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Medicare fraud

Home Health Care Owner Sent to Prison Due to Fraudulent Claims
Medicare paid Agu’s companies more than $3 million based on the fraudulent claims.

HOUSTON—A 63-year-old Sugar Land resident has been ordered to prison for conspiracy to pay and receive kickbacks, announced U.S. Attorney Alamdar S. Hamdani.

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Two Florida Doctors Convicted in $15M Medicare Fraud

MIAMI—A federal jury has convicted two Florida doctors for their roles in a scheme to defraud Medicare by submitting over $31 million in claims for expensive durable medical equipment (DME) that Medicare beneficiaries did not need and that were procured through the payment of kickbacks, according to a news release from the U.S. Department of Justice. 

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Woman Convicted for Fraudulently OK'ing Medicare Home Health Services

WASHINGTON (November 18, 2022)—A federal jury has convicted an Illinois woman for conspiring to defraud Medicare of over $6 million, according to a news release issued by the U.S. Department of Justice (DOJ). 

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VirtuOx Agrees to Pay $3.15M to Resolve Fraudulent Billing Allegations

MIAMI, Fla. (May 20, 2022)—VirtuOx, Inc., based in Coral Springs, Florida and operating Medicare approved independent diagnostic testing facilities (IDTF), has agreed to pay $3.15 million to resolve allegations that it submitted or caused to be submitted false claims to Medicare for reimbursement.

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$4M Deal Struck Over Fraud Claims Against Pain Firm, Owners

By Jonathan Mattise, Associated Press

NASHVILLE, Tenn. (April 22, 2021)—State and federal authorities announced Wednesday that they have reached a $4.1 million settlement in a civil case that made claims of Medicaid and Medicare fraud against a now-shuttered pain clinic company and several of its owners, including a former state senator.

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OIG Releases COVID-19 Fraud Alert

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Dozens Charged in Massive DME Fraud Scheme Worth More than $1 Billion

(April 9, 2019)—The owners of dozens of durable medical equipment (DME) companies, along with executives at five telemedicine companies and three licensed medical professionals, have been charged in what is being called one of the largest health care fraud schemes in United States history, the U.S. Department of Justice announced today. 

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Editors' Top 5, Week of October 31

NAHC to File Lawsuit to Stop Pre-Claim
A national association is striking back against the “failed” Pre-Claim Review Demonstration (PCRD) with a plan to file a lawsuit against the Centers for Medicare & Medicaid Services (CMS). (Amy Baxter/Home Health Care News)

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HomeCare Editors' Top 5: Week of April 25

Need Exercise? Go to the Mall

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Medicare Reimbursement
A New Solution to Billing Fraud
States spend millions of dollars every year on fraudulent home care bills
Operations
Medicare Turns to Tech to Get Ahead of Fraud
On July 1, CMS will begin using predictive modeling technology to help fight Medicare fraud, Health and Human Services Secretary Kathleen Sebelius and agency officials announced.

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