tci Medicare Compliance & Reimbursement - 2005 Issue 31

ENFORCEMENT WATCH: Medicaid Patients Must Verify Home Health Claims

State AG pursues civil fraud lawsuit against a home health facility.Filing false home health claims to Medicaid can lead to an audit - which could result in Medicaid fraud charges, as evidenced by the recent case of a Michigan home health provider.Detroit-based Friends Who Care, Inc., which provides physician-ordered home health and hourly nursing care to severely handicapped patients, faces Medicaid fraud charges and a civil lawsuit, Michigan Attorney General Mike Cox announced on July 18.What'd they do? FWC allegedly submitted $895,000 worth of fraudulent claims to Medicaid, including $750,000 in services and $145...

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