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Florida Owner of Home Health Care Company Sentenced to Nearly Six Years in...
HCAF strongly condemns healthcare fraud and supports the removal of bad actors from the home health industry. A co-owner of Professional Medical Home Health LLC was sentenced today to serve 70 months...
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Owner Of Home Health Care Company Sentenced To 10 Years In Federal Prison For...
Defendant Also Ordered to Pay More Than $25 Million in Restitution Cyprian Akamnonu, 64, of Cedar Hill, Texas, was sentenced this morning by U.S. District Judge Sam A. Lindsay to the statutory maximum...
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OIG Criticizes CMS’ Oversight of Recovery Audit Contractors
The Office of Inspection General (OIG) recently issued a report that addresses flaws in CMS’ oversight of recovery audit contractors (RACs). Specifically, the report concluded that RACs are not...
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Health Care Clinic Owners Plead Guilty in Miami for Roles in $8 Million...
Two health care clinic owners pleaded guilty today in connection with an $8 million health care fraud scheme involving the now-defunct home health care company Flores Home Health Care Inc. Acting...
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OIG Exclusions & Sanctions Listing Updated for August
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on August 8, 2013. The list includes physicians and other provider types in...
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CMS Imposes First Affordable Care Act Enrollment Moratoria to Combat Fraud
Building on strong anti-fraud efforts already underway, Centers for Medicare & Medicaid Services’ Administrator Marilyn Tavenner today announced temporary moratoria on the enrollment of new home...
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U.S. Intervenes in False Claims Act Lawsuit Against Fla. Home Health Care...
The government has intervened in a whistleblower lawsuit against A Plus Home Health Care, Inc., a home health care company in Fort Lauderdale, Fla., and its owner, Tracy Nemerofsky, the Justice...
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OIG Exclusions & Sanctions Listing Updated for July
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on July 10, 2013. The list includes physicians and other provider types in...
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Advocates Urge More Government Oversight of Medicaid Managed Care
By Jenni Bergal, Kaiser Health News When the federal government recently gave Florida the green light to vastly expand its experiment with privatizing Medicaid, patient advocates quickly raised an...
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OIG Exclusions & Sanctions Listing Updated for June
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on June 11, 2013. The list includes physicians and other provider types in...
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OIG Find CMS in Compliance with HHA Survey Requirements
The Office of Inspector General completed a study to examine the performance of Centers for Medicare & Medicaid Services contractors conduct of home health agency surveys at least every 36 months...
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OIG Exclusions & Sanctions Listing Updated for May
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on May 15, 2013. The list includes physicians and other provider types in...
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Miami HHA Patient Recruiter Sentenced to 37 Months $20 Million Fraud Scheme
A patient recruiter for a Miami health care company was sentenced today to serve 37 months in prison for his participation in a $20 million Medicare fraud scheme. Manuel Lozano, 65, was sentenced to...
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OIG Exclusions & Sanctions Listing Updated for April
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on April 10, 2013. The list includes physicians and other provider types in...
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MedPAC Calls on Congress to Reform the Medicare Home Health Benefit
The Medicare Payment Advisory Commission last week submitted recommendations to Congress calling for major changes to the Medicare home health benefit, including accelerated rebasing of Medicare home...
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OIG Exclusions & Sanctions Listing Updated for March
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on March 7, 2013. The list includes physicians and other provider types in...
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OIG Exclusions & Sanctions Listing Updated for February
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on February 6, 2013. The list includes physicians and other provider types in...
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Feds Announce Record-Breaking Recoveries From Efforts to Combat Health Care...
WASHINGTON – Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius yesterday released a new report showing that for every dollar spent on health care-related fraud and...
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Two Patient Recruiters of Miami HHA Plead Guilty in $20 Million Medicare...
Two patient recruiters for a Miami home health care company have pleaded guilty for their participation in a $20 million home health Medicare fraud scheme. Manuel Lozano, 65, and Vladimir Jimenez, 43,...
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Medicare Improperly Paid $91.6 Million for Unlawfully Present Beneficiaries
A report issued this week by the Office of the Inspector General at the U.S. Department of Health and Human Services found that $91.6 million was paid to Medicare providers for services rendered to...
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