[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 […]

Home Health Agency Owner Gets 75 Years for Fraud

An owner of a Texas-based home health care agency has been sentenced to 75 years in prison for her role in a $13 million fraud scheme, the Department of Justice announced. Four others have pleaded guilty in the fraudulent scheme. Marie Neba, 53, of Sugarland, Texas, was sentenced by U.S. District Judge Melinda Harmon of […]

Leaders of $374 Million Home Health Care Fraud Denied Acquittal

After being sentenced for participation in a $374 million home heath care fraud scheme, two home health agency owners and a Dallas-area doctor have been denied acquittal. Jacques Roy, M.C., 59; Cynthia Stiger, 54; and Charity Eleda, 56, were convicted on one count of conspiracy to commit health care fraud. Roy was also convicted on eight […]

Feds Conduct Largest Ever Health Care Fraud Crackdown

July marked the largest health care fraud takedown in history, as the Department of Health and Humans Services (HHS) Office of Inspector General (OIG) charged individuals in multiple schemes involving $1.3 billion in false billings to Medicare and Medicaid. More than 400 individuals were charged in 41 federal districts in July for allegedly participating in false billings […]