Muhammad Shahab, the mastermind of an almost $11 million Medicare fraud scheme in Detroit, was sentenced on September 12 to 50 months in prison. He pled guilty to billing for visits never performed, paying beneficiaries for the use of their Medicare numbers and paying kickbacks to physicians. This article identifies the legal representatives who […]
Coleen Murphy-DeOrsey, RN, BS, has watched as more than $30 million in home care fraud accusations resulting in arrests have gone down within her suburban Detroit home health care agency’s service area. One of the clinicians arrested once worked for Optimal Care, Inc. in Bingham Farms, Michigan, where Ms. Murphy-DeOrsey is COO and a […]
What does it mean when more than three-quarters of payment denials handed down by Medicare contractors are voided by Administrative Law Judges when appealed? Our conclusion, based on interviews over the years with home health care consultants who specialize in walking agencies through the appeal process, is that auditors at the RHHI, MAC, ZPIC […]
by Liz Seegert With one political convention wrapping up this week and another beginning Monday, we assigned staff writer Liz Seegert to study the published platforms of each party and analyze how home care and hospice would be affected if the Medicare sections of either platform were to become law. First up, the Republican Party […]
The U.S. Health and Human Services Office of the Inspector General has released a scathing report of home health billing practices. To place some controls on the degree of fraud and abuse it detected, OIG called for CMS to impose a moratorium on opening new home health care agencies in Texas and Florida, where it says […]
