Hi I am also new to the board and thought this would be the place to find answers to a whole lot of questions I have. I have been in home health for 7 years and I am hospital based. Home health is probably the only area of the hospital that is making money according to finance statments they send to us. Anyway, what determines medicare/medicaid fraud? Myself and several nurses I work with feel that many of our daily patients are being seen just to make money. There is no reason for these patients to be seen daily. I thought the whole thing behind a good home health nurse was that a patient or someone else was able to learn to do the care and for us to not stay in a home for months much less years!!!