The United States Department of Justice (DOJ) recently announced criminal charges against the owner of a home health services business of over $100 million in healthcare fraud. The charges include money laundering, health care fraud and conspiracy to pay and receive...
Home Health Agencies
Home health agency exec on hook for millions in FCA violations
A myriad of federal and local regulations is in place to guide the practices of those who run businesses or organizations that provide skilled nursing services and other forms of medical care to patients. A failure to follow these laws can result in allegations of...
CMS claims Medicare overpayments for post-acute-care transfers
The Department of Health and Human Services Office of the Inspector General recently released a report finding Medicare improperly paid the majority of inpatient claims for beneficiaries who needed home health services within three days of hospital discharge. The...
Can home health care centers survive the challenges of 2020?
2020 is a year that has tested businesses in every marketplace. The home health system is no exception. This niche area of health care has had to navigate many issues throughout the year, some novel, some that have been building over the years. Two of the most notable...
Couple accused of health care fraud, face lifetime imprisonment
The government recently accused two business owners of working together on an elaborate health care fraud scheme that cost the government millions. According to the prosecution, the two business owners, a married couple, put together a health care business to defraud...
3 myths about home health care fraud
The ability to have a medical professional come into one's home and provide care to those who are suffering from diseases like Parkinson's, Alzheimer's and others is growing in popularity. This relationship, like any other that results in billing Medicare and other...
DOJ charges 30 in “patients for cash” health care fraud scheme
The Department of Justice (DOJ) recently charged 30 in a "patients for cash" health care fraud scheme. According to the indictment, a home health organization illegally paid doctors, nurses, and at least one social worker along with other medical professionals in...
Can the home health care industry handle growing need for PCAs?
Every day in the United States, approximately 10,000 people turn 65. Within this group, the majority hope to receive long-term care within their own home. Instead of going to a nursing home or other long-term care facility, these individuals may look to hire medical...
Home health company sues HHS and federal contractor
Home health companies often rely on payments from Medicare to continue operations. Even a brief suspension in these payments can be detrimental to patient care and business. In this case, a home health company alleges a federal contractor wrongly continued a...
Two Home Health Care leaders in TX sentenced to prison time
April has proved a successful month for the Department of Justice (DOJ). The agency has already had two successful prosecutions against local leaders in the Home Health Care industry accused of health care fraud crimes.Both will serve prison time for their alleged...