The owners of a former Miami-based health clinic pleaded guilty this week to charges in an $8 million home health care fraud scheme. They will face a maximum penalty of 10 years in prison for their roles in the operation. Miami residents Miguel Jimenez, 43, and Marina Sanchez Pajon, 29 pleaded guilty in the Southern […]
Category: Fraud
The owner of a health care business is facing a million-dollar civil settlement, prison time and 20-year Medicare and Medicaid exclusion after being convicted of felony charges relating to illegal kickbacks paid for patient referrals. Babubhai Rathod is the ninth person to be convicted of charges in the case, which is the result of a […]
The former owner of a Washington, D.C.-area home health agency was sentenced to eight months in prison for falsifying records in connection with a U.S. Department of Health and Human Services (HHS) audit. Jeannette N. Awasum, 49, of Germantown, Maryland, pled guilty in April 2013 in the U.S. District Court for the District of Columbia […]
Detroit-area resident Javed Rehman pleaded guilty yesterday for his role in a $13.8 million Medicare fraud scheme, according to the U.S. Department of Justice (DOJ). Rehman, 50, of Farmington Hills, Michigan, pleaded guilty to one count of conspiracy to commit health care fraud. Sometime around May 2009, according to court documents, Rehman purchased Quantum Home […]
The owner and operator of a New Jersey home health aide agency was arrested last Friday for allegedly billing Medicaid for services her company had not rendered, the Office of the Insurance Fraud Prosecutor announced after executing multiple search warrants leading up to the arrest. Laurie Provost, the owner/operator of Home Care Solutions, was charged […]
Due to its being “plagued” by allegations of fraud and abuse, home health care is largely to blame for Medicare spending in Dallas County being among the highest in the nation, says a Dallas News report. Two separate accounts conducted by the U.S. Department of Health and Human Services and more recently by the Medicare […]
In just two years after the implementation of the Affordable Care Act (ACA), the number of Medicare license revocations more than doubled compared to preceding years, according to data released by the Centers for Medicare & Medicaid Services (CMS). Since March 2011, CMS has revoked 14,663 providers’ and suppliers’ ability to bill in the Medicare program. […]
Roberto Marrero made his acting debut as a drug dealer named De La Carte in an episode of Miami Vice. Now, the former actor, director and producer of mostly spanish soap operas has found himself in hot water with the federal government for his part in a home health fraud scheme. Marrero and his wife, […]
Following a landmark anti-fraud crusade spearheaded by the U.S. Department of Justice that turned up $223 million worth of Medicare fraud across eight cities, the need to protect federal programs from aberrant billing has become a hot topic of discussion among home care agencies. One way the federal government is trying to control such abusive […]
A national coalition of organizations advocating healthcare fraud prevention called on Congress this week to implement program integrity reforms to further protect America’s seniors from fraud and abuse. Fight Fraud First! (FFF!) is an collaborative effort on behalf of seniors, persons with disabilities, military veterans and family members to advocate for the elimination of waste, […]
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