Amedisys “bilking the system”?

Stephen Tweed | May 6, 2014 | News and Views
"Home health services are a large and growing part of our federal health care system. Health care dollars must be reserved to pay for services needed by patients, not to enrich providers who are bilking the system." These are the words of Sally Quillian Yates, U.S. attorney for the Northern District of Georgia, in commenting…

“Home health services are a large and growing part of our federal health care system. Health care dollars must be reserved to pay for services needed by patients, not to enrich providers who are bilking the system.”

These are the words of Sally Quillian Yates, U.S. attorney for the Northern District of Georgia, in commenting on a settlement reached with Amedisys, the Baton Rouge, LA based home health company.  Amedisys will pay $150 million to resolve allegations that it inflated Medicare billings and had improper financial relationships with referring physicians, the U.S. Department of Justice said.

Amedisys is one of the nation’s largest home health providers, operating in 37 states, Washington, D.C., and Puerto Rico.  The agreement resolves False Claims Act allegations that, between 2008 and 2010, some Amedisys offices billed Medicare for unnecessary services and for patients who were not homebound and misrepresented patients’ conditions to increase its Medicare payments.

The settlement also resolves seven whistleblower lawsuits, six in Pennsylvania and one in Georgia.  The whistleblowers, mostly former Amedisys workers, will split more than $26 million.

What do you think about this situation?  What impact does a news story like this have on the perception of home health care in America?  Give us your comments.

Stephen Tweed
Stephen Tweed is among the top Thought Leaders in Home Care today. As an industry researcher, author, and executive coach, he has worked with owners and CEOs of companies in the top 5% of Home Care and is a frequent speaker at Home Care association conferences and corporate meetings across the US and Canada.

Related Posts

Executive Retreats for Home Care Leaders

April 24, 2025
Last week I was having a conversation with a Home Care company owner who I met when I was speaking for their annual conference. Apparently my message had sparked some insights and questions and he came up to talk after my presentation. We stood there for probably thirty minutes after everyone else had left the…

Getting Ready for the Future

April 17, 2025
I just received a copy of a newsletter from my friend and professional speaking colleague, Daniel Burrus. Daniel is America's leading technology forecaster. He's a technology researcher, keynote speaker, and strategic advisor to Fortune 500 Companies.Many years ago at our National Speakers Association, Danial taught me about "The Four Levels of Your Data Steam". Since then he has helped…

Finding Your Best Clients and Caregivers

April 10, 2025
As you read this, I'm following up on a wonderful trip speaking to the Synergy Home Care Annual Franchise Meeting in Scottsdale, AZ. I had a wonderful time working with this group of amazing Home Care business owners on strategies and insights to find their best clients, and to attract and retain their best caregivers.Synergy Home Care is…