Home Health & Hospice Week

Industry Note:

Nurses Plead Guilty, Receive Sentence In Fraud Schemes

The feds continue to rack up fraud convictions of home care providers in Miami. An RN formerly employed by 13 different Miami-area HHAs has received a 43-month prison sentence and must repay nearly $336,000 following  a fraud conviction. Isachi Gil billed for administering insulin to patients who were not insulin-dependent or homebound. And Gil was in Panama, Mexico, or the Dominican Republic during dates that she  claimed to be providing visits to beneficiaries, prosecutors said. Plus, Gil signed dozens of documents claiming she was providing skilled nursing services when she was attending classes at Florida International University. She also claimed to be providing skilled nursing visits to two and three patients simultaneously, double and triple billing Medicare, the Department of Justice says in a release. And two more patient recruiters in the ABC Home Health Inc. and Florida Home Health Providers Inc. fraud ring have pled guilty to fraud. RN [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Home Health & Hospice Week

View All