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 […]
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 […]
NHIC, Corp., a Medicare Administrative Contractor, reviewed home health claims between July 1 and December 31, 2012 and found alarmingly high error rates. The contractor published a document describing exactly which errors cause the most denials.
