Senators blast Medicare audits, say RAC payments should be changed
By
Tim Mullaney
Jul 10, 2014
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during...
Brokers stole dying nursing home residents’ identities to carry out a lucrative fraud, SEC charges
By
Tim Mullaney
Mar 14, 2014
Two investment brokers and their associates are facing charges that they stole nursing home residents’ personal information to perpetrate annuities fraud, the U.S. Securities and Exchange Commission...
Judge denies appeal by Burkhart, former American Senior Communities CEO serving 10 years for audacious...
By
Kimberly Bonvissuto
May 18, 2021
A federal judge has denied a motion by former American Senior Communities CEO James Burkhart to throw out his felony fraud convictions, ruling that his law firm’s conflict of interest did not adversely...
Private equity in the crosshairs
By
Jonathan H. Ferry
Aug 20, 2021
Private equity investors in nursing homes should brace and prepare for an active near-term enforcement environment. Congressional skepticism of private equity involvement in healthcare, developments in...
Prosecutor: Nursing home workers busted with fake COVID-19 vaccination cards
By
Kimberly Marselas
Sep 02, 2021
Thirteen frontline nursing home and hospital workers have been charged with buying fake COVID-19 vaccine cards from a fraud ring in New York, Manhattan’s top prosecutor said.
Tales you might never expect from the frontlines of fraud
By
Apr 26, 2016
The healthcare world currently ranks as the fourth most victimized industry when it comes to fraud, falling prey to roughly 6.6% of all fraud incidents. In the long-term care sector, experts recently shared,...
Psychiatry company settles Medicare fraud allegations for $1 million
By
Elizabeth Newman
Jul 22, 2013
A New York company that provided psychiatry services to nursing home residents with dementia has settled a whistleblower Medicare fraud case for $1 million.
Report: CMS should boost reporting of fraud, abuse
Aug 03, 2011
While the Centers for Medicare & Medicaid Services has made strides in reducing Medicare fraud and abuse, the agency’s sheer size leaves it vulnerable, a new report shows.
Medicare enhances readability and fraud protections with streamlined benefit statements
By
McKnight's Staff
Mar 08, 2012
Medicare recipients soon will be reaping the benefits of simplified benefit statements and will see added protections against Medicare fraud, the Centers for Medicare & Medicaid Services announced Wednesday.
Husband and wife plead guilty to stealing $1.2 from assisted living company
By
Jun 10, 2015
The Kansas woman who authorities say worked with her husband to steal more than $1.2 million from an assisted living company has pleaded guilty to one federal count of mail fraud.