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 […]

Home Care Owners Found Guilty in $80 Million Fraud Scheme

The owners of a Washington, D.C., home care agency have been found guilty of bilking the District of Columbia Medicaid program of more than $80 million. On Nov. 12, a jury found Florence Bikundi, 52, and her husband Michael Bikundi, 63, guilty of a slew of charges, including health care fraud, Medicaid fraud, money laundering […]

Medicaid Crisis Brewing Over Home Care Wage Rule

Several state Medicaid programs are unprepared to pay home health workers overtime, minimum wage or traveling expenses under new regulations—though some states, like Kansas, have been more vocal about the issue than others. A U.S. Department of Labor rule that extends overtime and minimum wage protections to about 2 million home health workers took effect Oct. 13. This […]

Hospice to Shell Out $3 Million for Alleged Medicare Fraud

Guardian Hospice of Georgia LLC, Guardian Home Care Holdings Inc. and AccentCare Inc—collectively known as Guardian, a for-profit company that provides hospice services in Atlanta, Georgia—agreed to pay $3 million following allegations that it submitted false claims to Medicare for hospice patients who were not terminally ill. The Justice Department announced the settlement resolves allegations […]