CareLink Home Health, LLC
Outcome
CareLink Home Health LLC in Schaumburg, Illinois paid $35,597 after employing an excluded individual who worked as a nurse and case manager and whose services were billed to federal healthcare programs.
Details
CareLink Home Health (Schaumburg, IL) — Excluded Nurse and Case Manager Employed (2025)
Outcome: CareLink Home Health, LLC in Schaumburg, Illinois paid $35,597.37 after employing an individual who had been excluded from federal healthcare programs and who worked in the dual clinical/administrative role of nurse and case manager, with those services billed to Medicare and/or Medicaid.
CareLink Home Health, LLC, a home health agency in Schaumburg, Illinois, employed a staff member who had been excluded from participating in any Federal health care program. The excluded individual worked in a dual role as both a nurse (providing direct patient care) and a case manager (coordinating patient care plans and service delivery). Services provided in both capacities were billed to federal healthcare programs, violating the Civil Monetary Penalties Law.
The penalty of $35,597.37 was entered June 10, 2025. The excluded individual's dual nurse/case manager role means the compliance failure had both clinical and administrative dimensions. Home health agencies are required to screen all staff at hire and monthly thereafter against the OIG LEIE database.
Primary Source: OIG Enforcement Record
How Crucible Prevents This
Crucible's LEIE exclusion screening and monthly monitoring hooks would catch this excluded nurse/case manager before services are rendered. The dual role as both nurse and case manager means the excluded individual had clinical and administrative oversight functions — billing for both types of excluded-person services. Automated monthly OIG LEIE and SAM.gov cross-referencing for all staff is essential.
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