Record haul in False Claims Act cases a reason for nursing homes to be concerned, experts say
By
Jessica R. Towhey
Feb 13, 2023
Legal experts said the long-term care industry should be warned that the Department of Justice’s aggressive pursuit of False Claims Act cases will likely continue.
Baseless False Claims cases could decline with Supreme Court intervention
By
Kimberly Marselas
Dec 05, 2022
The Supreme Court will hear arguments Tuesday from federal lawyers seeking to dismiss more False Claims allegations in which the government chooses not to intervene, a move that would likely reduce the...
Whistleblowers add to nursing home COVID relief burdens
By
Kimberly Marselas
Oct 31, 2022
A $105 million federal lawsuit filed last week — one possibly on its way to a quick dismissal — shows the growing threats nursing home operators face in accounting for their right to collect and spend...
Investigations into healthcare COVID relief heat up
By
Joe Bush
Oct 21, 2022
After several Provider Relief Reporting periods, the government is holding true to its word and ramping up audit and investigation activities.
‘Grossly substandard’ care leads to False Claims charges for Ohio-based nursing home operator
By
Kimberly Marselas
Jun 16, 2022
The Justice Department late Wednesday announced it has sued three connected nursing homes in Ohio and Pennsylvania, citing their “grossly substandard skilled nursing services.”
To control private equity, legal experts suggest government sharpen existing tools
By
Kimberly Marselas
Mar 25, 2022
While the Biden administration is targeting private equity firms that invest in nursing homes for reforms, two attorneys well-versed in fraud argue that existing mechanisms could deter private equity from...
Could everything be a kickback?
By
Chris Sabis
Dec 15, 2021
The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts relevant to long-term care...
Rehab firm will pay $2M to resolve False Claims Act allegations involving 11 nursing homes
By
Kimberly Marselas
Jul 26, 2021
A California-based therapy company has agreed to pay $2 million to quash allegations that it overbilled for rehab services provided at 11 skilled nursing facilities.
Potential False Claims Act liability for nursing homes
By
Mysty Blagg
Jul 07, 2021
The FCA is the Department of Justice’s key tool in combating healthcare fraud and abuse The False Claims Act (FCA) provides a remedy of civil damages when a party 1) makes a false statement or engages...
SavaSeniorCare settles ‘unfounded’ False Claims Act allegations for $11.2M
By
Danielle Brown
May 24, 2021
Atlanta-based nursing home operator SavaSeniorCare said Friday it is settling “unfounded” and longstanding allegations of billing Medicare for unnecessary therapy services. The Department of Justice...