Archive | Fraud RSS feed for this section

Michigan Doctor Pleads Guilty in $7 Million Home Health Scheme

A Detroit-area doctor this week pleaded guilty for her role in a home health fraud scheme that bilked Medicare out of more than $7 million.  The doctor, Adelina Herrero of Ann Arbor, Michigan, pleaded guilty to one count of conspiracy to commit health care fraud.  From April 2010 to April 2013, Herraro and others agreed […]

Read full story Comments { 0 }

Home Health Aides Account for 26% of Medicaid Criminal Convictions

Home health care aides notched the highest percentage of criminal convictions in cases brought by State Medicaid Fraud Control Units last year, most commonly involving fraud.  Medicaid’s fraud units recovered nearly $2.5 billion in criminal and civil investigations in fiscal year 2013, according to the Annual Report released by the Department of Health and Human Services Office of the […]

Read full story Comments { 0 }

Miami Fraudsters Sentenced in $8 Million Home Health Scheme

Several patient recruiters for now-defunct Miami home health company Flores Home Health Care Inc. were sentenced this week for their roles in an $8 million scheme to defraud Medicare.  Lerida Labrada, 59; Mayra Flores, 49; and German Martinez, 36, all of Miami, were sentenced to serve 37 months, 24 months, and 24 months in prison, respectively. […]

Read full story Comments { 0 }

DOJ Announces $4.3 Billion Record Year for Health Care Fraud Busts

Last year was a record year for cracking down on health care fraud, with $4.3 billion in recovery from fraud busts nationwide. The Department of Justice and the Department of Health and Human Services announced last week the record performance for the year, as well as a total for $19.2 billion over the last five.  […]

Read full story Comments { 0 }

Massachusetts Doctor Pleads Guilty in $27 Million Home Health Scheme

A Boston-area doctor pleaded guilty this week for his role in a home health fraud scheme that allegedly bilked Medicare out of more than $27 million. Dr. Spencer Wilking, former Medical Director for Waltham, Mass.-based MJG Management Company, which operated as At Home VNA, faces a maximum penalty of 10 years in prison plus supervised […]

Read full story Comments { 0 }