Home Health & Hospice Week

Fraud & Abuse:

Feds Turn Up The HEAT On Home Care Fraudsters

Four case studies show the newly expanded strike force is on the prowl. The rate at which federal authorities are busting fraudulent Medicare home care providers continues to increase. Just in the last few weeks, the Department of Justice and other law enforcement agencies have announced indictments, convictions, and other enforcement actions against nearly a dozen home care-related individuals under the Health Care Fraud Prevention & Enforcement Action Team (HEAT). HEAT cases include: Miami. Yet more defendants associated with ABC Home Health in Miami have pled guilty in the $25 million fraud scheme allegedly perpetrated at the home health agency. Manager and patient recruiter Lisandra Alonso admitted to teaching the owners and operators of ABC how to operate a fraudulent home health agency from 2006 to 2009. "Alonso explained the structure of the corrupt scheme, specifically the importance of recruiters, kickbacks, doctors, beneficiaries and Medicare billing," the DOJ says in [...]
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