Investigators Dismantle $60 Million Home Health, Pharmacy Fraud Ring

Federal investigators announced Friday the take down of a massive health care fraud scheme that involved more than $60 million of improper billing to Medicare and Medicaid and the convictions of 39 defendants in Michigan. Propagated by ringleader Babubhai Patel, 51, of Canton, Mich., the scheme involved 26 pharmacies, nine doctors and several home health […]

Joint Commission Reapplies for Home Health Accreditation Recognition

The Joint Commission has applied to renew its home health agency accreditation program, with the Federal Register soliciting public comment on whether the organization’s requirements meet or exceed the Medicare conditions of participation.  In order to provide reimbursable services to Medicare beneficiaries, home health agencies must meet certain requirements under the Social Security Act, which […]

Texas Home Health Companies Sue Government Over Medicare Privileges

Claiming wrongful termination of their Medicare billing privileges, two Texas-based home health agencies filed a class action lawsuit against a Medicare contractor and the Department of Health and Human Services (HHS).  Houston home health agencies Oakwest Healthcare Services Inc. and CJN Home Health Services Inc. claim that Medicare administrative contractor Palmetta GBA LLC and HHS […]

Obama OKs Wage Rule, Changes Landscape for Home Health Workers

Home care workers will now benefit from minimum wage and overtime protections following the announcement of a long-awaited rule—what some call a “victory” that has been two years in the making for the nation’s fastest-growing job force. Two years after President Obama pledged his “We Can’t Wait” program, the U.S. Department of Labor announced today […]

False Audit Records Land Home Health Owner a Prison Sentence

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 […]

Home Healthcare Community Applauds Senate Committee for Medicare Reform Initative

The Partnership for Quality Home Healthcare (PQHH) commended members of the Senate Finance Committee for urging regulators to increase efforts to combat Medicare waste, fraud and abuse.  Senators Orrin Hatch (R-UT), Chuck Grassley (R-IA) and Tom Coburn (R-OK) are urging the Centers for Medicare and Medicaid Services (CMS) to implement a moratorium on the installment […]