Miami Patient Recruiters Plead Guilty in $20 Million Home Health Fraud

Four patient recruiters have pleaded guilty for their participation in a home health fraud scheme that bilked the federal government out of an estimated $20 million in Medicare dollars.  The four recruiters, Estrella Perez, Solchys Perez, Abigail Aguila and Monica Macias pleaded guilty last week to various charges including conspiracy to defraud the United States, for […]

New Online Roadmap Addresses Elder Abuse

A new online resource aims to tackle challenges to elder abuse prevention and prosecution. Elder abuse is an emerging health, justice, financial and social crisis, says The Department of Justice (DOJ). One in 10 Americans over the age of 60 has experienced elder abuse or neglect, and people with dementia are at higher risk for abuse, […]

Detroit Doctor Pleads Guilty in $7 Million Home Health Care Fraud

A Detroit-area physician pleaded guilty last week for his role in a $7 million home health care fraud scheme involving fraudulent documentation provided to several home health agencies in the metro area, according to the U.S. Department of Justice (DOJ). Walayat Khan, 66, of Ypsilanti, Michigan pleaded guilty to one count of conspiracy to commit […]

Probe Into Amedisys Concludes With No SEC Action

A four-year Securities and Exchange Commission (SEC) investigation into one of the nation’s leading home health care companies has concluded, and SEC says it will take no further action against the provider. SEC staff recently advised Amedisys, Inc. (Nasdaq:AMED) that the investigation by the SEC related to the company’s operations and participation in the Medicare program […]

Southern California Man Sentenced 10 Years for $1.5 Million DME Fraud

A Southern California man was sentenced this week to serve 121 months in prison for his role in a durable medical equipment (DME) fraud scheme, the U.S. Department of Justice (DOJ) announced Monday. Vahe Tahmasian, 36, of Glendale, California, was found guilty by a federal jury on March 21, 2014 for his involvement in a […]

Home Health Leaders: Medicare Reforms Could Save More Than $15 Billion

The leading coalition of home health providers has put forth a proposal that could save more than $15 billion over 10 years by improving the Medicare pay model. The Partnership for Quality Home Healthcare recently proposed Skilled Home Health and Integrity Program Savings (SHHIPS), which would move Medicare away from a “pay and chase” model by preventing […]

Patient Recruiter Pleads Guilty in $6.5 Million Miami Home Health Scheme

A patient recruiter has pleaded guilty for her participation in a home health fraud scheme in Miami that bilked the government out of $6.5 million. The recruiter, Euridice Borroto, who worked with now-defunct Nestor’s Health Services Inc. in Miami, Florida, is pleading guilty to charges of conspiracy to solicit and receive health care kickbacks and […]

Houston Home Health Owners Sentenced in $3M Medicare Fraud

Two Houston, Texas-area home health agency owners, among others, were sentenced last week for their roles in a $3 million Medicare fraud scheme. Owners of Jackson Home Healthcare, Inc., Valnita Turner, 48, and Valdie Jackson, 43, along with hospital employee Jarvis Thomas and Dr. Nick Patzakis, a physician, were among those sentenced Friday by a […]

Miami Home Care Worker Pleads Guilty in $7M Kickback Fraud

An office worker with a Miami home health care company pleaded guilty Wednesday to her involvement in a $7 million fraud scheme, according to the U.S. Department of Justice. Lizette Garcia, 37, of Miami, pleaded guilty before U.S. District Judge Joan A. Lenard in the Southern District of Florida to one count of payment of […]

Operation Home Alone Nets 14 More Arrests in Third Wave of Fraud Busts

The third wave of a home care-related Medicaid fraud scheme that originated in Illinois has resulted in 14 more indictments, bringing the total number of defendants involved to 43, according to the Federal Bureau of Investigation (FBI). Last week’s indictments constitute the third round of charges stemming from Operation Home Alone, an initiative led by […]