These actions, says the lawsuit, jeopardized the physical welfare of the patients.
It said one patient with lupus who had undergone a lower-limb amputation and used a wheelchair had been ordered 27 rehabilitation visits and 38 nursing visits to be made over a 60-day period. The agency provided no rehabilitation visits and only five nursing visits during the two-month period However it collected a full $3,537 in government reimbursement, the lawsuit says.
A second type of fraud alleged is the falsification of time and service records by hundreds of agency nurses and therapists.
The third type of fraud described involves billing for home health aides . The lawsuit charges that the Visiting Nurse Service has routinely billed the government for home aide services that were not provided or properly supervised, and that it routinely double-bills when patients are eligible for both Medicare and Medicaid.
For more detailed information read: http://www.nytimes.com/2016/09/24/nyregion/whistle-blower-suit-accuses-visiting-nurse-service-of-fraud.html
Jeffrey Newman represents whistleblowers but not in this case