What the public record shows.
The care itself is real, and most people in this field do honest work. But the money is federal, the patients are older, and the billing is complex — and the U.S. Department of Justice has taken notice.
$9 million — United Energy Workers Healthcare (2023). UEW Healthcare and related entities paid $9,000,000 to resolve allegations under the False Claims Act that, between January 2013 and March 2021, they billed the Department of Labor for in-home services that were never provided or were not medically necessary — including allegations of billing for case management that did not happen and instructing caregivers to record more time than they actually spent with patients. The settlement resolves allegations; there was no determination of liability. Read the Department of Justice announcement ↗
Nearly $10 million — Atlantic Home Health Care (2025). Atlantic Home Health Care LLC paid $9,990,944 to resolve allegations that it billed the Energy program for in-home nursing and personal care when employees were not physically present in patients’ homes — and that it paid kickbacks for patient referrals, including cash payments of up to $5,000 per referral through a “friends and family” program. Again: allegations, resolved by settlement. Read the Department of Justice announcement ↗
Both cases began with whistleblowers — people inside the companies. And federal oversight of this program is active in Congress too: the Department of Labor’s Office of Inspector General found the workers’ compensation office averaged 207 days to make coverage decisions in fiscal year 2022, a delay pattern the Senate has publicly pressed. Senate HELP Committee statement ↗
What this means for you is not fear. It means the choice of agency deserves the same care as the claim itself — and that a few direct questions will tell you almost everything.
The seven questions to ask any agency.
- Who owns you? A person’s name is an answer. “An investment group” is also an answer — just a different one. Ownership is a fact you are entitled to know. More on why ownership matters →
- Will you show me what you bill under my card? The right answer is an unhesitating yes. Every visit billed should be a visit that happened, documented at the time of care.
- Who writes my Letter of Medical Necessity, and from what? The LMN sets your care and your hours. Ask whether it is written from recorded clinical data or assembled from memory when the renewal is due. What an LMN is →
- What happens when my authorization is due for renewal? You should never learn about a lapse from a cancelled visit. Ask who tracks the date and when the paperwork starts.
- Are your nurses local? Ask whether the people in your home live in your community or rotate through it.
- Do you take any percentage of my compensation? The answer must be no. Free help exists for the claim itself: the DOL’s Las Vegas Resource Center, (702) 697-0841, charges nothing.
- Were you offered anything for this referral? If anyone was paid to send you to an agency, you deserve to know. Referral kickbacks were at the center of the Atlantic settlement.
How Alara answers them.
- Ownership: the owner is a nurse, in Las Vegas, and a Director of Nursing reviews every start of care.
- Billing: our standard is in writing — every visit billed is a visit that occurred, documented in the care record at the time of care. Read it →
- The LMN: drafted from the in-home assessment with the hours grid mapped to accepted conditions, then carried by AlaraOS through signature, authorization, and every renewal — never written from recollection. How your hours are set →
- Renewals: tracked from day one; the documentation is assembled before it is due.
- Local nurses: Alara does not use traveling or agency nurses. The clinicians who walk into your home live in Southern Nevada, and you will know them by name.
- Compensation: we never take a percentage of anyone’s award, and we point you to the free Resource Center for the claim itself.
- Referral inducements: nothing is offered and nothing is accepted for a referral — not to physicians, not to claimants, not to anyone. A referral to Alara is earned by the answers above or not at all.
Common questions.
Is it safe to switch agencies?
Yes. Your White Card belongs to you, not to any agency. You can change providers, and your covered care continues at no cost to you. A new agency verifies your card and authorization and coordinates the transition.
Does a settlement mean a company was found guilty?
No. A False Claims Act settlement resolves allegations without a determination of liability. We link the Department of Justice announcements above so you can read exactly what the government alleged and what was paid.
Who can help me for free?
The Department of Labor’s Las Vegas Resource Center, (702) 697-0841, is the free, provider-neutral office for filing and claim questions. You never pay anyone a percentage of an award for help.
Sources: U.S. Department of Justice, S.D. Ohio (2023) · U.S. Department of Justice (2025) · HHS Office of Inspector General · U.S. Senate HELP Committee. General information, not legal advice; settlements resolve allegations without a determination of liability.