Home Health Care Fraud Schemes

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10 Defendants Arrested In Home-Health Aide Fraud Scheme

(9 days ago) WEBThe Agencies administer home-health and personal-care services to Medicaid beneficiaries enrolled in New York MLTCs. From in or about 2015 to in or about December 2020, Medicaid reimbursed the Agencies hundreds of millions of dollars for …

https://www.justice.gov/usao-sdny/pr/10-defendants-arrested-home-health-aide-fraud-scheme

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Where, When And Why Home Health Billing Fraud Becomes Obvious

(Just Now) WEBThere was substantial growth in Medicare spending for home health care services from 2002 to 2009: $14.9 billion in 2002 to $33.7 billion in 2009. However, the …

https://homehealthcarenews.com/2023/06/where-when-and-why-home-health-billing-fraud-becomes-obvious/

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DOJ Highlights Multiple Home Health-Related Fraud Cases in July

(3 days ago) WEBHome health enforcement efforts have been on the rise in 2021, especially over the past couple of months. There have been developments with at least two multi …

https://homehealthcarenews.com/2021/07/doj-highlights-multiple-home-health-related-fraud-cases-in-july/

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Lowell nurse pleads guilty in $100 million home health care fraud …

(8 days ago) WEBBOSTON — A Lowell woman has pleaded guilty in federal court in Boston in connection with a $100 million home health care fraud scheme. Winnie Waruru, of …

https://www.irs.gov/compliance/criminal-investigation/lowell-nurse-pleads-guilty-in-100-million-home-health-care-fraud-and-kickback-scheme

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Home health manager sent to prison for $21m Medicare fraud …

(8 days ago) WEBFelix Amos, Houston, pleaded guilty Dec. 18, 2018, to conspiracy to commit health care fraud. Today, U.S. District Judge Andrew S. Hanen ordered him to serve 30 …

https://www.irs.gov/compliance/criminal-investigation/home-health-manager-sent-to-prison-for-21m-medicare-fraud-scheme

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Owner of Home Health Company Convicted of $2.8M Medicare …

(2 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, …

https://www.justice.gov/opa/pr/owner-home-health-company-convicted-28m-medicare-fraud-scheme

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Home Health Care Fraud - Senior Medicare Patrol

(6 days ago) WEBReport potential home health care fraud, errors, or abuse if: You see on your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB) charges for: Home health services when you did not meet Medicare’s …

https://smpresource.org/medicare-fraud/fraud-schemes/home-health-care-fraud/

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Home Health is Among the Most Vulnerable Programs for Fraud

(7 days ago) WEBOne example of a home health fraud case occurred in Detroit, Michigan where Muhammad Shahab was sentenced to 50 months in prison, three years of supervised …

https://www.compliance.com/resources/home-health-is-among-the-most-vulnerable-programs-for-fraud/

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Fraud Alert: COVID-19 Scams - Office of Inspector General

(9 days ago) WEBThe U.S. Department of Health and Human Services Office of Inspector General is alerting the public about fraud schemes related to the novel coronavirus …

https://oig.hhs.gov/fraud/consumer-alerts/fraud-alert-covid-19-scams/

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Home Health Care and Hospice Fraud - Constantine …

(3 days ago) WEBHome Health and Hospice. Home health care has long been recognized as vulnerable to fraud, waste, and abuse. In 2015, Medicare reimbursed more than 11,000 home health care agencies approximately $18.4 …

https://constantinecannon.com/practice/whistleblower/whistleblower-types/healthcare-fraud/home-health-care-fraud/

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Two Home Health Agency Owners and Two Employees Convicted …

(5 days ago) WEBTwo Home Health Agency Owners and Two Employees Convicted for Roles in $3.7 Million Home Health Fraud Scheme. A federal jury found two home health …

https://oig.hhs.gov/fraud/enforcement/two-home-health-agency-owners-and-two-employees-convicted-for-roles-in-37-million-home-health-fraud-scheme/

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Health Care Fraud — FBI

(8 days ago) WEBThe FBI is the primary agency for investigating health care fraud, for both federal and private insurance programs. The FBI investigates these crimes in partnership with: …

https://www.fbi.gov/investigate/white-collar-crime/health-care-fraud

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The Challenge of Health Care Fraud – NHCAA

(6 days ago) WEBEveryone Shares the Burden of Health Care Fraud. In 2018, $3.6 trillion was spent on health care in the United States, representing billions in health insurance claims. It is …

https://www.nhcaa.org/tools-insights/about-health-care-fraud/the-challenge-of-health-care-fraud/

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Office of Public Affairs Home Health Care Company Owners …

(1 days ago) WEBTwo Illinois home health care company owners were sentenced yesterday as part of a $6.7 million home health care fraud scheme. Patricia Omorogbe, 61, of …

https://www.justice.gov/opa/pr/home-health-care-company-owners-sentenced-67-million-health-care-fraud

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N.Y.'s largest health vendor linked to owner accused of fraud

(4 days ago) WEBJames accused two Centers Health Care executives of orchestrating “multiple fraudulent schemes” that siphoned millions from the state’s Medicaid program to enrich …

https://www.timesunion.com/capitol/article/n-y-s-largest-health-vendor-linked-owner-accused-19381556.php

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The Ultimate Guide to US Healthcare Fraud Schemes Case IQ

(3 days ago) WEBMedical Identity Theft. Medical identity theft is defined as "the misuse of a person's medical identity to wrongfully obtain health care goods, services, or funds." In 2016, 27 million …

https://www.caseiq.com/resources/the-ultimate-guide-to-us-healthcare-fraud-schemes/

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Owner of 90 nursing homes admits $38M tax fraud scheme

(8 days ago) WEBA former nursing home owner who operated 95 facilities in 11 states, including New Jersey, on Wednesday admitted orchestrating a $38 million tax fraud scheme that lead to his …

https://www.nj.com/bergen/2024/01/owner-of-90-nursing-homes-admits-38m-tax-fraud-scheme-authorities-say.html

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How Home Health Providers Can Avoid Payment Denials

(1 days ago) WEBPayment denials can be costly and time consuming for home health providers, and they’re often self-inflicted. In order to avoid this all together, home health …

https://homehealthcarenews.com/2024/04/how-home-health-providers-can-avoid-payment-denials/

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Health Care Fraud Enforcement in 2024 Foley Hoag LLP

(1 days ago) WEBThe government had another busy year in 2023 investigating and prosecuting health care fraud cases on multiple fronts. Contending with the enormous …

https://foleyhoag.com/news-and-insights/blogs/white-collar-law-and-investigations/2024/april/health-care-fraud-enforcement-in-2024/

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Office of Public Affairs National Health Care Fraud Enforcement

(8 days ago) WEBThe Department of Justice announced today criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in …

https://www.justice.gov/opa/pr/national-health-care-fraud-enforcement-action-results-charges-involving-over-14-billion

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State of New Jersey

(4 days ago) WEBDr. Kesnold Baptiste, 50, of Roselle, was charged with health care claims fraud, conspiracy, and commercial bribery for allegedly accepting money to refer his …

https://www.nj.gov/oag/newsreleases16/pr20161012a.html

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Jupiter man funded life of luxury on health insurance fraud money

(1 days ago) WEBFor more than a year, Toro submitted fraudulent claims on behalf of 29 patients totaling more than $6.7 million. As a result, he received $4.2 million in payments …

https://www.palmbeachpost.com/story/news/crime/2024/04/16/ex-south-florida-sober-home-operator-sentenced-in-federal-health-insurance-benefits-scheme/73300434007/

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Ultimate Healthcare Fraud: Doctors Sentenced in $4M Scheme

(7 days ago) WEBH ealthcare fraud is still a major problem that undermines the quality of medical care and diverts funds from taxpayer-funded insurance programs. In a recent development, …

https://www.msn.com/en-us/health/other/ultimate-healthcare-fraud-doctors-sentenced-in-4m-scheme/ar-BB1ly8jt

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DOJ Announces Coordinated Law Enforcement Action to Combat …

(1 days ago) WEBThe Department of Justice today announced criminal charges against 14 defendants, including 11 newly-charged defendants and three who were charged in …

https://www.justice.gov/opa/pr/doj-announces-coordinated-law-enforcement-action-combat-health-care-fraud-related-covid-19

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Lawsuit alleges ACA plan-switching scheme - Health News Florida

(Just Now) WEBThe lawsuit filed in federal court in South Florida alleges that large call centers were used to enroll people into Affordable Care Act plans or to switch their coverage, all …

https://health.wusf.usf.edu/health-news-florida/2024-04-17/lawsuit-alleges-aca-plan-switching-scheme-targeted-low-income-consumers

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Justice Department Charges Dozens for $1.2 Billion in Health Care …

(3 days ago) WEBPrior to the charges announced as part of today’s nationwide enforcement action and since its inception in March 2007, the Health Care Fraud Strike Force, which …

https://www.justice.gov/opa/pr/justice-department-charges-dozens-12-billion-health-care-fraud

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Veterans sentenced for role in $65 million insurance fraud scheme

(9 days ago) WEBTwo members of a scheme to bilk a military health care program out of more than $65 million received sentences in federal court. (Staff Sgt. Joshua Magbanua/Air …

https://www.navytimes.com/news/your-military/2024/04/16/veterans-sentenced-for-role-in-65-million-insurance-fraud-scheme/?contentFeatureId=f0fmoahPVC2AbfL-2-1-8&contentQuery=%7B%22includeSections%22%3A%22%2Fhome%22%2C%22excludeSections%22%3A%22%22%2C%22feedSize%22%3A10%2C%22feedOffset%22%3A5%7D

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Medical Equipment Suppliers Convicted of Health Care Fraud

(6 days ago) WEBThe Fraud Section leads the Criminal Division’s efforts to combat health care fraud through the Health Care Fraud Strike Force Program. Since March 2007, this …

https://www.justice.gov/opa/pr/medical-equipment-suppliers-convicted-health-care-fraud

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