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CMS 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 behavior. In fiscal year 2013, the Centers for Medicare & Medicaid Services (CMS) identified or prevented more than $210.7 million in improper payments billed to […]

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Home 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 million Medicare kickback scheme. Hee Jung Mun operated GreatCare Home Health, Inc., an agency based in the Westlake district of […]

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Illinois 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 million. Diana Jocelyn Gumila, a 45-year-old licensed registered nurse in Illinois since 1991, manages Suburban Home Physicians, a company located in Schaumburg, […]

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Miami 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 before U.S. District Judge Marcia G. Cooke to one count of conspiracy to commit heath care fraud. According to court documents, Ruiz […]

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Couple 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 patients.  John Yousefzai and Armanouhi Arzomanian owned and operated Medicose Home Health Care Service, Inc., which employed physicians and provided in-home medical services to patients.  […]

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