Health and Human Services Department

Health and Human Services Department

UPDATED 17:23 PM EST, March 6, 2013

Four men wanted for taking almost $1 million from Medicaid

The Health and Human Services Department has added four Ohio men to their list of most wanted fugitives for taking $970,000 from Medicaid according to investigators at the HHS Office of Inspector General.

The four men created what appeared to be six different ambulette companies for transporting people, but the six companies coordinated all their efforts, acting as a single company. One man was convicted, but fled before going to prison. The other three fled prior to their trial.

Investigators believe the men are currently residing in Sudan.

UPDATED 14:00 PM EST, February 15, 2013

Indiana hospital improperly billed for $5.8 million in Medicaid services

Investigators at the Health and Human Services Department (HHS) said a single hospital in Indiana improperly billed the U.S. government by $5.8 million for Medicaid, specifically inpatient psychiatric services.

The HHS Office of Inspector General wants the state to refund the money given to Logansport State Hospital, because that facility did not comply with federal "minimum standards that provide a basis for improving quality of care and protecting the health and safety of Medicaid beneficiaries," such as staffing levels and treatment plans, the watchdog said.

UPDATED 11:45 AM EST, January 8, 2013

More Medicare fraud? This time it's $15.3 million

Another day, another company illegally billing Medicare.

Today its Florida based American Sleep Medicine, which has agreed to pay the government $15.3 million after charges it illegally billed Medicare for sleep diagnostic services that weren't eligible for repayment.

The company also illegally billed TRICARE, the military health care system, for treatment provided to service members, and the Railroad Retirement Medicare Program, according to officials.

UPDATED 17:56 PM EST, January 7, 2013

Medical centers will pay $4.4 million for unnecessary surgery

Two medical centers will pay the government $4.4 million after they unnecessarily performed surgery on patients in order to bill Medicare for the services, according to a press release from the Justice Department.

EMH Regional Medical Medical Center and the North Ohio Heart Center, Inc. performed unnecessary angioplasty and stent placement procedures on patients, then billed the government according to officials.

UPDATED 15:45 PM EST, January 7, 2013

Nursing home fined almost $425,000 for improper wound care

The government has fined Golden Living Nursing Homes nearly $425,000 because the facilities provided "inadequate and worthless wound care" that "resulted in harm to patients" and then billed Medicaid for the services, according to a press release from the FBI.

"The nursing home patients depended on Golden Living to provide them with quality wound care services to help them heal, but, instead, were mistreated. We will not stand for such egregious misconduct by a Medicaid provider," said Georgia Attorney General Sam Olens.

UPDATED 11:52 AM EST, December 31, 2012

Louisiana Medicaid fraud unit recovers $95 million

The Louisiana State Medicaid Fraud Control Unit was kept busy between fiscal years 2009 and 2011.

A Health and Human Services Department Office of Inspector General review of the fraud control group found they had recovered $95 million, obtained 192 convictions and 86 civil judgments or settlements and received 1,043 referrals for other cases.

The IG report also said that the unit did not properly report its income in fiscal year 2010 and 2011. However it was a paperwork problem, and the unit had no problem with control of its finances, investigators said.

UPDATED 14:16 PM EST, December 11, 2012

Aid to older Americans needs to be specific by state, watchdog says

The Older Americans Act of 1965 provides funds for the elderly and their caregivers to assist the individuals in staying in their homes as long as possible before moving to an assisted living facility. But the funding formula used could be improved by taking into account differences between the states and their elderly populations, said the Government Accountability Office.

UPDATED 12:52 PM EDT, October 19, 2012

Florida man convicted for role in $205 million Medicare fraud sceme

The owner and operator of several Florida halfway houses was sentenced to four years, three months in prison for part of a scheme to defraud the government of $205 million in Medicare payments, according to the Departments of Justice and Health and Human Services, the latest conviction from an increased crackdown by the government's Medicare Fraud Strike Force.

UPDATED 20:55 PM EDT, October 6, 2012

Child services non-profit misspent a million dollars, investigators say

A Louisiana non-profit that runs Head Start programs built a million-dollar new headquarters building without asking permission from federal officials first, said the Health and Human Services Office of Inspector General.

The Child Development Council of Acadiana, Inc. paid for construction of the new office building, then used it as collateral on two loans, investigators said.

The non-profit said it did nothing wrong, but HHS is seeking to get the money refunded to the national government.

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