Nursing home psychiatrist in federal custody on 52 counts of fraud, including upcoding
Oct 17, 2014
Authorities have arrested a nursing home psychiatrist and charged him with 52 counts of healthcare fraud, the U.S. Attorney for the Northern District of Texas announced Thursday.
New payment models clash with fraud laws; waivers might not be the answer, official says
By
Elizabeth Newman
Nov 21, 2014
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
Hospice director, also the town mayor, charged in $150M federal fraud case
By
Kimberly Marselas
Jan 12, 2018
A Texas mayor and three others were indicted Wednesday for their alleged roles in a $150 million healthcare fraud and money laundering scheme, prosecutors said.
U.S. announces new Medicaid audit program aimed at preventing fraud
Nov 08, 2010
The Centers for Medicare & Medicaid Services announced late Friday new rules aimed at stopping improper Medicaid payments to providers. Taking a page from the Medicare program, regulators have proposed...
OIG: Medicare needs to do more to prevent fraud and waste related to chiropractic care
By
Kimberly Marselas
Feb 20, 2018
Previous controls have not done enough to reduce fraud and waste in connection to chiropractic care for Medicare patients, according to a review issued by a federal watchdog Friday.
OIG: Higher than average nursing home payments might indicate fraud
Jul 18, 2011
Nursing homes that collect daily Medicare Part B payments that are more than three times the national average should be closely monitored for possible fraud and abuse, according to a new Office of the...
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
HHS: Self-disclosure saves providers money in cases of Medicare and Medicaid fraud
By
McKnight's Staff
Apr 18, 2013
Long-term care providers who self-disclose potential Medicare and Medicaid fraud will likely benefit from lower repayment amounts, according to updated guidance released Wednesday. It is the first time...