OIG to Target Home Health Billing Practices

A federal watchdog is planning to take a deeper look at home health billing practices nationwide. Specifically, the U.S. Department of Health & Human Services Office of Inspector General (OIG) recently announced it intends to identify the common characteristics of “at-risk” home health agencies using data from the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive […]

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 […]

Medicaid Payments Should Depend on Personal Care Data, Congressman Says

To improve the oversight of personal home care services paid for by Medicaid, the solution is simple: Withhold money from states if they do not furnish the data that federal agencies require for monitoring. That was the idea put forward Tuesday by Rep. Chris Collins (R-NY) during a hearing of the Oversight and Investigations subcommittee […]

U.S. Attorney: Common Home Health Schemes ‘Turn System Upside Down’

Home health care agency owners would be the first to say the industry is seeing an onslaught of new regulations. However, there may be good reason for it—the industry is rife with improper and fraudulent payments, according to the Centers for Medicare & Medicaid Services (CMS). A whopping 59% of home health payments in 2015 […]

The Top 10 Home Health Care News Stories of 2016

Home Health Care News had a record-breaking year for readers and viewership. With all that went on in 2016, we kept readers up to date on breaking news across the industry. From the implementation of a disruptive, new demonstration to the surprising election of President-elect Trump, here’s our list of the top posts of the […]

OIG: Largest Nonprofit Misallocated Millions in Hurricane Sandy Funding

Visiting Nurse Service of New York (VNSNY), the largest not-for-profit, home- and community-based health care organization in the country, may have used hundreds of thousands of dollars worth of federal disaster relief funds inappropriately, and planned to spend millions more inappropriately, according to a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). […]

Home Health Fraud Paid for Couple’s $900,000 Dream House

The owners of a home health care agency in Columbus, Ohio, admitted last week to defrauding Medicaid and building a $932,000 house with the funds, The Columbus Dispatch reported. Muna Alnoubani, 49, and her 51-year-old husband, Riyad Altallaa, pleaded guilty on Dec. 1 in Columbus federal court to conspiring to defraud Medicaid. Altallaa also pleaded guilty […]

Editor’s Picks: Pre-Claim Delays and Woes

It’s been a big week for the home health Pre-Claim Review Demonstration. The poorly-received program made several Home Health Care News headlines, first with its delayed start in Florida, and then due to home health providers still calling for the program’s total suspension everywhere. Meanwhile, the Department of Health and Human Services Office of Inspector General […]

OIG: Home Health Agency Owes $7.5 Million for Medicare Overpayments

A home health provider based in Brooklyn, New York, should pay back more than $7 million in Medicare payments that it received improperly, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) states in a compliance review released Wednesday. Medicare claims submitted by Excellent Home Care Services LLC for services in […]

Editor’s Picks: Independence Day Edition

It’s nearly time to break out the fireworks and throw the hot dogs on the grill. Before the 4th of July weekend was upon us, we were eager to bring our readers all the latest happenings in the home health industry. One of the nation’s largest home health care companies made a splash by announcing […]