Home Health Care Fraud

The Department of Justice Health Care Fraud task force has recently been very aggressive in detecting, investigating, and prosecuting health care fraud by home health care agencies. If you are being investigated or prosecuted by the Department of Justice (DOJ) or the U.S. Attorney’s office for health care fraud related to the operation of a home health care agencies, it is imperative that you contact an experienced health care fraud defense attorney. Our health care fraud attorneys are skilled in defending all types of health care fraud cases against home health care agencies in various jurisdictions, including Michigan, Idaho, Ohio, and Florida.

If you are a physician, owner, nurse, physical therapist, or occupational therapist being investigated for health care fraud related to home health care, you could face serious consequences including jail time. Therefore, it is imperative that you contact our experienced health care fraud defense attorneys as soon as possible. We will work aggressively to prevent the filing of charges, or defend you if charges have already been filed.

Types of Home Health Care Fraud

  • billing for services not provided
  • billing for unnecessary services that were provided
  • falsely certifying that patients is home-bound
  • paying for recruitment of patients (anti-kickbacks and Stark)

Home Heath Care Fraud Investigations

Health care fraud in home health care agencies generally involves treatment of patients who are not home bound or billing Medicare for the treatment of patients who never received treatment from a physical therapist, nurse or physician. Billing Medicare for services that were not medically necessary or were not performed is a violation of the False Claims Act and is generally prosecuted by the Federal Government. The Health Care Fraud Task Force was set up by the Attorney General to combat health care fraud in locations where home health care fraud is rampant, including Detroit, Michigan and Miami, Florida.

Home Health Care Fraud Defense

If you are being investigated for home health care fraud, you may have many defenses available to you if you either were not aware of the fraudulent activities or your attorney can show that the services performed were medically necessary. This requires the advice and assistance of a skilled health law attorney because your defense relies on your ability to prove medical necessity.

Our attorneys have been successful in resolving allegations of home health care fraud, and in some cases, preventing the indictment of individuals associated with companies accused of home health care fraud. While the policy of the Department of Justice (DOJ) is to aggressively seek out and prosecute anyone connected with home health care fraud, this often results in the investigation and indictment of individuals with either minimum involvement or individuals who were not aware of the alleged fraud.

If you are being investigated or interviewed by the FBI, DOJ, DEA, HHS or other government agencies regarding home health care fraud, you should contact one of our attorneys immediately. Chapman Law Group will thoroughly investigate the allegations and work to prevent indictment, or aggressively defend you in the event of an indictment.

Possible Sanctions for Health Care Fraud

  • Criminal Charges (including jail and prison time)
  • Restitution and Fines
  • Expulsion from Medicare / Medicaid Program
  • Inability to Collect Outstanding Invoices
  • State Licensing Action

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