fraud
WASHINGTON, D.C. (September 27, 2019)—Recently the U.S. District Court of Appeals for the 11th Circuit issued findings in a closely-watched whistleblower case from Alabama (United States of America versus AseraCare, Inc.) initially brought in 2008 that was vigorously pursued by the Department of Justice under the federal False Claims Act.
ATLANTA (September 4, 2019)—Diandra Bankhead, the owner and operator of Elite Homecare (Elite), an Atlanta-based home health care provider, has pleaded guilty to defrauding Medicaid by submitting thousands of fraudulent claims for services that were never provided to medically fragile children under the Georgia Pediatric Program (GAPP).
WASHINGTON, D.C. (May 16, 2017)—David J. Totaro, Chairman of the Partnership for Medicaid Home-Based Care (PMHC), issued the following statement with the release of a letter by the Partnership for Medicaid Home-Based Care to Health and Human Services Secretary Tom Price:
NEW YORK (February 28, 2017)—HHAeXchange, a connector of homecare payers, providers and members, released its inaugural State of Home Care 2017 survey results. This benchmark survey examines the current homecare experience, shedding light on how members are impacted and how states, payers and providers can make efforts to improve the industry.
WASHINGTON, D.C. (July 21, 2016)—CMS released a report showing that investments made in program integrity activities—which include stamping out fraud and deterring and reducing other improper payments—pay off for taxpayers and beneficiaries. From October 1, 2012 through September 30, 2014 (Fiscal Year (FY) 2013 and FY 2014), every dollar invested in CMS’s Medicare program integrity efforts saved $12.40 for the Medicare program.
