Healthcare Fraud

  • Georgia Hospital Settles Ambulance Fraud Case

    The most common types of ambulance fraud are upcoming the billing of Medicare or Medicaid at inflated rates, or for rides that are not medically necessary. This was the case in the recent settlement involving Navicent Health Inc., a healthcare facility that operates the second-largest hospital in Georgia, as well as their own line of […]

  • Ambulance Fraud: The Most Expensive Ride of Your Life

    Ambulance fraud is a False Claims Act violation that can take on many forms. Common types of fraud include emergency transport companies fraudulently charging Medicare or Medicaid for rides that are not eligible for reimbursement or upcoding in order to receive higher reimbursement not justified by the ambulatory services provided. These schemes result in a […]

  • Texas Home Health Agency Paid Patient Recruiters Illegal Kickbacks

     After a nine-year conspiracy, a Houston-based home health agency has finally been brought to justice after defrauding Medicare for over $13 million. It was found that, between February 2006 and June 2015, the agency submitted falsified medical records and paid kickbacks to patient recruiters, physicians, and Medicare beneficiaries in order to bilk Medicare for services […]

  • Pennsylvania Hospice Defrauds Medicare By Preying on Elderly Patients

    Six years after the initial complaint, a hospice provider was brought to justice after being found to have conspired to defraud Medicare of more than $9 million. In order to receive these fraudulent reimbursements, the hospice, Home Care Hospice, Inc. (HCH), accepted dozens of patients that did not qualify for Medicare benefits, falsifying documents as […]

  • Understanding Hospice Fraud and Why It Is So Detrimental to Late-Life Care

    In order to fully grasp the seriousness of Medicare fraud, primarily that pertaining to hospice care, it’s important to discuss the entire purpose for hospice: to provide end-of-life care for those deemed to be terminal. Once a patient is considered qualified for hospice, Medicare no longer provides curative medical care which would ordinarily treat or […]

  • It Only Takes One Bad Egg to Spoil the Whole Basket

    Hospice care was contrived out of the desire to create a model for end-of-life quality, and generally speaking, hospice facilities provide such care without issue. To do so, these facilities generally encompass a team-oriented approach, with focuses on pain management, emotional support, and spiritual devotion – all of which are expertly tailored to the needs […]

  • California Hospice Defrauds Medicare by Stretching Patient Life Expectancies

    When a program created to provide important end-of-life services is so often the victim of fraud, should we blame the broken system itself, or instead turn focus to those committing the fraudulent acts? It seems an easy question to answer, but describes the ongoing situation of hospice care – a system which regularly undergoes scrutiny […]

  • When Greed Goes Too Far: As Hospice Fraud Skyrockets, Death Toll Rises

    A large-scale fraud scheme uncovered earlier this year sheds light on just how vile healthcare administrators can be in their pursuit of financial gain. Novus and Optim Health Services, a hospice provider based in Texas, were found to have submitted over $60 million in false claims to both Medicare and Medicaid – a scheme that […]