Detroit Home Health Manager Pleads Guilty in $13.8 Million Fraud Scheme

A Detroit man pleaded guilty yesterday in federal court to one count of conspiracy to commit health care fraud after managing a $13.8 million Medicare fraud scheme, according to the Federal Bureau of Investigation.  Jawad Ahmed managed home health agency Physicians Choice Home Health Care LLC (Physicians Choice), and used the company to deliver kickbacks to […]

Felons Turned Home Health Workers Caring for Elderly in California

Some of California’s elderly in need of home health services are being cared for by convicted felons, made possible in part by a flawed system that is “rife with loopholes,” reports the local NBC affiliate, allowing people to sign waivers allowing felon caretakers to care for them despite their backgrounds—and despite the criminal activity they […]

Five Illinois Home Health Employees Indicted in $400,000 Kickback Scheme

Five Lincolnwood, Ill. home health agency employees were indicted Monday on charges for allegedly participating in a Medicare fraud scheme involving $400,000 in kickbacks for the referral and retention of Medicare beneficiaries, according to the U.S. Department of Justice.  In their kickback scheme, Goodwill Home Healthcare, Inc. billed Medicare for $5 million to cover their […]

Owner of Home Health Agency Guilty of $60 Million Fraud Scheme

The owner of Miami health care agency Ronat Home Health Care Inc., pleaded guilty Tuesday to his involvement in a $60 million Medicare fraud scheme lasting from 2006 to 2009, according to the U.S. Department of Justice.  According to court documents, Rodolfo Nieto Jr. received kickbacks in exchange for recruiting Medicare beneficiaries through Ronat and […]

GOP Questions CMS Anti-Fraud Initiative; Will New Command Center Help?

On July 31, the Centers for Medicare & Medicaid Services (CMS) announced the launch of the new Program Integrity Command Center, meant to speed up the process of identifying fraud and stopping criminals from defrauding the Medicare and Medicaid programs. The announcement came shortly after Senators Orrin Hatch (R-Utah) and Tom Coburn (R-Okla.), both part […]

Fraud Awareness Campaign to Combat Elder Financial Abuse

Seniors and their families may be able to better protect themselves from becoming targets of fraud after the announcement of a new program launched by home care agency, Home Instead Senior Care, this week.  The program, Protect Seniors from Fraud, seeks to reduce senior financial abuse by supplying patients and their families with easy access […]