Grand Health Care settles with DOJ for $21M in rehab upcoding case
By
James M. Berklan
Jul 10, 2024
The Grand Health Care System and its 12 affiliated skilled nursing facilities will pay more than $21.3 million to settle allegations of therapy upcoding that involved a quota system for keeping billing...
Standing up for PALTC specialists
By
Michael Wasserman
Rajeev Kumar, M.D.
Jul 10, 2024
Nursing home medical directors, by federal regulation (Section 483.70 (h)), are responsible for coordinating the medical care of highly complex individuals who reside in these facilities. The recent...
The perpetrators of a $900 million healthcare scam targeted nursing homes and other facilities where seniors lived, looking for Medicare patients whom they could dupe into receiving expensive wound care...
DOJ hits telehealth firm for $4.6M in false claims settlement involving nursing homes
By
Josh Henreckson
Jun 14, 2024
A company that provides mental telehealth services to skilled nursing residents has agreed to pay the federal government $4.6 million to resolve false claims allegations.
Even as COVID cases rise, nursing homes losing ground on vaccinations
By
Josh Henreckson
Jul 05, 2024
Residents of long-term care facilities are falling further behind in their COVID-19 vaccinations — with the gap being driven by a combination of logistical challenges and increasing skepticism from the...
Federal court stops lawsuit seeking nearly $1B over ‘improper’ nursing home licensing
By
Kimberly Marselas
Jul 02, 2024
A federal appeals court won’t reopen a nearly $1 billion lawsuit against a Florida nursing home operator accused of racketeering-like behavior in a lengthy civil case.
‘Systemic failures’ land thousands of Missouri residents with mental health disabilities in SNFs
By
Josh Henreckson
Jun 20, 2024
The US Department of Justice has continued its push to ensure state long-term care operators and government agencies are in compliance with the Americans with Disabilities Act. On Tuesday, it released...
Health system shuts door on case affirming right to spend nursing home pay on other service lines
By
Kimberly Marselas
May 23, 2024
A health system has resolved the final allegation in a 12-year-old False Claims case over how it spent its nursing home proceeds, months after a federal appeals court ordered the case dismissed.
Bill demands prison time for nursing home investors guilty of ‘corporate greed’
By
Josh Henreckson
Jun 12, 2024
A new Senate bill adds the threat of six years of prison time and considerable financial clawbacks and penalties for executives found to have “looted” healthcare organizations such as nursing homes,...
Also in the News for Monday, April 29, 2024
By
Kimberly Marselas
Apr 29, 2024
Nursing home chain and two executives settle on $7 million false claims payment to DOJ … Parkinson blasts staffing mandate in NPR interview … Study: Medicare warnings cut antipsychotics in nursing...