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 […]

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 […]

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 […]

Fraud Watch: Diaper Money Laundering Duo Sentenced

Mother-Daughter Duo Sentenced to Decades in Prison for Miami Scheme A mother and daughter who “secretly” co-owned and operated seven home health care agencies in the Miami area were each sentenced to more than 10 years in prison for their roles in a $20 million Medicare fraud conspiracy, according to the Justice Department. The duo […]

Home Health Aide Accused of Trying to Join ISIS

A home health aide was arrested in New York City after allegedly trying to travel to Syria and join the Islamic State terrorist group, also known as ISIS. Bronx resident Saddam Mohamed Raishani was arrested on June 21, according to a press release from the U.S. Justice Department. Raishani is charged with one count of attempting to provide material […]

Agency Owner Sentenced in $400 Million Home Health Fraud

The owner of a home health agency in Dallas has been sentenced to 17 years in prison for his role in the nation’s largest home health care fraud scheme in history—a nearly $400 million scam, the Justice Department announced Tuesday. Wilbert James Veasey, Jr., 65, was sentenced to 210 months in federal prison and ordered to pay […]

Federal Probe Finds Thousands Deprived of Home and Community Services

South Dakota has been found in violation of the community integration mandate of the Americans with Disabilities Act (ADA), after an investigation revealed the state unnecessarily relies on nursing homes to provide services to seniors and people with disabilities. The Justice Department announced that South Dakotans don’t have a meaningful choice to receive services at […]

Owner Admits Guilt in Elaborate $30 Million Home Health Fraud

An elaborate $30 million Medicare fraud indictment has resulted in a Louisiana home health company owner and three former home health workers pleading guilty to health care fraud-related charges, the Justice Department announced. The case has grabbed media attention not only for the high dollar amount but for claims of racial bias and a scam […]