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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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Home Training Sessions Reduced Hospital Readmissions by 39%

Reducing hospital readmissions for Medicare patients post-discharge doesn’t necessarily have to involve the latest tech gadgetry or even visits from a home health aide, a recent study suggests. Researchers from University Hospitals Case Medical Center in Cleveland, Ohio found that an hour-long coaching session and three follow-up phone calls helped reduce hospital readmissions among Medicare […]

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CMS Announces Round 2 Re-Compete for DME Bidding Program

Last week, CMS announced plans to re-compete the supplier contracts awarded in Round 2 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program. By law, CMS is required to re-compete contracts under the DMEPOS bidding program at least once every three years. Under the program, DMEPOS providers bid against each […]

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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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Home Health Agencies Drunk on Medicare Need to Diversify

In an industry rife with funding cuts, it will be sink or swim for home health and hospice providers who want to continue operating under thinning margins and rising regulations. Those providers who can diversify their service offerings, however, can find the lifesaver they need to survive in the current Medicare home health environment marked […]

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