OIG: 10 States Don’t Require Background Checks for Home Health Workers

Vetting home health care workers—via background checks or fingerprinting—has been an area of consideration for federal regulators in recent months, but a new report reveals not all states have practices in place to screen these employees.  Of the 50 states and the District of Columbia, only 41 states require home health agencies to conduct background […]

Philly Hospice Owner Sentenced 14 Years for $16 Million Fraud Scheme

The owner of a Philadelphia hospice agency was sentenced this week to 176 months in prison for his role in a $16.2 million Medicare fraud scheme. Matthew Kolodesh, 52, of Churchville, Pennsylvania, was found guilty of conspiracy to commit health care fraud, 21 counts of health care fraud, 11 counts of money laundering and two […]

Washington D.C. Terminates Six Home Health Agencies Following Investigation

The Department of Health Care Finance (DHCF) announced Friday that it will terminate six home care agencies from Washington, D.C.’s Medicaid program, following their alleged involvement in a recent fraud investigation. Effective July 15, 2014, the six providers that will receive termination notices include ABA Home Health Care; Nursing Enterprises; Nursing Unlimited; T&N Reliable Nursing […]

Medicare Fraud Sweep Nets $223 Million, 89 Arrests for False Billings

A nationwide takedown by Medicare Fraud Strike Force operations in eight cities has resulted in 89 arrests for alleged participation in Medicare fraud schemes involving $223 million in false billing, the Department of Health and Human Services (HHS) announced Wednesday. The cumulative arrests represented the sixth national Medicare fraud takedown in the Strike Force’s history, […]

Detroit Jury Convicts Three in $14 Million Home Health Care Scheme

A federal jury in Detroit convicted three individuals for their participation in a nearly $15 million Medicare home health fraud scheme.  Shahzad Mizra, 43, a physical therapist; Jigar Patel, 30, a physical therapy assistant; and Srinivas Reddy, 38, a foreign medical student lacking a license to practice medicine were each found guilty of one count […]

Miami Home Health Fraud Scheme Nets 10 Arrests

The owner of a former Miami home health agency as well as nine additional participants have been indicted for their roles in a Medicare fraud scheme that allegedly bilked the federal government out of $12.5 million.  The defendants, including former owner of Marcialed and Sacred Health, Vicente Diaz, were indicted on 59 counts from health care […]

Detroit Home Health Care Worker Sentenced for Role in $5.8 Million Fraud

On the heels of recent home health care-related fraud developments sprouting up nationwide, a new $5.8 million Medicare scheme has landed a prison sentence for an office manager of a Detroit-area home care agency. Nabila Mahbub, 28, was sentenced Wednesday by a federal judge in the Eastern District of Michigan to serve 46 months in […]

Home Health Fraud Heats Up in Three States

Recent Medicaid home health fraud developments have been centralized to three specific states in the last few weeks, according to The National Council on Medicaid Home Care (NCMHC). An affiliate of the National Association for Home Care & Hospice (NAHC), the National Council on Medicaid Home Care finds various home health fraud incidents occurring in […]

Michigan Doctor Pleads Guilty in $7 Million Home Health Scheme

A Detroit-area doctor this week pleaded guilty for her role in a home health fraud scheme that bilked Medicare out of more than $7 million.  The doctor, Adelina Herrero of Ann Arbor, Michigan, pleaded guilty to one count of conspiracy to commit health care fraud.  From April 2010 to April 2013, Herraro and others agreed […]