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Ruling on Home Health Referrals Broadens Risk

Home health providers may have to reexamine they way they conduct and compensate for referrals or risk violating the Anti-Kickback Statute, according to a recent U.S. Court of Appeals ruling. On February 10, the U.S. Court of Appeals for the Seventh Circuit expanded the definition of “referral,” arguing for a broader reading of the term to […]

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Home Health Fraudster Pleads Guilty to $13 Million Scheme

An owner of a Miami home health care company has pleaded guilty in connection with a $13 million Medicare fraud scheme involving kickbacks and bribes, the Department of Justice (DoJ) announced Tuesday.  Alexander Lara, of Hollywood, Fla., pleaded guilty to one count of conspiracy to commit health care fraud after allegedly paying kickbacks and bribes […]

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Home Care Company to Pay $5 Million Over Doc Assessments

To resolve allegations that it violated the False Claims Act by submitting false home health care billings to Medicare and Medicaid, ResCare Iowa Inc. has agreed to settle for $5.63 million, the Department of Justice (DOJ) announced this week. The disputed billings mainly related to the requirement that doctors conduct face-to-face assessments of potential home health patients, […]

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Ohio Gov. Sets Plans to Crack Down on Home Care Fraud

Ohio Gov. John Kasich (R) is taking a bold new step in combating fraud in the home care industry: phasing out up to 13,000 independent providers who bill Medicaid for in-home care, The Columbus Dispatch reports. The proposal, part of Kasich’s budget plan, aims to phase out thousands of providers over a four-year period through […]

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D.C. Home Care Case Could Swell to $150 Million Class Action Suit

A class-action lawsuit filed this week by several Washington, D.C. home care workers could ultimately balloon into a $150 million case with as many as 6,000 plaintiffs as they seek reparation for alleged backpay owed to them by their former employers.  The bid for class-action status, filed Tuesday in D.C. Superior Court, arrives one month […]

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