Home Health Hustler

Number 24165
Subject Fraud
Source KDFW -TV (Dallas)
State TX
Year 2008
Publication Date 04/29/2008; 04/29/2008; 05/07/2008; 06/09/2008; 08/21/2008
Summary This investigation exposed a woman using multiple identities to set up and operate fraudulent home health care businesses and bill the government. Their investigation found Irene Anderson, also known as Iya Edwards, was in the country illegally and ordered deported nearly twenty years previous, yet she was able to establish numerous home health care agencies and collect millions of dollars in government money. She received Medicare payments for patients who would not typically qualify for home care coverage and for patients who received no home health care at all. This story exposed lapses in federal healthcare and legal systems as well as in the state regulatory system home health care providers. The news team found several ex-employees who had reported fraud and abuse to the state, but nothing had been done. In fact, the Texas Department of Aging and Disability Services claimed it conducted an investigation and found nothing, clearing the way for Anderson to continue to fraudulently bill the federal government. The investigation triggered an arrest, a federal raid, criminal charges, repayment of millions of tax dollars and promises of legislative change.
Category Contest Entry
Pages 40
Keywords Texas; home health care; fraud; Medicare fraud; public records
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