In an ongoing battle of a data beach of information on up to 2,000 employees at CareCentrix, one employee whose information was compromised has fought back against the company’s attempt to dismiss the case. In March 2016, CareCentrix admitted to its current and former employees that 2015 IRS statements had been hacked by an unauthorized […]
Happy Monday! Are you ready for Tax Day tomorrow? To keep your mind off your federal and state obligations, catch up on our top stories from last week with your Monday Briefing. Keep reading to see what’s happening around the Internet. An Illinois-based home health care provider, MedPro Health Providers, LLC, is fighting back against […]
Just before Thanksgiving in 2016, Rizaldy Villasenor got some unexpected news that would impact his home health care business and cause him to lay off employees and discharge many of the company’s patients. A Medicare subcontractor slapped the Chicago-based agency, MedPro Health Providers, LLC, with an audit and determined improper payments had been made. That subcontractor, AdvanceMed, […]
After being slammed with accusations of fraud under the False Claims Act in a whistleblower case, Addus Homecare (Nasaq: ADUS) has filed another motion to dismiss the case. In early February, a judge ruled that the case, which alleges that Addus engaged in several fraud schemes involving Medicare home health patients, could move forward after […]
A group of St. Louis-based home health aides are accused of falsifying Medicaid timesheets for personal care services when they were actually gambling, vacationing or performing work elsewhere, according to the Department of Justice (DOJ). In total, six home health care workers and patients were charged with making false statements. “Home health care is not only […]
Co-owners and operators of seven home health care agencies in Miami-Dade County, Florida, plead guilty to fraud charges for their roles in a home health scheme totaling $20 million. Miami mother/daughter duo Mildrey Gonzalez and Milka Alfaro were discovered when they were traveling back to Miami from the Dominican Republic with more than $2.4 million […]
The numbers don’t lie. After more than 10 years serving in the New York Office of the Medicaid Inspector General, including as the Acting Inspector General, I can attest firsthand to the unfortunate instances of fraud, waste and abuse that occur with too much regularity in home health care and home care. Between 2011 and […]
Home health care agency owners would be the first to say the industry is seeing an onslaught of new regulations. However, there may be good reason for it—the industry is rife with improper and fraudulent payments, according to the Centers for Medicare & Medicaid Services (CMS). A whopping 59% of home health payments in 2015 […]
Three home health agency employees in Ohio have been sentenced to prison for their role in defrauding Medicaid out of $3 million, according to the U.S. Department of Justice (DOJ). The men—43-year-old George Epps, 51-year-old Abdulazis Warsame and 51-year-old Amir Ahmed—worked for Cleveland-based home health care agency Lifeline Home Health Services. Between 2009 and 2013, Epps, […]
The owners of a home health care agency in Columbus, Ohio, admitted last week to defrauding Medicaid and building a $932,000 house with the funds, The Columbus Dispatch reported. Muna Alnoubani, 49, and her 51-year-old husband, Riyad Altallaa, pleaded guilty on Dec. 1 in Columbus federal court to conspiring to defraud Medicaid. Altallaa also pleaded guilty […]
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