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OIG 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 prospective payment system, fraud, health screening, hospice patients’ length of stay in assisted living facilities and the appropriateness of hospices’ general inpatient care […]

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Miami 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 Miami, owned and operated Professional Home Care Solutions, Inc. and was an administrator of LTC Professional Consultants Inc., both of which claimed […]

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Detroit Home Health Agency Founder Pleads Guilty to $22 Million Medicare Fraud Scheme

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 Justice (DOJ) announced this week.  Tayyab Aziz, 45, of Homer Glen, Ill., pleaded guilty in the Eastern District of Michigan to one count […]

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Federal 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 key integrity reform measures can help strengthen federal payers like Medicare from further abusive practices, according to a recent report from the […]

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Michigan 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 program. Usman Butt, 40, of Shelby Township, Mich., pleaded guilty before U.S. District Judge Bernard A. Friedman in the Eastern District […]

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