Fraud Watch: Miami, Detroit Sentencing and Conviction

Two Miami Home Health Agency Owners Sentenced in Separate Fraud Schemes The owner of two Miami home health care agencies, now defunct, has been sentenced to 80 months in prison for her role in a $74 million conspiracy to defraud the Medicare program, the Department of Justice (DOJ) announced in late November. Sila Luis, 59—who pleaded […]

Home Health Owner Gets 80 Years in Prison for Medicare Fraud

The co-owner of a Houston home health agency was sentenced to a lengthy prison sentence for his role in a $13 million Medicare fraud scheme and for filing false tax returns. U.S. District Judge Melinda Harmon of the Southern District of Texas ordered Ebong Tilong, 53, to spend 80 years behind bars, according to the U.S. […]

OIG Notes Uptick in Home Care Medicaid Fraud Enforcement

The federal government is ramping up its efforts to nab perpetrators of Medicaid personal care services (PCS) fraud. A similar trend has been noted in Medicare home health care. Fraud indictments of PCS providers or attendants rose 56% between 2012 and 2015, while convictions increased 33% during that time, according to a new Office of Inspector General (OIG) report. […]

[Updated] $75 Million FCA Settlement is Largest-Ever for a Hospice

The largest for-profit hospice chain in the nation and its parent company have agreed to pay $75 million to resolve false claims allegations for hospice services, the Department of Justice announced. The resolution is the largest amount recovered from a provider of hospice services under the False Claims Act, according to the DOJ. Chemed Corporation (NYSE: […]

Fraud Watch: New Orleans, Massachusetts

Home Health Workers Sentenced in $30 Million Fraud Case Zellisha Dejean, 39, pled guilty to one count of health care fraud, according to the Justice Department. Dejean, along with Verinese Sutton, 64, and Larry Taylor, 69, all of New Orleans, were sentenced for their roles in approximately $30,252,905 in Medicare fraud. The case involved 19 […]

CareCentrix, Cigna Accused of Fraudulent Billing Scheme

Insurance giant Cigna (NYSE: CI) and home health coordination company CareCentrix have been accused of a fraudulent billing scheme, in which beneficiaries were allegedly overcharged for in-home medical equipment. Bloomfield, Connecticut-based Cigna is the fourth-largest U.S. health insurance company, according to Forbes. It contracts with other organizations that offer certain services and products to Cigna […]

Must-Read News: Fraud Prevention

Happy Monday, Home Health Care News readers, and welcome to October. Catch up on all things home health and home care with our weekly roundup of must-read news. Keep reading to see our most-read posts from last week—and why home health fraud is once again coming into the spotlight. Around the Web Atop the list is a […]

Why OIG is Cracking Down on Home Health Fraud

This summer, the Justice Department announced the largest health care fraud takedown ever, involving schemes across several health care settings resulting in approximately $1.3 billion in false billings. Major home health schemes were uncovered as part of the takedown, and the announcement sent a message to fraudsters—federal agencies are cracking down. The Department of Health and […]

Fraud Watch: Texas Home Health Owners Sentenced

Owner of Multiple Home Health Agencies Sentenced for Fraud The owner of multiple home health care companies and a doctor were sentenced for their roles in a nearly $60 million Medicare fraud scheme, the Department of Justice announced on August 18. Myrna S. Parcon, 62, of Dallas and Ransome N. Etindi, 57, of Waxahachie, Texas, […]

Houston Home Health Owner Sentenced to 40 Years for Fraud

The owner of a small chain of home health care agencies near Houston has been sentenced to decades behind bars for bilking Medicaid and Medicare out of millions of dollars. U.S. District Judge Sim Lake of the Southern District of Texas this month ordered Godwin Oriakhi, 61, to spend 40 years in federal prison for running a […]