Advanced Search

Home Health & Hospice Week

Industry Notes:

Home Health Fraud Grabs The Spotlight

Published on Tue Jan 11, 2011

Warning: Frontline workers aren't immune from fraud charges. Two splashy fraud stories about home health agencies may be wrecking providers' plans to stay under the radar while law- and policymakers decide on steep Medicare reimbursement cuts this congressional session. Story #1: Don't assume you'll be safe from fraud charges and punishment, just because you aren't the brains behind a Medicare fraud scheme. Eight Miami-area nurses are the latest defendants to receive jail time for their part in a fraud scheme run at ABC Home Health and Florida Home Health Care Providers. The nurses, who received sentences ranging from five to 30 months plus fines, worked for one or both of the agencies. The nurses "falsified patient files for Medicare beneficiaries to make it appear that the beneficiaries qualified for services fromFlorida Home Health or ABC that were prescribed by" physician Jorge Dieppa. Dieppa is awaiting trial on related fraud charges, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Home Health & Hospice Week

View All