Home health agency owners in Detroit should be on high alert following the conviction and sentencing of three owners involved in fraud schemes worth $45 million.
It's been nearly two weeks since the Department of Health and Human Services (HHS) and the Department of Justice (DOJ) announced the largest healthcare fraud takedown in U.S. history. If...
Elderly Medicare beneficiaries in senior housing and centers are frequently targeted for Medicare fraud schemes, often enticed by free services such as pedicures in exchange for Medicare ID numbers that fraudsters use to bill for expensive services.
High-priced home health fraud cases in Michigan and Illinois, coupled with comments from the U.S. Attorney's Office in Detroit, offer insight into some of the high risk areas of Medicare fraud among states in the Midwest.
The Western District of Michigan is seeing "unprecedented" levels of fraud recovery in the form of civil settlements, convictions, and decreased expenditures within the home health sector, according to a release from Patrick Miles Jr., United States Attorney for the Grand Rapids-based district.
A New Orleans medical clinic owner and her accountant pleaded guilty on Wednesday for their roles in an eight-year, $50 million Medicare fraud scheme. The guilty pleas add to the steady stream of home health fraud that has plagued government health programs for the last several years.
From 2006 to 2012, Medicare spending for home-visit services skyrocketed to $268 million--a 40 percent increase. The data has some concerned that a service intended to better assist aging patients with limited mobility is now overrun with fraud.
In what's been called the largest home healthcare settlement in the history of the False Claims Act, Amedisys, Inc. and its affiliates agreed to pay $150 million to the federal government to settle allegations of filing false Medicare claims, the U.S. Department of Justice announced last week.