MEDICARE AND MEDICAID FRAUDS, PART 8 - HEARING BEFORE THE SENATE SPECIAL COMMITTEE ON AGING IN COOPERATION WITH THE HOUSE SUBCOMMITTEE ON HEALTH AND THE HOUSE SUBCOMMITTEE ON OVERSIGHT, 95TH CONGRESS, 1ST SESSION, MARCH 8, 1977

• NCJ Number: 61561
• Author(s): ANON
• Date Published: 1977
• Length: 169 pages
• Corporate Author: US Congress; US Congress; US Congress
• Sale Source: Superintendent of Documents, GPO; National Institute of Justice/
• Publication Type: Legislative/Regulatory Material
• Language: English
• Country: United States of America
• Note: ISSUED IN 9 PARTS.

Annotation

THE FISCAL INTEGRITY OF HOME HEALTH CARE PROGRAMS FUNDED BY MEDICARE, MEDICAID, AND TITLE XX OF THE SOCIAL SECURITY ACT WERE EXAMINED DURING SENATE HEARINGS ON MEDICARE AND MEDICAID FRAUDS HELD IN MARCH 1977.

Abstract

IN VIEW OF THE EXTENT OF FEDERAL SUPPORT FOR HOME HEALTH CARE PROGRAMS, STATEMENTS BY SEVERAL SENATORS AND REPRESENTATIVES MADE DURING THIS EIGHTH SESSION OF THE HEARINGS EXPRESSED CONCERN OVER THE MASSIVE AMOUNT OF FRAUD IN MEDICARE AND MEDICAID PAYMENTS THAT THE GOVERNMENT HAD EXPOSED AND THE NECESSITY OF IMPROVING THE MANAGEMENT OF EXISTING PROGRAMS BEFORE LEGISLATING ANY TYPE OF NATIONAL HEALTH INSURANCE. TESTIMONY BY A STAFF MEMBER OF THE HOUSE WAYS AND MEANS OVERSIGHT COMMITTEE ILLUSTRATED THE ABUSES FOUND AFTER AN AUDIT WAS CONDUCTED OF A LICENSED HEALTH CARE AGENCY IN CALIFORNIA. THIS COMPANY AND ITS SUBSIDIARIES HAD MANIPULATED FINANCIAL RECORDS, MISUSED FUNDS FOR PERSONAL PURPOSES, EMPLOYED DOUBLE BILLING IN MEDICARE CASES, AND EXPLOITED PREFERENTIAL TREATMENT BY INSURANCE COMPANIES. THESE ALLEGATIONS WERE SUPPORTED BY THE TESTIMONY OF FORMER EMPLOYEES. THE OWNER AND COMPTROLLER OF THE FIRM (HOME KARE, INC.) WERE SUMMONED TO TESTIFY BEFORE THE COMMITTEE BUT EXERCISED THEIR PRIVILEGES AGAINST SELF-INCRIMINATION AND REFUSED TO ANSWER ANY QUESTIONS. THE APPENDIX CONTAINS A SUMMARY OF THE INVESTIGATIONS AND RELATED MATERIALS ON HOME KARE, INC. (MJM)