Miami Woman Gets 6 Years For $6.5 Million Home Health Fraud Scheme

The owner and operator of a Miami, Fla., home health care company was sentenced to more than six years in prison Monday for her alleged participation in a $6.5 million Medicare fraud scheme, the U.S. Department of Justice (DOJ) announced.  Cruz Sonia Collado, 64, was an owner and operator of the now-defunct home health care […]

Home Care Fraud Allegations Call for More Internal Oversight Among Providers

Several home care fraud developments in New York, Rhode Island and Louisiana have led the National Assoication for Home Care and Hospice to recommend that providers “re-double” their internal efforts against fraud.  The association points to findings from the National Council on Medicare Home Care, a NAHC affiliate, that show Medicare fraud activity in areas […]

Miami Home Health Owner Sentenced In $6 Million Medicare Fraud Scheme

A co-owner of Professional Medical Home Health LLC has been sentenced to serve nearly six years in prison and ordered to pay $6.2 million in restitution for her participation in a health care fraud scheme involving the now defunct home health care company. Annarella Garcia, 44, of Hialeah, Fla. pleaded guilty to conspiracy to commit health […]

NY Times: Health Care Fraud Proves Elusive for Medicare

Fraud has long blighted federal healthcare programs, but even as the government recovers billions of dollars from fraudsters each year, waste and abuse activity continues to elude authorities, reports The New York Times in a recent article.  Despite the Obama Administration’s war on health care fraud and the slew of task forces and outside contractors […]

Investigators Dismantle $60 Million Home Health, Pharmacy Fraud Ring

Federal investigators announced Friday the take down of a massive health care fraud scheme that involved more than $60 million of improper billing to Medicare and Medicaid and the convictions of 39 defendants in Michigan. Propagated by ringleader Babubhai Patel, 51, of Canton, Mich., the scheme involved 26 pharmacies, nine doctors and several home health […]

CMS Fraud System Detects $210 Million of Improper Medicare Payments in 2013

Medicare fraud continues to be an ever-present area of concern across various industries and home health is no exception as regulators strive to realize cost savings by identifying improper billing behavior. In fiscal year 2013, the Centers for Medicare & Medicaid Services (CMS) identified or prevented more than $210.7 million in improper payments billed to […]

Home Health Agency Owner Sentenced in $5 Million Medicare Fraud Scheme

The latest in a string of home health care fraud, a registered nurse who operated a home health agency in Los Angeles has been sentenced to nearly five years in federal prison for orchestrating a $5 million Medicare kickback scheme. Hee Jung Mun operated GreatCare Home Health, Inc., an agency based in the Westlake district of […]

Illinois Home Health Care Nurse Charged in $20 Million Fraud Scheme

A registered nurse who operated an Illinois-based home health care agency was arrested Tuesday on federal health care fraud charges for her alleged role in a scheme that billed Medicare more than $20 million. Diana Jocelyn Gumila, a 45-year-old licensed registered nurse in Illinois since 1991, manages Suburban Home Physicians, a company located in Schaumburg, […]

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 […]

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.  […]