Fraud & Private Duty Home Care

Course overview

There seems to be a myth among providers of Private Duty or home care services that the federal false claims and anti-kickback statutes apply to Medicare-certified providers only. On the contrary, these statutes apply to providers who receive funds from any state or federal health care program, including Medicaid, Medicaid waiver programs, the VA, TRICARE, etc. Private Duty providers: This means many of you! The owners of four Private Duty companies in Pennsylvania, for example, were recently required to pay $54 million in restitution. Fraud and abuse enforcers have repeatedly urged and, in some cases required, Private Duty providers to develop internal compliance programs.