Home Healthcare Fraud


An investigation by the Medicare Fraud Strike Force resulted in the discovery and ultimate sentencing of a registered nurse who defrauded her home health agency and the federal government. Read Box 8-5.


a. If you were the administrator of this home health agency what could you have done to prevent this individual, or any staff member, from committing fraud of this nature?

b. What policies or procedures could you implement?

c. What actions could you enforce, within your organization that could have uncovered this illegal behavior sooner?