Medicare Fraud 101
Home Health Care Industry Riddled With Fraud
Marietta Diaz, a former employee of Provident Health Care filed a whistleblower lawsuit against her former employer. Diaz claimed that Provident Home Health Care Services, Inc. and Tri-Regional Home Health Care Inc. billed Medicare for home health services that were never provided. Los Angeles Assistant U.S. Attorney Consuelo Woodhead said that this case is not an isolated one and that the home health industry in Southern California has been experiencing serious problems. Woodhead also said this case brought further attention to the scandals in the business. The settlement in this case led to over $33 million being repaid to the government with Diaz receiving over 20.75% of the recovery or $6,847,500.
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No Tags| Posted By Marcella Auerbach | |
| Category Medicare Fraud | Posted October 30th, 2006 |
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2 Responses to “Home Health Care Industry Riddled With Fraud”
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Regulatory Documents (PDFs)
- OIG Compliance Program Guidance for Hospitals
- OIG Supplemental Compliance Program Guidance for Hospitals
- OIG Compliance Program Guidance for the Durable Medical Equipment, Prosthetics, Orthotics & Supply Industry
- OIG Compliance Program Guidance for Hospices
- OIG Compliance Program Guidance for Clinical Laboratories
- OIG Compliance Program Guidance for Home Health Agencies
- OIG Final Compliance Program Guidance for Nursing Facilities
- OIG Final Compliance Program Guidance for Medicare+Choice Organizations
- OIG Compliance Program Guidance for Third Party medical Billing Companies
- OIG Pharma Compliance Program Guidance for Ambulance Suppliers
- OIG Guidance on Voluntary Disclosure of Healthcare Fraud
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- HHS-OIG 2005 Work Plan
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March 15th, 2008 at 8:57 pm
I have worked in home health for years, it is worsing by the day, oasis questions answered to suit the company for money, 10 min visits done by nurses in the home and billed to medicare as 30 by changing times, its scary. I just refuse to comply and its hurting my job security.
June 13th, 2008 at 8:07 am
This is sad and it nullfies the efforts of those who DO care for the elderly and work with medicare in helping them. I am a nurse and work part time for a home health agency, this kind of work is not acceptable in our organization, we have quality assuarnce personnel making sure that the proper care is given to the patients.
Its a shame that an incident like this can overshadow the majority of legitimate home health agency.