Feds’ value-based changes present ‘long overdue’ opening for SNFs
By
Kimberly Marselas
Apr 06, 2023
Payment and quality experts on Wednesday described extensive changes proposed for skilled nursing’s value-based purchasing program as “long overdue” and a way to “reset the playing field.”
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...
Government whistleblower lawsuit: PharMerica improperly dispensed, billed for narcotics
By
Tim Mullaney
Aug 13, 2013
Long-term care pharmacy company PharMerica dispensed controlled narcotics without valid prescriptions and billed Medicare for the drugs, the federal government has charged in a False Claims Act lawsuit.
New attorney general, Justice policies could take steam out of False Claims Act cases
By
Marty Stempniak
Feb 20, 2019
A new attorney general at the helm, plus possible policy changes on the horizon, could spell a slowdown in fraud accusations against providers.
Saber to pay $10M False Claims settlement, denies therapy upcoding
By
Danielle Brown
Apr 15, 2020
A skilled nursing operator accused of pressuring some therapists and managers to place all patients in the highest rehab payment classification, regardless of clinical needs, is settling federal fraud...
Judge allows whistleblower FCA case against Omnicare
By
Ashley Carman
Aug 01, 2013
A whistleblower who alleges Omnicare Inc. paid kickbacks to nursing homes did not violate the False Claims Act, a judge has ruled.
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.
Nursing facilities victorious over ‘woefully’ weak whistleblower claim
By
Kimberly Marselas
Sep 22, 2023
A federal judge has dismissed False Claims allegations against eight skilled nursing facilities and their therapy partner, saying a would-be whistleblower didn’t offer enough detail to explain how a...
$9 million verdict against nursing home thrown out by appeals court
By
Elizabeth Newman
Aug 26, 2014
An Illinois nursing home won a victory last week when the U.S. Court of Appeals for the Seventh Circuit voided a $9 million verdict.
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...