Waltz Discusses Fraud and Abuse Concerns in Home-Health Agencies

Partner Judith Waltz was quoted in a Bloomberg Law article, “Opening a Medicare Home-Health Agency in Texas? Think Again,” about how elevated fraud and abuse concerns led Medicare to extend an enrollment prohibition on new agencies in six states.

Waltz said home-health agencies are hard to keep track of and can be prone to fraud risks. “I think the idea behind the moratoria is that these are easy-to-access sectors, that enrollment won’t screen them out effectively, and that it takes time for the CMS to catch up with fraudulent providers,” she said.