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OIG Pressures CMS on Home Health Sanctions
As the number of home health agencies and fraud cases related to home health agencies continues to skyrocket, the Office of Inspector General (OIG) is exerting more pressure on the Centers for Medicare...
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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 8, 2012. The list includes physicians and other provider types in...
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Co-Owner of Houston Home Care Agency Sentenced to 108 Months in Prison for...
The former co-owner of a Houston-area home health care company was sentenced this week in Houston to 108 months in prison for his participation in a $5.2 million Medicare fraud scheme, announced the...
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Ex-Miami Drug Felon Busted in $4.1 Million Dollar Medicare Home Health Scam
By publishing announcements about home health fraud, HCAF demonstrates its commitment to honest providers throughout the state by shining a spotlight on the dishonest providers, eager to provide hope...
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2012 Conference Preview: OMG! The Surveyor is in the Lobby!
By Sharon Litwin, 5 Star Consultants Join Sharon at conference for “Continued Survey Readiness is Possible… From a Surveyor and Consultant Perspective” on July 25. Click here to check out the session...
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Obama Administration Announces Groundbreaking Public-Private Partnership to...
Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder have announced the launch of a ground-breaking partnership among the federal government, state officials, several...
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Miami Home Health Agency Owner Pleads Guilty in $42 Million Medicare Fraud...
The owner and operator of a Miami health care agency pleaded guilty yesterday for his participation in a $42 million home health Medicare fraud scheme, announced the Department of Justice, the FBI and...
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OIG, CMS Recommend Moratorium in Florida
The Department of Health and Human Services Office of the Inspector General released a study last week that calls for increased oversight over home health agencies and the implementation of a...
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CMS Opens Medicare Fraud Command Center
The Centers for Medicare and Medicaid Services has announced it would step up its efforts to identify fraud in the nation’s two health care entitlement programs with a new Command Center. The CMS...
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Florida May Get HHA Moratorium From Feds
By Brian Bandell, South Florida Business Journal More of Florida’s home health agencies have questionable billings than any other state, a report found. Now, federal regulators are considering a...
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OIG Pushes for Home Health Surety Bond
The Office of Inspector General conducted a recent study to determine the impact of the Centers for Medicare & Medicaid Services’ failure to implement surety bond requirement for home health...
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Elizabeth Hogue on Questionable Billing Practices to Fix Now
The Office of Inspector General of the U. S. Department of Health and Human Services issued Report OEI-04-11-00240 in August 2012, entitled “Inappropriate and Questionable Billing by Medicare Home...
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Elizabeth Hogue on the Proposed Settlement That May Extend Coverage to More...
A proposed settlement in a nationwide class-action lawsuit may provide coverage for skilled nursing care and therapy services to Medicare beneficiaries who do not show a likelihood of medical or...
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Feds Investigating Medicaid Personal Care Services, Outlines Recommendations
The Department of Health and Human Services Office of Inspector General Report has released a report outlining improvements in the program integrity of personal care services paid for by Medicaid. The...
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Houston Doctor Convicted for Home Health Medicare Fraud
A federal jury in Houston this week convicted Dr. Ben Harris Echols, 63, of Houston, for conspiring to commit health care fraud by falsifying plans of care for Medicare beneficiaries, including...
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OIG Report Investigates Palmetto GBA and Florida ZPIC Oversight of HHAs
The Centers for Medicare & Medicaid Services, Medicare Administrative Contractors (MACs), including Palmetto GBA, and Zone Program Integrity Contractors (ZPICs), including SafeGuard Services, were...
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OIG Exclusions & Sanctions Listing Updated for January
HCAF has posted the latest exclusion and reinstatements that were released by CMS’ Office of the Investigator General (OIG) on January 10, 2013. The list includes physicians and other provider types in...
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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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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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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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