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Texas Medicare Billing Has Biggest Potential for Fraud. Florida Second

by Hoyer Law Group, PLLC | Aug 3, 2012 | Firm News

The nation’s top health care inspector is calling for aMedicare moratorium on new home health care agencies in Texas, where the largest number of companies are filing dubious claims, according to a report obtained by the Houston Chronicle.

Nearly 40 percent of all home health care agencies or HHAs with suspicious billings came from Texas, according to the latest findings from the U.S. Health and Human Services Office of Inspector General.

The review represents more woes for a state heavily dependent on Medicare dollars and already mired in some of the most exhaustive health care criminal investigations and indictments in its history.

Florida ranked second with 25 percent of its home health care agencies filing questionable claims, prompting the HHS Inspector General, Daniel R. Levinson, to call on the Centers for Medicare and Medicaid Services (CMS) to consider capping the number of agencies allowed to bill Medicare.

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