Home health care aides notched the highest percentage of criminal convictions in cases brought by State Medicaid Fraud Control Units last year, most commonly involving fraud. Medicaid’s fraud units recovered nearly $2.5 billion in criminal and civil investigations in fiscal year 2013, according to the Annual Report released by the Department of Health and Human Services Office of the […]
Category: Fraud
Several patient recruiters for now-defunct Miami home health company Flores Home Health Care Inc. were sentenced this week for their roles in an $8 million scheme to defraud Medicare. Lerida Labrada, 59; Mayra Flores, 49; and German Martinez, 36, all of Miami, were sentenced to serve 37 months, 24 months, and 24 months in prison, respectively. […]
Last year was a record year for cracking down on health care fraud, with $4.3 billion in recovery from fraud busts nationwide. The Department of Justice and the Department of Health and Human Services announced last week the record performance for the year, as well as a total for $19.2 billion over the last five. […]
A Boston-area doctor pleaded guilty this week for his role in a home health fraud scheme that allegedly bilked Medicare out of more than $27 million. Dr. Spencer Wilking, former Medical Director for Waltham, Mass.-based MJG Management Company, which operated as At Home VNA, faces a maximum penalty of 10 years in prison plus supervised […]
Last Thursday, the largest health care fraud takedown in Washington, D.C. history resulted in the arrests of more than 20 people, from operators of home care agencies to officer workers and personal care assistants. The investigation uncovered various, separate schemes involving fraud, kickbacks and false billings for D.C. Medicaid patents. In one alleged scheme, the […]
Dallas has recently become the focus of state and federal attention to Medicare health care fraud as one of the cities among all in the U.S. where home health fraud is most rampant. The Dallas Morning News delves into the issue in an article this week, looking into the population among which fraud has been […]
A Missouri home health care owner/operator was indicted this week on fraud charges alleging she made fraudulent charges involving payment of a bank loan. According to the Justice Department, Tina Kuehl of St. Louis was charged after obtaining a $305,000 property loan from Community Bank of Owensville, that resulted in foreclosure after several payments were […]
Both local and national home health care trade associations have voiced their approval of the recent announcement from the Centers for Medicare & Medicaid Services (CMS) that prevents the enrollment of new providers in the Medicare program for select cities. Last week, CMS announced its temporary moratoria on the enrollment of new home health agencies. […]
Following in the footsteps of its initial home health moratorium last year, the Centers for Medicare & Medicaid Services (CMS) will now bar new agencies from enrolling in four additional U.S. metros. CMS today announced a new temporary moratoria on the enrollment of home health agencies in Fort Lauderdale, Detroit, Dallas and Houston, as well […]
Despite federal efforts to curb Medicare fraud among home health operators, a home health agency owner and operator and director of nursing were arrested this week in Richmond, Texas for their alleged roles in a recent Medicare fraud scheme. According to the Department of Justice, the participants conspired to structure bank withdrawals. Stella Maduka, of […]
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