Lawmakers call for public disclosure of Medicare payments, ask for input on post-acute reforms
By
McKnight's Staff
Jun 20, 2013
The battle against Medicare waste, fraud and abuse heated up on Capitol Hill this week. Lawmakers introduced a bill to make Medicare claims and payments publicly available and asked for provider input...
Veterans Affairs plans to borrow from the CMS fraud-prevention playbook
By
Kimberly Marselas
Jan 24, 2018
The Centers for Medicare & Medicaid Services will share its best fraud prevention tactics used against nursing homes and other providers with the U.S. Department of Veterans Affairs, the agencies said...
Obama’s FY 2011 budget to extend FMAP increase, ramp up anti-fraud efforts
Feb 01, 2010
President Obama is scheduled to unveil his FY 2011 federal budget proposal today. The blueprint would provide states with some additional Medicaid funding and crack down on Medicare and Medicaid fraud.
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...
NY nursing home to pay up to $8.6M, make major reforms to resolve criminal fraud charges
By
Josh Henreckson
Mar 05, 2024
A settlement with the New York Attorney General’s office will require a Long Island nursing home to pay up to $8.6 million in Medicare and Medicaid restitution and funding for state-mandated changes...
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...
Also in the News for Oct. 24, 2022
By
Joe Bush
Oct 24, 2022
Psychologist who worked with nursing homes convicted of fraud … HHS commits $13 million for nurse education and training … CMS asks for comment on information collection, including PACE info … Wyoming...
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.
Criminal trial starts for PA nursing home owner, staff accused of falsifying staffing records
By
Kimberly Marselas
Nov 17, 2023
A co-owner of two Western Pennsylvania nursing homes and several of his former building leaders are on trial this week, defending themselves against extensive federal charges related to Medicaid and Medicare...