Oak Street Health – a key pillar of CVS Health’s (NYSE: CVS) health care services strategy – has reached a $60 million settlement with the Department of Justice (DOJ). The settlement is being paid to resolve allegations that Oak Street violated the False Claims Act, specifically by paying kickbacks to third-party insurance agents. The DOJ […]
DOJ
Home-based care agencies should keep a close eye on developments made by the Biden administration when it comes to antitrust laws and non-compete agreements, according to industry insiders. Partners and shareholders with the Polsinelli law firm detailed the latest updates within the Department of Justice (DOJ) on a webinar Thursday. They also covered how new […]
Federal watchdogs have tied a bow on a key part of one of the largest Medicare fraud schemes in history. The U.S. Attorney’s Office for the Southern District of Florida announced Friday that Rodolfo Pichardo and Marta Pichardo — husband and wife — were each sentenced to several years in prison for their roles building […]
Caris Settles False Claims Act Lawsuit for $8.5 Million Caris Healthcare, L.P. and its wholly-owned subsidiary, Caris Healthcare, LLC, have agreed to pay $8.5 million to settle allegations they violated the False Claims Act by knowingly submitting false claims and retaining overpayments for patients who were ineligible for the Medicare hospice benefit because they were […]
Michigan Agency Owner Pleads Guilty in $8 Million Fraud Scheme Zahir Shah, 48, of West Bloomfield, Michigan, pleaded guilty to fraud charges for his role in a scheme involving approximately $8 million in fraudulent Medicare claims for home health services procured through illegal kickbacks, according to the Department of Justice (DOJ). Shah pleaded guilty to […]
Three Miami Home Health Agency Owners Charged in Fraud Scheme Three Miami-area home health care agency owners were charged in an indictment for their alleged participation in a health care fraud scheme involving a now-defunct business, the Department of Justice (DOJ) announced in March. Ailin Consuelo Rodriguez Sigler, 39; Ziola C. Rios, 57; and Thomas […]
Happy Monday, Home Health Care News readers. Get caught up on all things home care with our must-read news, and keep reading to see our top stories from last week. On Friday, the Office of Inspector General (OIG) released its annual 2017 fiscal year Health Care Fraud and Abuse Control Program report for 2017, revealing that the […]
US Declines to Intervene in Heartland Hospice case The U.S. government has declined to intervene in a False Claims Act (FCA) case brought against HCR ManorCare’s hospice division, Heartland, though it asked to be kept updated on pleadings in the case. The decision to not intervene marks another victory in FCA cases for ManorCare; in […]
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 […]
Happy Tuesday, Home Health Care News readers, and welcome back from your long weekend. Catch up on all things home health and home care with our must-read news roundup—keep reading for our top stories from last week. Just before the long weekend, A federal judge in Texas scrapped a controversial Obama-era wage rule that would […]
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