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OIG Online Portfolio: Home Health

This Online Portfolio pulls together the Office of Inspector General's (OIG) body of work, including enforcement actions, reports, recommendations and more, as it relates to the home health industry. The portfolio will be updated periodically.

Overview

The Medicare home health benefit has long been recognized as a program area vulnerable to fraud, waste, and abuse. The benefit was established to provide skilled nursing care, home based assistance, and therapeutic services to qualifying homebound individuals. Home health care represents a significant component of Medicare expenditures. In calendar year 2015, Medicare reimbursed over 11,000 distinct home health agencies (HHAs) for almost 7 million episodes of home health care, totaling approximately $18.7 billion.

OIG advances its core mission of protecting the integrity of Department of Health and Human Services (HHS) programs and the people they serve by working to prevent and detect fraud, waste, and abuse. OIG's body of work in Medicare's home health benefit looks at existing safeguards and makes recommendations for improvements. Key information is below and on each of the individual tabs within the portfolio.

    Effectively administering the Medicaid Program

    National Health Care Fraud Takedown 2016

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    Nationwide Analysis of Common Characteristics in OIG Home Health Fraud Cases

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    Improper Arrangements and Conduct Involving Home Health Agencies and Physicians

    Eye on Oversight Video Series

    Video: Home Health Fraud

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    News Release: Doctor, Home Health Agency Owners Convicted

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    Work Plan: Home Health

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    Compliance Program Guidance for Home Health Industry

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    Recommendations

Page last updated: February 9, 2016

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201