Two Michigan residents have been charged for their alleged involvement in an $8.8 million Medicare home health fraud scheme, U.S. States Attorney Barbara McQuade announced Wednesday.
Former Miracle Home Health agency owners Usha Shah and Deepak Shah allegedly submitted fraudulent Medicare claims for home health services that were unnecessary or were never provided for their patients. The company was based in Southfield, Michigan.
Court documents allege that the Shahs paid cash kickbacks to their employees in exchange for the use of Medicare beneficiaries’ identifications that were used to bilk medicare of more than $8 million in total.
“The payment of kickbacks in exchange for the referral of Medicare beneficiaries is illegal,” said Lamont Pugh, III special agent in charge of the Chicago Region of the U.S. Department of Health and Human Services, Office of Inspector General.
While the Shahs have not yet responded to the charges, McQuade acknowledged the greater effects of fraud cases in the home health industry.
“Medicare fraud cheats taxpayers out of money intended to pay for health care. We want providers to know that we are scrutinizing billing records to root out fraud,” said McQuade.
Written by Erin Hegarty