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Health care fraud perpetrators cost the Federal government and American tax payers billions of dollars each year. The Centers for Medicare & Medicaid Services is now working with the Office of the Inspector General, the United States Attorney office and the Federal Bureau of Investigation to eliminate such fraudulent activity. This initiative is creating additional burdens on home health care companies, and therefore, they must be aware and prepared to handle the additional scrutiny. Home health care agencies must be aware of the changes in the industry. And there are certain actions they should take to protect themselves. Without a firm understanding of the behavior that is prohibited, there could be severe adverse consequences.