of discussion among home care agencies. One way the federal government is trying to control such abusive […]
A national coalition of organizations advocating healthcare fraud prevention called on Congress this week to implement program integrity reforms to further protect America’s seniors from fraud and abuse. Fight Fraud First! (FFF!) is an collaborative effort on behalf of seniors, persons with disabilities, military veterans and family members to advocate for the elimination of waste, […]
State Medicaid fraud prevention programs now have the ability to receive federal funding to identify fraud through data mining, according to a new final rule from the Office of the Inspector General of the Department of Health and Human Services. The new rule amends a provision in HHS regulations that barred state Medicaid Fraud Control […]
On the heels of an announcement yesterday that nearly 100 individuals have defrauded the government for $223 million in Medicare fraud, home health leaders are calling for a more targeted approach to zero-in on suspected areas within their industry. “The government’s own data show that abusive billing practices in home health occur in isolated parts […]
At least three home health agencies were busted in a nationwide Medicare Fraud Strike Force takedown of 89 people in eight cities for their alleged roles in submitting about $223 million in bogus charges to the taxpayer-funded program, the Department of Health and Human Services (HHS) and Department of Justice announced on Tuesday. The indictments […]
The former patient recruiter for a Miami home health agency charged with $20 million in fraudulent Medicare billing has been sentenced to 37 months in prison and has been ordered to pay $1.85 million in restitution for his participation in the scheme. Manuel Lozano pleaded guilty to one count of conspiracy to receive health care […]
Chemed Corporation, the largest for-profit hospice chain in the United States, has been accused of fraudulent Medicare billing for hospice and healthcare services—such as crisis care for a patient who was playing bingo part of the time—the Department of Justice announced on Thursday. The government’s complaint alleges that Chemed and Vitas Hospice Services LLC, a […]
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