Editor's note: This Shark believes that the Alice R. Gore Estate is the poster case for home and hospital health care fraud. It could not exist if not for the corrupt Probate Court of Cook County. Lucius Verenus, Schoolmaster, ProbateSharks.com
Chicago a hot spot for home health fraud
Ameet SachdevContact ReporterChicago Tribune
Chicago's home health care industry has a big fraud problem and a federal study released Wednesday suggests more scrutiny may be warranted.
The metropolitan area is one of 27 geographic "hot spots" identified by an analysis of Medicare claims data by the U.S. Department of Health and Human Services' Office of Inspector General. The examination found dozens of home health agencies and physicians in the Chicago area whose recent Medicare claims have characteristics similar to those observed in cases of fraud.
Federal authorities are paying close attention to home health because it is playing a growing role in U.S. health care as insurers and physicians increasingly seek to manage patients with chronic conditions and keep them out of emergency rooms, hospitals and nursing homes.
In 2015, the Medicare insurance program for the elderly paid $18.4 billion to more than 11,000 home health businesses. At more than $900 million, the Chicago region had the most home health payments last year, according to the report.
Chicago has been long recognized as having high rates of home health fraud, so much so that in 2013 the federal government imposed its first moratorium on new home care businesses in the six-county region.
Federal authorities in Chicago also have pursued fraudsters aggressively. Dozens of physicians, nurses, home health agency owners and marketers have been charged and convicted in recent years. The investigations have revealed many problems, including doctors taking kickbacks for referrals and approving home nursing visits for patients who were not homebound.
The indictments keep coming. On Wednesday, the Justice Department announced charges against a physician with an office in Buffalo Grove, Dr. Yevgeny Odessky, who is accused of taking cash kickbacks in exchange for referring patients to a home health agency in the north suburbs. Odessky was not immediately available for comment.
In addition, the owners of two home health providers, Schaumburg-based Axis Health Care Services and Glenview-based TLC Healthcare Services of Illinois, have been charged with paying kickbacks to recruiters in exchange for referring elderly patients.
The charges were part of what officials said Wednesday was the largest crackdown on Medicare fraud since a federal health care investigations team was started nine years ago. Federal agents have arrested about 300 suspects around the country, on charges ranging from taking illegal payments to false physical therapy claims that allegedly cost Medicare about $900 million.
Despite numerous successful prosecutions, home health fraud remains an issue, said Adam Freeman, a leader of the study by the Office of Inspector General.
The study flagged 37 home health providers and 257 physicians in the Chicago area as having suspicious Medicare claims. It didn't identify any of them by name.
Twitter @ameetsachdev
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Hundreds of elderly victims of elder cleansing (also known as retroactive abortion) lie doped up in nursing homes as the US Treasury is raped unmercifly. (Philip ESformes has been indicted of stealing a billion dollars in Medicare funds as an example).
The Government Accounting Office has filed five reports to Congress on this matter. The abuse and forfeit of the human rights of senior citizens is not a secret! Jerome Larkin and his gang of miscreants (18 USCA 371) have been for years covering up the criminal enterprise being conducted by some corrupt Judges on the 18th Floor of the Daley Center. Larkin did not blink an eye when Judge Maureen Connors admitted on page 91 of her evidence deposition to being wired (fixed). He was not impressed when he examined file 09 P 4585 and observed that the victim (Mary Sykes) had not been served with the summons mandated by 755 ILCS 5/11a - 10, her next of kin were not notified of a competency hearing as required by 755 ILCS 5/11a - 10 that is jurisdictional, no competency hearing was ever held, ******
The fix occurring in disciplinary hearings is also legend. A panel of Larkin's Lackeys without a scintilla of evidence presented to them found that Mary's next of kin had knowledge of the very hearing as to Mary's competency that was never held. Inconsistency and Factual reality are not necessary in the Jerome Larkin world. He like his co-conspirators operate under the banner of "do not confuse me with the facts, I've made up my mind.'
Progress appears to be being made! Illinois is on the verge of Bankruptcy. As billions of dollars in the Illinois conspiracy have been stolen, the Illinois Department of Revenue ought to start collecting the taxes, interest and penalties due jointly and severally by the co-conspirators. Pursuant to 18 USCA 371 it is my opinion that Jerome Larkin and each of his lackeys has joint and several liability. Time for each one of them to PAY UP!!!!
Ken Ditkowsky