ATLANTA (September 7, 2021)—In mid-August, the United States’ Department of Justice (DOJ) reported that Kevin Rumph, Jr., 41, of Fairburn, Georgia, pleaded guilty to a charge of theft of medical products. Rumph used his U.S. Department of Veteran Affairs (VA) issued credit card to buy over $1.9 million worth of continuous positive airway pressure (CPAP) equipment, which he stole and then sold.
fraud
OAKLAND (August 26, 2021)—California Attorney General Rob Bonta announced a $3.31 million settlement against home respiratory services company, SuperCare Health Inc. (SuperCare) for defrauding the state and federal government by knowingly billing Medicare and Medi-Cal for servicing ventilators that were no longer medically necessary.
NEWARK, N.J. (August 12, 2021)—A federal grand jury in Newark, New Jersey, returned a superseding indictment this week charging a Florida owner of multiple telemedicine companies with orchestrating a health care fraud and illegal kickback scheme that involved the submission of over $784 million in false and fraudulent claims to Medicare. This is one of the largest Medicare fraud schemes ever charged by the Justice Department.
PHOENIX, Arizona (July 13, 2021)—A number of legal and government entities will be hunting for fraud around COVID-19 relief programs, and the health care sector—the largest recipient of first-draw Paycheck Protection Program (PPP) loans—is dead in their sights.
COLUMBIA, S.C. (October 9, 2020)—In what is the third in a nationwide series of telemedicine fraud prosecutions, more than 40 people in South Carolina and Georgia are being charged. The charges add up to hundreds of millions in fraudulent billings.
SAVANNAH, Ga. (July 15, 2020)—A Florida man who operated a durable medical equipment company has been charged for his alleged participation in a Medicare kickback and telemedicine fraud scheme.
SAVANNAH, Ga. (April 29, 2020)—A Georgia woman who operated a telemedicine network through two companies has been charged for her alleged participation in an ever-growing health care and telemedicine fraud scheme.
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).
A letter sent to Secretary Price addresses changes to Medicaid program to prevent abuse.
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:
The survey found that many wish for better communication with providers and payers
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.
Patients discharged from hospitals remain one of the most important customer bases for home care companies, so it is vital that providers be given a fair